W912ES19T0121_Employee_Assistance_Program_RFQ.pdf

SEE ADDENDUM

(No Collect Calls)

W912ES19T0121 03-Sep-2019

b. TELEPHONE NUMBER

651-290-5614

8. OFFER DUE DATE/LOCAL TIME

11:00 AM 12 Sep 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 X 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.

W912ES9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JOHN P RIEDERER

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

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

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

W81G6792348031

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

CONTRACTING DIVISION

USACE - ST. PAUL

180 5TH STREET E SUITE 700

ST. PAUL MN 55101-1678

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:

$12,000,000

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 OF163

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.

W912ES19T0121

Section SF 1449 - CONTINUATION SHEET

STATEMENT OF WORK

EMPLOYEE ASSISTANCE PROGRAM SERVICES

AND CRITICAL INCIDENT RESPONSE SERVICES

Statement of Work

1. SCOPE: The purpose of this contract is to provide a comprehensive Employee Assistance Program (EAP) to employees of the St. Paul District, U.S Army Corps of Engineers and their family members. For this purpose, “family member" is defined as an employee’s spouse or domestic partner; children, including adopted children and the children of the employee’s domestic partner; and parents of the employee or the employee’s spouse or domestic partner who reside in the same household as the employee. The St. Paul District is an entity of the Federal Government employing approximately 600 civilian employees in a variety of "blue collar" and "white collar" occupations. Approximately half of these employees are located in downtown St. Paul, MN. About 50 employees are located elsewhere in the Minneapolis-St. Paul Metropolitan Area. The remainder of the Corps’ employees are located at field sites in Minnesota, Wisconsin, Illinois, Iowa, Missouri, and North Dakota. The objective of the EAP is to enhance employee productivity, positive job performance, and retention by providing professional counseling services to assist employees in addressing personal concerns.

2. SERVICES PROVIDED BY THE CONTRACTOR:

a. Each St. Paul District employee or family member may request services, at no personal cost. There is no predetermined limit on the number of times these services will be provided. These services include: Diagnostic services, Short-term counseling, and Referral services, plus case monitoring and follow-up services. Services may be requested for social, economic, vocational, or other personal concerns, including but not necessarily limited to: drug and alcohol dependency, marital and relationship problems, legal and financial problems, health problems, sexual harassment/assault response, parental and elder care issues, stress management, identification of suicidal thoughts/tendencies, and emotional/psychological/behavioral problems.

i. DIAGNOSTIC services include problem assessment visits with the employee or family member and initial counseling directed toward identifying and assessing the nature and complexity of employee or family member concerns.

ii. SHORT TERM COUNSELING services are performed by EAP staff counselors and are directed toward clients whose problems may be satisfactorily addressed in one to three counseling sessions per incident. The contractor shall quote an hourly rate for in person counseling.

iii. REFERRAL services include referral to competent care and follow-up directed toward appropriate (medical, legal, social, and the like) resources for employees and family members whose problems warrant specialized and/or longer-term counseling. In making referrals, the employee’s financial circumstances, including the availability of insurance coverage, will be considered and any known or anticipated costs associated with a referral will be disclosed to the client.

b. Counseling and information available to address post-deployment issues of employees returning from assignment to locations of overseas conflicts (to include Post Traumatic Stress Disorder;

PTSD).

c. Consultation with, and assistance to, supervisors and management about appropriate strategies for addressing employees’ performance or conduct problems to include conflict resolution, effective communication, team building and effective confrontation skills . No limit on the number of consultations.

d. Training sessions for supervisors on: available services the EAP can provide to employees;

procedures for supervisory referral of employees to the EAP; and skills and techniques in managing employees with social, economic, vocational, or other personal concerns, to include identifying warning signs that may suggest employee problems, and strategies to facilitate management or resolution of those concerns. Contractor shall quote a per session rate for five

60-90 minute sessions per year at the St. Paul District Office or the Corps facility in Fountain City WI; More sessions or a change in location may be requested by the contracting officer at a price agreed upon by the contracting officer and the contractor.

e. Diagnostic services, short-term counseling, and referral for treatment and education in accordance with the Corps of Engineers drug testing program (Engineer Pamphlet 600-1-3 or subsequent published guidance). If an employee is found through the drug testing program to have used illegal drugs or identifies himself or herself as a user of illegal drugs, the contractor will:

i. arrange for the employee to meet with a professional counselor licensed to diagnose and treat substance abuse within 72 hours of referral;

ii. consult with the District human resources staff and the employee’s supervisor on immediate removal of the employee from his or her position;

iii. refer the employee to treatment as appropriate;

iv. monitor the employee’s treatment and provide periodic updates as requested;

v. advise the supervisor or District human resources staff on the employee’s completion of or failure to comply with the terms of his/her treatment program; and

vi. recommend follow up testing as appropriate.

f. Seminars on wellness topics, including, but not limited to, physical and behavioral health.

Contractor shall quote a per session rate for two seminars on different topics, at least one hour in length, per year at the St. Paul District Office or the Corps facility in Fountain City WI. More sessions or a change in location may be requested by the contracting officer at a price agreed upon by the contracting officer and the contractor.

g. Traumatic incident response. At the request of the contracting officer or the District EAP coordinator, the contractor will provide services in response to traumatic events including, as needed, individual counseling, group briefings and other support.

h. Mediation services in any location specified by the agency for the purpose of resolving employee complaints, improving working relationships, or assisting with other employment matters by a mediator qualified to assist in such matters. The contractor shall quote an hourly rate for mediation services. If the location specified for the mediation is more than 100 miles (one way) from the locations listed in section 5.h of this scope of work transportation costs shall be reimbursed in accordance with the Joint Travel Regulations (JTR).

i. A comprehensive website maintained by the contractor that provides information, resources, self-assessments and training on a variety of topics, including but not necessarily limited to: drug and alcohol dependency, marital and relationship problems, legal and financial problems, health problems, parental and elder care issues, stress management, and emotional/psychological/behavioral problems. The website will provide online training on how to find and use EAP services, both online and in person.

j. A readily available and accessible point of contact for District EAP Coordinator and/or the contracting officer to discuss and coordinate all aspects of the program.

3. Program Promotion and Publicity:

a. Within 30 days of contract initiation, the contractor will provide the District EAP coordinator at least 50 copies of a poster publicizing EAP services and contact information and at least 800 copies each of a brochure and wallet card informing employees of the program’s existence, the services available, and how to access services to include contractor’s name, toll-free telephone number, and web address. These items will be updated as needed throughout the contract period and additional copies will be provided without cost at the request of the District EAP coordinator.

b. At least annually after the start of the contract, the contractor will provide additional wallet cards (sufficient quantity for all District employees) and a different promotional poster (50 copies) to promote awareness and use of the EAP program.

c. At least monthly provide the District EAP coordinator with a pamphlet, bulletin or newsletter promoting and publicizing the program and addressing at least one program-related topic of interest to employees and family members in general (e.g. stress management, health maintenance and improvement, substance dependency, suicide prevention, etc). Monthly publication may be electronically sent to the District EAP coordinator.

4. Reporting Requirements: Utilization reports will not identify employee or family member names or provide information that could reasonably lead to the identification of individual employees or family members using EAP services.

a. A quarterly utilization report will be furnished to the District EAP coordinator. Report shall include:

i. Number of new employees or family members using EAP services

ii. Number of new employee self-referrals

iii. Number of new supervisory referrals

iv. Number of new issues reported by type [Substance abuse/dependency, Family relationships, Emotional/mental health, Marital/couple issues, Stress management, Gambling, Other (specify)]

v. Total client sessions (in person, telephonic)

b. An annual detailed report will be furnished to the District EAP coordinator. Report shall include:

i. Number of assessments per month (year-to-date)

ii. Type and number of EAP client contacts

iii. Referral source

iv. Action taken

v. Referrals to other providers.

5. Availability:

a. The contractor shall provide access to EAP 24 hours/day, 7 days/week, by toll-free phone number.

A toll-free number will be provided for hearing impaired clients using a telephone device for the deaf. Calls (including emergency and after hours calls) are answered in person by a professional staff member (not by answering service or machine) with crisis capability on a 24-hour basis.

Medical and other emergencies are forwarded to 911 or other emergency services in caller's local area as appropriate.

b. The contactor shall provide access to a current EAP webpage 24 hours/day, 7 days/week. The website will provide information on how to find and use EAP services online and in person, as well as information on basic response/coping skills for a variety of topics.

c. Client appointments take place within 48 hours of a request (exclusive of Sundays). In an emergency/crisis situation appointments happen the same day as the request, including Sundays.

d. Counseling shall be provided in person when possible. Telephonic counseling may be done when:

the client’s request can be easily obtained and provided over the phone; the client’s work location or home is more than a one hour drive from an available counseling location; or where telephonic counseling is preferred by the client.

e. Onsite counseling locations shall be handicap accessible as that term is used for purposes of new construction under requirements of the Americans with Disabilities Act.

f. The contractor will provide interpreters for hearing-impaired employees; provide TTY phone options for telephonic counseling sessions, and any other necessary services for clients with disabilities.

g. Minneapolis-St. Paul Metropolitan Area-In-person assessment, short-term counseling, and referral services shall be available 5 days per week (Monday-Friday) between the hours of 9:00 am and 5:00 pm from at least one location within 20 miles of the District headquarters office building in downtown St. Paul. On-site counseling and after-hours services shall also available as needed.

h. Other locations in Minnesota, Wisconsin, North Dakota, Iowa, Illinois, and Missouri- In-person assessment, short-term counseling, and referral services, equivalent in quality to those provided in the Twin Cities area, shall be made available in multiple locations by the Contractor (which may be through subcontractors or affiliated providers). Such services available as a minimum in Fargo, ND; Grand Rapids, MN; Red Wing, MN; Winona, MN; LaCrosse, WI: Superior, WI; Milwaukee, WI; and Green Bay, WI; Stevens Point, WI; Rock Island, IL; and St. Louis, MO. Services at these sites are available 5 days a week between the hours of 9:00 am and 5:00 pm; on-site counseling and after-hours services are also available as needed. Services provided by affiliates are coordinated and managed by EAP staff.

6. Confidentiality: Contractor will be responsible for maintaining a complete, individual case file for each covered employee or family member who becomes a client. The contractor shall abide by all applicable federal and state laws and regulations related to confidentiality and disclosure of client information obtained in performance of the contract or via referrals to other entities. Disclosure of confidential information, to include disclosures to management or supervisors of the St. Paul District, U.S. Army Corps of Engineers, will be limited to those authorized by law, such as where the client has provided written consent to the disclosure, or the disclosure has been authorized or required by a court of competent jurisdiction after application showing good cause therefore. It shall be the contractor’s responsibility to determine applicable confidentiality requirements and disclosure limitations.

7. Responsibility Factors:

a. All counselors (at all locations) have as a minimum a master’s degree and a current state license or state certification to practice as a mental health practitioner.

b. The EAP contractor has at least 5 years of experience administering and managing EAP programs for multiple-location organizations (which include locations outside the Twin Cities metro area), and for employees in a variety of “blue collar” and “white collar” occupations. Experience in suicide prevention and assessing PTSD is preferred.

c. The contractor employs, or has available through existing referral agreements, attorney(s), financial counselor(s) and psychiatrist(s), to provide appropriate diagnosis, counseling, assessment, and referral services, or to directly support those who provide such services.

d. The contractor is required to review the current edition of Engineer Regulation 690-1-710 (Civilian Personnel Employee Assistance Program Regulation, at http://www.publications.usace.army.mil/Portals/76/Publications/EngineerRegulations/ER_690-1- 710.pdf) and Engineer Pamphlet 600-1-3 [USACE Drug Testing Procedures for the Army’s Drug-Free Federal Workplace (DFW) Civilian Drug Testing Program, at http://www.publications.usace.army.mil/Portals/76/Publications/EngineerPamphlets/EP_600-1- 3.pdf], and ensure that all requirements are satisfied throughout the terms of a contract

e. Unless otherwise specified in the scope of work, travel and lodging costs for counselors, mediators, or other individuals who provide these services will be borne by the contractor except when expressly approved by the contracting officer.

NOTES TO OFFERORS

PLEASE E-MAIL ALL QUESTIONS to John Riederer, Contract Specialist, John.P.Riederer@usace.army.mil

This is a 100% Small Business Set-Aside solicitation.

It is preferred that the quote is e-mailed to:

John Riederer, Contract Specialist, John.P.Riederer@usace.army.mil

The offeror may also submit the quote by mail / courier to the following:

USACE – ST PAUL

CONTRACTING DIVISION

ATTN: John Riederer

180 5TH STREET EAST, SUITE 700

ST. PAUL, MN 55101-1678

OFFEROR SHALL BE REGISTERED IN SAM (System for Award Management) https://www.sam.gov to include the FAR and DFARS Reps and Certs sections with the NAICS code applicable to the solicitation.

For assistance with SAM, contact information is below:

SAM by GSA Hours of Operation: Monday – Friday 8am to 8pm ET, U.S. Calls 866-606-8220, Service desk website: http://www.fsd.gov/

Minnesota PTAC (Procurement Technical Assistance Center), www.mnptac.org 612-332-6332, mnptac@mnptac.org

Quotes must be RECEIVED by the time/date listed on the FBO.gov solicitation posting in order to be considered for award.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12 Months Employee Assistance Program

FFP

This item covers all work not otherwise addresses under items 0002, 0003, 0004 and 0005 for the period of 1 October 2019 through 30 September 2020 FOB: Destination

PURCHASE REQUEST NUMBER: W81G6792348031

NET AMT

0002 50 Hours In Person Counseling

FFP

This Item covers all in person counseling, including, but not exclusive to the work defined under sections 2.a.ii and 2.e.i of the Statement of Work for the period of 1 October 2019 through 30 September 2020

0003 2 Each Seminars on Wellness Topics

FFP

This Item covers Seminars on Wellness Topics as specified under section 2.f of the Statement of Work for the period of 1 October 2019 through 30 September 2020

0004 5 Each Training Sessions for Supervisors

FFP

This Item covers Training Sessions for Supervisors, as specified under section 2.d of the Statement of Work for the period of 1 October 2019 through 30 September

0005 5 Each Mediation Services

FFP

This Item covers Mediation Services, as specified under section 2.h of the Statement of Work for the period of 1 October 2019 through 30 September 2020

1001 12 Months OPTION Employee Assistance Program

FFP

This item covers all work not otherwise addresses under items 0002, 0003, 0004 and 0005 for the period of 1 October 2020 through 30 September 2021

1002 50 Hours OPTION In Person Counseling

FFP

This Item covers all in person counseling, including, but not exclusive to the work defined under sections 2.a.ii and 2.e.i of the Statement of Work for the period of 1 October 2020 through 30 September 2021

1003 2 Each OPTION Seminars on Wellness Topics

FFP

This Item covers Seminars on Wellness Topics as specified under section 2.f of the Statement of Work for the period of 1 October 2020 through 30 September 2021

1004 5 Each OPTION Training Sessions for Supervisors

FFP

This Item covers Training Sessions for Supervisors, as specified under section 2.d of the Statement of Work for the period of 1 October 2020 through 30 September

1005 5 Each OPTION Mediation Services

FFP

This Item covers Mediation Services, as specified under section 2.h of the Statement of Work for the period of 1 October 2020 through 30 September 2021

2001 12 Months OPTION Employee Assistance Program

FFP

This item covers all work not otherwise addresses under items 0002, 0003, 0004 and 0005 for the period of 1 October 2021 through 30 September 2022

2002 50 Hours OPTION In Person Counseling

FFP

This Item covers all in person counseling, including, but not exclusive to the work defined under sections 2.a.ii and 2.e.i of the Statement of Work for the period of 1 October 2021 through 30 September 2022

2003 2 Each OPTION Seminars on Wellness Topics

FFP

This Item covers Seminars on Wellness Topics as specified under section 2.f of the Statement of Work for the period of 1 October 2021 through 30 September 2022

2004 5 Each OPTION Training Sessions for Supervisors

FFP

This Item covers Training Sessions for Supervisors, as specified under section 2.d of the Statement of Work for the period of 1 October 2021 through 30 September

2005 5 Each OPTION Mediation Services

FFP

This Item covers Mediation Services, as specified under section 2.h of the Statement of Work for the period of 1 October 2021 through 30 September 2022

3001 12 Months OPTION Employee Assistance Program

FFP

This item covers all work not otherwise addresses under items 0002, 0003, 0004 and 0005 for the period of 1 October 2022 through 30 September 2023

3002 50 Hours OPTION In Person Counseling

FFP

This Item covers all in person counseling, including, but not exclusive to the work defined under sections 2.a.ii and 2.e.i of the Statement of Work for the period of 1 October 2022 through 30 September 2023

3003 2 Each OPTION Seminars on Wellness Topics

FFP

This Item covers Seminars on Wellness Topics as specified under section 2.f of the Statement of Work for the period of 1 October 2022 through 30 September 2023

3004 5 Each OPTION Training Sessions for Supervisors

FFP

This Item covers Training Sessions for Supervisors, as specified under section 2.d of the Statement of Work for the period of 1 October 2022 through 30 September

3005 5 Each OPTION Mediation Services

FFP

This Item covers Mediation Services, as specified under section 2.h of the Statement of Work for the period of 1 October 2022 through 30 September 2023

4001 12 Months OPTION Employee Assistance Program

FFP

This item covers all work not otherwise addresses under items 0002, 0003, 0004 and 0005 for the period of 1 October 2023 through 30 September 2024

4002 50 Hours OPTION In Person Counseling

FFP

This Item covers all in person counseling, including, but not exclusive to the work defined under sections 2.a.ii and 2.e.i of the Statement of Work for the period of 1 October 2023 through 30 September 2024

4003 2 Each OPTION Seminars on Wellness Topics

FFP

This Item covers Seminars on Wellness Topics as specified under section 2.f of the Statement of Work for the period of 1 October 2023 through 30 September 2024

4004 5 Each OPTION Training Sessions for Supervisors

FFP

This Item covers Training Sessions for Supervisors, as specified under section 2.d of the Statement of Work for the period of 1 October 2023 through 30 September

4005 5 Each OPTION Mediation Services

FFP

This Item covers Mediation Services, as specified under section 2.h of the Statement of Work for the period of 1 October 2023 through 30 September 2024

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A Government 0002 N/A N/A N/A Government 0003 N/A N/A N/A Government 0004 N/A N/A N/A Government 0005 N/A N/A N/A Government 1001 N/A N/A N/A Government 1002 N/A N/A N/A Government 1003 N/A N/A N/A Government 1004 N/A N/A N/A Government 1005 N/A N/A N/A Government 2001 N/A N/A N/A Government 2002 N/A N/A N/A Government 2003 N/A N/A N/A Government 2004 N/A N/A N/A Government 2005 N/A N/A N/A Government 3001 N/A N/A N/A Government 3002 N/A N/A N/A Government 3003 N/A N/A N/A Government 3004 N/A N/A N/A Government 3005 N/A N/A N/A Government 4001 N/A N/A N/A Government 4002 N/A N/A N/A Government 4003 N/A N/A N/A Government 4004 N/A N/A N/A Government 4005 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-OCT-2019 TO

30-SEP-2020

N/A N/A

0002 POP 01-OCT-2019 TO

30-SEP-2020

0003 POP 01-OCT-2019 TO

0004 POP 01-OCT-2019 TO

0005 POP 01-OCT-2019 TO

1001 POP 01-OCT-2020 TO

30-SEP-2021

1002 POP 01-OCT-2020 TO

1003 POP 01-OCT-2020 TO

1004 POP 01-OCT-2020 TO

1005 POP 01-OCT-2020 TO

2001 POP 01-OCT-2021 TO

30-SEP-2022

2002 POP 01-OCT-2021 TO

2003 POP 01-OCT-2021 TO

2004 POP 01-OCT-2021 TO

2005 POP 01-OCT-2021 TO

3001 POP 01-OCT-2022 TO

30-SEP-2023

3002 POP 01-OCT-2022 TO

3003 POP 01-OCT-2022 TO

3004 POP 01-OCT-2022 TO

3005 POP 01-OCT-2022 TO

4001 POP 01-OCT-2023 TO

30-SEP-2024

4002 POP 01-OCT-2023 TO

4003 POP 01-OCT-2022 TO

4004 POP 01-OCT-2023 TO

4005 POP 01-OCT-2023 TO

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management OCT 2018 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-21 Basic Safeguarding of Covered Contractor Information

Systems

JUN 2016

52.212-1 Instructions to Offerors--Commercial Items OCT 2018 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

252.203-7000 Requirements Relating to Compensation of Former DoD Officials

SEP 2011

252.203-7005 Representation Relating to Compensation of Former DoD Officials

NOV 2011

252.204-7008 Compliance With Safeguarding Covered Defense Information Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

OCT 2016

252.204-7013 Limitations on the Use or Disclosure of Information by Litigation Support Offerors

MAY 2016

252.204-7014 Limitations on the Use or Disclosure of Information by Litigation Support Contractors

MAY 2016

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

MAY 2016

252.225-7001 Buy American And Balance Of Payments Program-- Basic DEC 2017 252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7023 Transportation of Supplies by Sea FEB 2019

CLAUSES INCORPORATED BY FULL TEXT

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:

i. Price

ii. Past Performance. Past performance will be evaluated in accordance with Clause 252.213-7000. In the case of a supplier without a record of relevant past performance history in the Past Performance Information Retrieval System-Statistical Reporting (PPIRS-SR) for the Federal supply class (FSC) or product or service code (PSC) of the services being purchased, the supplier may not be evaluated favorably or unfavorably for its past performance history

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(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)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (OCT 2018)

ALTERNATE I (OCT 2014)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u)) of this provision.

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

“Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

“Forced or indentured child labor” means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

“Inverted domestic corporation,” means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except—

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

“Sensitive technology”—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

“Small disadvantaged business concern, consistent with 13 CFR 124.1002,” means a small business concern under the size standard applicable to the acquisition, that--

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by--

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

“Subsidiary” means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

“Veteran-owned small business concern” means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans(as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

“Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of the its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

“Women-owned small business concern” means a small business concern --

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

“Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127),” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

(b)

(1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs __.

[Offeror to identify the applicable paragraphs at (c) through (u) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract is to be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a small business concern.

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it [ ___ ] is, [ ___ ] is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]The offeror represents that it [ ___ ] is, [ ___ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.]The offeror represents that it [ ___ ] is, [ ___ ] is not a women-owned small business concern.

Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that—

(i) It [ ___ ] is, [ ___ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. [The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___ .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror represents that—

(i) It [ ___ ] is, [ ___ ] is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ___ ] is, [ ___ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___ .] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it [ ___ ] is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:

(10) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that--

(i) It [ ___ ] is, [ ___ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ___ ] is, [ ___ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: ___ .] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(11) (Complete if the offeror has represented itself as disadvantaged in paragraph (c)(4) of this provision.)

[The offeror shall check the category in which its ownership falls]:

___ Black American.

___ Hispanic American.

___ Native American (American Indians, Eskimos, Aleuts, or Native Hawaiians).

___ Asian-Pacific American (persons with origins from Burma, Thailand, Malaysia, Indonesia, Singapore, Brunei, Japan, China, Taiwan, Laos, Cambodia (Kampuchea), Vietnam, Korea, The Philippines, Republic of Palau, Republic of the Marshall Islands, Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, Guam, Samoa, Macao, Hong Kong, Fiji, Tonga, Kiribati, Tuvalu, or Nauru).

___ Subcontinent Asian (Asian-Indian) American (persons with origins from India, Pakistan, Bangladesh, Sri Lanka, Bhutan, the Maldives Islands, or Nepal).

___ Individual/concern, other than one of the preceding.

(d) Representations required to implement provisions of Executive Order 11246 --

(1) Previous contracts and compliance. The offeror represents that --

(i) It [ ___ ] has, [ ___ ] has not, participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It [ ___ ] has, [ ___ ] has not, filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that --

(i) It [ ___ ] has developed and has on file, [ ___ ] has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It [ ___ ] has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American – Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of “domestic end product.” The terms “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American—Supplies.”

(2) Foreign End Products:

LINE ITEM NO. COUNTRY OF ORIGIN

[List as necessary]

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)

(1) Buy American -- Free Trade Agreements -- Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American -- Free Trade Agreements -- Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this provision, is a domestic end product and that for other than COTS items, the offeror has considered components of unknown origin to have been mined, produced, or manufactured outside the United States. The terms “Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product,” “commercially available off-the-shelf (COTS) item,” “component,” “domestic end product,” “end product,” “foreign end product,” “Free Trade Agreement country,” “Free Trade Agreement country end product,” “Israeli end product,” and “United States” are defined in the clause of this solicitation entitled “Buy American--Free Trade Agreements--Israeli Trade Act.”

(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled “Buy American—Free Trade Agreements—Israeli Trade Act”:

Free Trade Agreement Country End Products (Other than…