W912L124R0003_0002Amendment.pdf

0012095286

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provi ded herei n, all t erms and condit ions of t he document referenced in Item 9A or 10A, as heretofore changed, remai ns unchanged and in ful l force and effect .

15A. NAME AND TIT LE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

ST ANDARD FORM 30 (Rev. 10-83) Prescr ibed by GSA

FAR (48 CFR) 53.243

This Amendment extends the proposal due date and time and provides answ ers to questions. See follow ing pages.

1. CONTRACT ID CODE P AGE OF P AGES

1 8

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

16C. DAT E SIGNED

BY 07-Jun-2024

16B. UNITED ST AT ES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contract ing Officer)(Signature of person author ized t o sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, Count y, Stat e and Zip Code) X W912L124R0003

X 9B. DAT ED (SEE IT EM 11)

10-May-2024

10B. DAT ED (SEE IT EM 13)

9A. AMENDMENT OF SOLICITAT ION NO.

11. THIS IT EM ONLY APPLIES T O AMENDMENT S OF SOLICITATIONS

X The above numbered soli cit ati on i s amended as set forth in It em 14. The hour and date specified for rece ipt of Offer X is ext ended, is not extended.

Offer must acknowl edge rece ipt of t his amendment pri or to the hour and date specified in the sol ici tat ion or as amended by one of t he fol lowing methods:

(a) By compl eti ng Items 8 and 15, and returning copi es of the amendment ; (b) By acknowledgi ng recei pt of thi s amendment on each copy of t he offer submit ted;

or (c) By s epara te let ter or t elegram whi ch i ncludes a refe rence t o t he s olic ita tion and amendment numbers . FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE P LACE DESIGNATED FOR THE RECEIPT OF OFFERS P RIOR TO THE HOUR AND DATE SP ECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of thi s amendment you desire t o change an offer already submit ted, s uch change may be made by t elegram or let ter, provided each t elegram or l ett er makes re ference to the sol ici tat ion and this amendment , and is received prior to the openi ng hour and dat e speci fi ed.

12. ACCOUNTING AND APPROPRIATION DAT A (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORT H IN ITEM 14 ARE MADE IN THE

CONT RACT ORDER NO. IN ITEM 10A.

B. T HE ABOVE NUMBERED CONT RACT /ORDER IS MODIFIED T O REFLECT THE ADMINIST RATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORT H IN ITEM 14, PURSUANT TO T HE AUTHORITY OF FAR 43.103(B).

C. T HIS SUPPLEMENT AL AGREEMENT IS ENT ERED INTO PURSUANT TO AUTHORITY OF:

D. OT HER (Specify type of modification and authorit y)

E. IMPORTANT: Contract or is not, is required to sign this document and return copies t o the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/cont ract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/ MODIFICATION NO. 5. P ROJECT NO.(If appli cable )

6. ISSUED BY

3. EFFECTIVE DATE

07-Jun-2024

CODE

USPFO TX PURCHASING & CONTRACTING

2200 WEST 35TH STREET

BLDG 66, RM 213

AUSTIN TX 78703

W912L1 7. ADMINISTERED BY (If other t han item 6)

4. REQUISITION/P URCHASE REQ. NO.

CODE

See I tem 6

FACILITY CODECODE

EMAIL:TEL:

W912L124R0003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

AMENDMENT 0002

Questions and Answers:

1. Question: Please confirm the contractor is required to enter data into MEDPROS and HRR post event?

ANSWER: Yes, the contractor is required to enter data into MEDPROs and HRR post event iaw the PWS.

2. Question: 3.1.1: Historically, has any building/armory space been made available to the contractor at any of the locations? if so, can which locations and how much space be provided?

ANSWER: No armory space is available at these two locations.

3. Question: 5.2.2.14: Historically, how many "Women’s Health Exams such as Pap smears, Chlamydia testing, mammogram" have been conducted per year by the contractor?

ANSWER: This has been removed. See revised PWS.

4. Question: 5.2.2.15: Historically, how many Digital Rectal Exams and PSAs have been conducted per year by the contractor?

ANSWER: DRE has been removed. See revised PWS. PSAs are required for all males over 40.

5. Question: 5.4.3: Historically, how many dental cases have to be case managed post event?

ANSWER: Approximately 10‐15% dental cases have to be managed post event.

6. Question: 5.6.1.3 How does the contractor verify SMs have or do not have one of the required standard issue eye wear?

ANSWER: It is part of the PHA.

7. Question: Is the vendor to scrub charts prior to event?

ANSWER: The vendor is not required to scrub charts prior to the event.

8. Question: Is there a dental clinic at either location? If so, which one?

ANSWER: No, there is no dental clinic at either location.

9. Question: Is there dental x‐ray machine such as a pano at either location that the vendor can utilize?

ANSWER: No, there is no dental x‐ray machine such as a pano at either location.

10. Question: Will the customer reconsider the Texas licensure? I have providers and dentist licensed in other states that work for Compass. I know their capability.

ANSWER: Licenses from Texas are preferred. See revised PWS.

11. Question: Will the government provide CAC's and access to the EHR such as MedPros / Medchart?

ANSWER: CACs are required prior to the event. Access to systems of record is provided if they have a CAC.

12. Question: Will the government provide computers the vendors can utilize?

ANSWER: No. Vendor is responsible for supplying computers iaw the PWS.

13. Question: Will the government provide the ePHA computers or is that the vendors responsibility?

ANSWER: No. Vendor is responsible for supplying computers iaw the PWS.

14. Question: Will the government provide IT or is that to be provided by the vendor?

ANSWER: No. The government will provide systems access only. Internet is the responsibility of the provider iaw the PWS.

15. Question: Will the government provide the check‐in check out station? (PAD)

ANSWER: Government runs internal check‐in, check‐out process for overall event. Contractor is responsible to run one for the individual stations or contractor tracking.

16. Question: Technical Exhibit 3 – PWS. Estimated Workload Data pg. 23. Camp Swift: 800 PAX ‐

Temple: 600 PAX. Given this is a Firm Fixed Price contract and in order to accurately price the services requested for submission purposes, we respectfully request the Government provide service counts that will indicate the number of each service requested to be performed at each event (e.g., number of PHA, audio, immunizations, dental exams, dental treatment, etc.)?

Please note PAX information does not tell us exam types, volumes, etc. as identified above.

ANSWER: 100% require PHAs, dental exams, vision exams, hearing exams, and HIV draw.

Anticipate 25% of Soldiers will require dental treatment. Anticipate 10% will require optometry Rx. Anticipate 5% will require MOHT. Anticipate 20% over 40 labs/EKG. Anticipate 50% SCT, 10% G6PD, 10% pregnancy tests, less than 1% DNA, less than 1% blood typing.

17. Question: RFP General. By what date does the Government anticipate award? This is important because we need a minimum of 7 days between award date and first SRP event timeline of 1‐3 JUNE 24 in order to orchestrate mobile units, providers and related travel to be available.

ANSWER: The first event for June 2024 has been removed via Amendment 0001. The vendor will be given at least 14 days advance notice of award decision.

18. Question: 1.3 and 5.2.4 Period of Performance Pgs. 1 and 13 Period of Performance shall be to service three (3) SRP events for the following dates and locations AND Mobile Health Practice shall have capability for real‐time, point of service military health records upload. Our experience indicates that the CAC process for contractors can take 30 days or more and given the Government's requirement of the first SRP event date being 1‐3 JUNE 24 which is only 8 business days after RFP submission.

a. Is it the Government's intention that contractors must already possess CAC‐ registered personnel to meet this timeline?

ANSWER: Yes.

b. Is the Government willing to consider an alternate method for Government system data entry for the first event at Camp Swift?

ANSWER: The first event at Camp Swift has been removed via Amendment 0001. There is no aleternate method for Government system data entry.

19. Question: PWS 1.3 and 3.1.1. Period of performance and Armory, SMRC or office space will be utilized 1, 11 Armory, SMRC or office space will be utilized when Authorized per event with correspondence with COR in advance of the start date of the event. Given this is a Firm Fixed Price contract and in order to accurately price the services requested for submission purposes, will armory space will be available on the 3 listed SRP dates & locations?

ANSWER: There is no space at Camp Swift or Temple armory for dental or audiology.

Armory space is available for all other services.

20. Question: PWS 1.4.1. Place and Performance of Services. Pg. 1. Contractor shall be able to respond within a minimum of 3 days’ notice anywhere within the state of Texas. Will the Government please remove this requirement for these 3 SRP events that are identified as to timing and location as this is all this RFP is asking for via this RFP and resulting contract?

ANSWER: Yes. See revised PWS.

21. Question: PWS 5.1.1 Requirements: Pg. 11 Contractor shall provide health readiness administrator and team to service all case management records and administrative requirements for all scheduled medical events. Will the Government please provide more specific information as the requirements and expectations of the role of the health readiness administrator? This is important to ensuring we deliver the right resource(s), at the right price, with the right qualifications.

ANSWER: Not Required for follow‐on treatement of identified medical deficiencies after the event.

22. Question: PWS 5.2.2.14 and 5.2.2.15 Requirements: Pg. 12 Ability to perform Women’s

Health Exams such as Pap smears, Chlamydia testing, mammograms as required per Women's Health guidance, and case manage Mammography AND Ability to perform DRE (Digital Rectal Exam) and PSA testing for over fifty, male service members. Are these services intended to be a requirement for these 3 SRP events? Our experience is that this environment is not conducive to conducting gender specific health screenings and that service members refuse. If so, how many of these exams will be required?

ANSWER: No women's health exams or DRE required for these events. See Revised PWS.

23. Question: PWS 5.2.2.20. Requirements. pg. 12 Ability to provide and perform pulmonary function testing.

a. Is this service a requirement for the stated 3 SRP events?

ANSWER: Not required. See revised PWS.

b. If so, would the Government please provide the numbers of each of these tests that will be required at each SRP event so that we can appropriately cost and price these services?

c. If the volume is below 40 per SRP event, would the Government consider having these services performed at an in‐clinic provider near their home of record.b. If required, given that some of these are unusual for these services to be performed in an event model given equipment needed and service member comfort level, would the Government consider for these services to be coordinated at a clinic near the service member's Home of Record (HOR)?

ANSWER: Not Required. See revised PWS.

24. Question: PWS 5.2.2.27 Requirements: Pg. 13 Reception area shall also have patient education capability, i.e. To Quit Smoking

a. In our past experience the Government has provided us with the appropriate education materials. Will the Government provide those materials in this instance as well?

ANSWER: Government will provide directly to the SMs.

b. If not, are digital versions available for printing?

ANSWER: N/A

25. Question: PWS 5.2.4 Requirements: Pg. 13 The workstations shall have Bar‐Code Scanning capability to ensure high quality standards for data entry

a. Will the Government explain in what instances the bar code scanning process would be utilized? Is this a mandatory requirement or would Government consider removing this requirement for these 3 SRP events if an alternate quality control process were used?

ANSWER: As long as the contractor can provide by name tracking as to what requirements have been completed/pending for SMs going through the event, bar code scanning is not required.

26. Question: PWS 5.2.4 Requirements: Pg. 13 Contractor shall be able to upload images to

ADDRs for Dental Command requirements of deployabilty. Will the government provide clarity on whether DENCLASS updates ADDRs or if access to a separate system (ADDRs) is required in addition to DENCLASS?

ANSWER: ADDR Feeds into DENCLASS. Contractors will need to update DENCLASS.

27. Question: PWS 5.2.4 Requirements: Pg. 13 Contractor shall have live event & Soldier tracking systems in place to report progress of events back to POC at event as well as for remote tracking

a. Would the Government consider a contractor specific process to report out number and types of services daily for each event to meet this requirements?

ANSWER: Alternative tracking is fine for this contract and the remote tracking is removed.

See revisd PWS.

b. Will the Government please also explain what is meant by ""remote"" tracking? " ANSWER: This was removed. See revised PWS.

28. Question: PWS 5.4.3.1 Post‐event Dental Case Management Pg. 15 Post‐event dental case management is not to exceed 30 days from the end of the event for Soldiers whose dental status cannot be converted to DRC 1 or 2 on‐site. Dental treatment plans can be lengthy, complicated and ever changing. Given this is a firm fixed price contract, we recommend and request that the Government limit the required services to only those to be specifically delivered during these 3 SRP events, and any dental treatments needed thereafter would be handled and priced by alternate means? There is no way to cost and price what and how many follow‐on services may be needed in this firm fixed price contract unless the Government is able to provide this specific information to us now.

ANSWER: This was removed. See revised PWS.

29. Question: PWS 5.6.1.3 Vision Exams Pg. 16 The contractor shall use SRTS for placing prescription orders thru NOSTRA

a. Should we assume the Government will have eyewear frame samples at the required SRP events for contractor use?

ANSWER: Government does not have the sizers and the Optomotrist historically provided.

b. If not, please specify what steps contractor is required to perform to obtain the necessary eyewear frame samples?

ANSWER: N/A

c. This section refers to a Task Order. Since this contract will not have task orders associated with it, will the Government please clarify the specific contract requirement for these 3 SRP events?

ANSWER: Reference to task order was removed. See revised PWS.

d. Will the Government please provide what the required current tracking/shipping method being referred to is?"

ANSWER: The acceptable tracking shipping methods varies per location, but generally, United States Postal Service (USPS) or other commercial, courier type shipping methods are acceptable.

30. Question: PWS 5.6.2 DOEHRS (Defense Occupations and Environmental Health Readiness

System) Compatible Audiometer Testing. Pg. 16 MOHT/SPRINT testing shall be performed IAW all applicable OSHA, State and Federal guidelines. Given the short turn time on these events, may Contractor assume that only SPRINT testing for these SRP events will be acceptable to the Government?

ANSWER: Only MOHT is authorized. Remove SPRINT from all contract language. See revised PWS.

31. Question: PWS 5.6.4.1 Vision Exams Pg. 16 Soldier’s with a positive SCT screening will be issued a red medical warning tag IAW AR 40‐66 upon notification of positive screening results.

Additionally, SCT‐Positive Trainees are to be marked with a white bead on the right boot or athletic shoe.

a. Is it the Government's responsibility for issuing the red tags and white bead?

b. Is the contractor's involvement in the process limited to updating the lab result in MEDPROS?

ANSWER: PWS 5.6.4 states “Sickle Cell Trait (SCT) Screenings during patient encounters at all medical events will begin reviewing Soldier’s records to verify Soldiers have a SCT screening annotated in MEDPROS and Electronic Medical Record (EMR) 5 days post event, effectively immediately.”

32. Question: Section SF 1449 ‐ CONTINUATION SHEET CLIN 0001‐0003 Pg. 3 N/A Typically travel costs for events are included for these services. Are travel associated costs allowable in the FFP amount for each CLIN? I.e. Lodging prior to and during each event, per diem, rental car, any non‐local/outside the area as defined in the JTFR travel via automobile or airlines.

ANSWER: All costs associated with mobilization shall be wrapped into the total price for each CLIN.

33. Question: Section SF 1449 ‐ CONTINUATION SHEET. CLIN 0001‐0003 Pg. 3

a. In the PWS, Technical Exhibit 3 ‐ Estimated Workload Data, does the PAX of 800 for Camp Swift represent both CLINs 1 & 3 combined evenly or should a ratio be assumed?

ANSWER: The estimated amount of PAX for each event are:

CLIN 0001 – Removed via Amendment 0001 CLIN 0002‐ 600 (Temple) CLIN 0003‐ 300 (Bastrop)

b. If a ratio is assumed, what ratio should be used?

ANSWER: See above answer a. and incorporated Attachment 4.

c. And is the assumption this is grand total volume for the entire Period of Performance at each site?

ANSWER: See above answer a. and incorporated Attachment 4.

34. INSTRUCTIONS FOR PROPOSAL SUBMISSION. Pg. 9. The proposal shall be organized into Four (4) volumes.

Volume Title Page Limit 1 General … No limit 2 Factor 1‐ Technical... 7 pages (not including resumes or certificates/ licenses) 3 Factor 2‐ Past Performance 4 pages 4 Factor 3‐ Price No limit

In order to comprehensively respond to the technical requirements requested by the Government, would the Government consider increasing the page limit for Factor 1 from 7 pages to 15 pages?

ANSWER: Yes. Page limit is increased to 15 pages.

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 10-Jun-2024 10:00 AM to 13-Jun-2024 10:00 AM.

(End of Summary of Changes)