W912LA-23-Q-0029 - Conformed (Use as Pricing Sheet).pdf

W912LA23Q0029

SEE ADDENDUM

(No Collect Calls)

W912LA23Q0029 26-Jul-2023

b. TELEPHONE NUMBER

229-561-7180

8. OFFER DUE DATE/LOCAL TIME

01:00 PM 15 Sep 2023

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.

W912LA9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CURTIS L. ALEXANDER

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.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

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 ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

USPFO FOR CALIFORNIA

PURCHASING AND CONTRACTING

10620 MATHER BLVD

MATHER CA 95655

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 W50GJP 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

USP&FO---CALIFORNIA

USP&FO---CALIFORNIA

303 PALM AVENUE

NATIONAL CITY, CA 91950 CA 91950

TEL: FAX:

(916) 369-9401FAX:

TEL: (916) 369-4345

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$20,500,000

NAICS:

621999

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 OF66

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.

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 560 Each

Baseline Exams

FFP

The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government

Furnished, to perform Occupational Medical Examination Program Services, as defined in this PWS, to perform medical examinations annually for approximately

1000 California Army National Guard full time federal employees for baseline hiring, termination or transfer.

FOB: Destination

PSC CD: Q403

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 250 Each

Audiogram Exam

FFP

The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government

Furnished, to perform Occupational Medical Examination Program Services, as defined in this PWS, to perform medical examinations annually for approximately

1000 California Army National Guard full time federal employees for baseline hiring, termination or transfer.

FOB: Destination

PSC CD: Q403

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0003 83 Each

Respiratory Exams

FFP

The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government

Furnished, to perform Occupational Medical Examination Program Services, as defined in this PWS, to perform medical examinations annually for approximately

1000 California Army National Guard full time federal employees for baseline hiring, termination or transfer.

FOB: Destination

PSC CD: Q403

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0004 13 Each

Chromium Exam

FFP

The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government

Furnished, to perform Occupational Medical Examination Program Services, as defined in this PWS, to perform medical examinations annually for approximately

1000 California Army National Guard full time federal employees for baseline hiring, termination or transfer.

FOB: Destination

0005 46 Each

Cadmium Exam

FFP

The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government

Furnished, to perform Occupational Medical Examination Program Services, as defined in this PWS, to perform medical examinations annually for approximately

1000 California Army National Guard full time federal employees for baseline hiring, termination or transfer.

FOB: Destination

PSC CD: Q403

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0006 3 Each

Lead Exam

FFP

The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government

Furnished, to perform Occupational Medical Examination Program Services, as defined in this PWS, to perform medical examinations annually for approximately

1000 California Army National Guard full time federal employees for baseline hiring, termination or transfer.

FOB: Destination

0007 20 Days

Mobile Unit

FFP

The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government

Furnished, to perform Occupational Medical Examination Program Services, as defined in this PWS, to perform medical examinations annually for approximately

1000 California Army National Guard full time federal employees for baseline hiring, termination or transfer.

FOB: Destination

PSC CD: Q403

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0008 1 Job

Contractor Travel

FFP

Contractor Travel shall not exceed $20,000.00. The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform

Occupational Medical Examination Program Services, as defined in this PWS, to perform medical examinations annually for approximately 1000 California Army

National Guard full time federal employees for baseline hiring, termination or transfer.

FOB: Destination

PSC CD: Q403

NET AMT

ADDENDUM TO 52.212-1

FAR provision 52.212-1 (NOV 2021) is hereby replaced in its entirety

Instructions to Quoters-Commercial Products and Commercial Services

$20,000.00 / Not to Exceed

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code(s) and small business size standard(s) for this acquisition appear elsewhere in the solicitation.

However, the small business size standard for a concern that submits an offer, other than on a construction or service acquisition, but proposes to furnish an end item that it did not itself manufacture, process, or produce is 500 employees if the acquisition—

(1) Is set aside for small business and has a value above the simplified acquisition threshold;

(2) Uses the HUBZone price evaluation preference regardless of dollar value, unless the offeror waives the price evaluation preference; or

(3) Is an 8(a), HUBZone, service-disabled veteran-owned, economically disadvantaged women-owned, or women-owned small business set-aside or sole-source award regardless of dollar value.

(b) Submission of quotes. Submit signed and dated quotes to the office specified in this solicitation at or before the exact time specified in this solicitation. Quotes may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, quotes must show—

(1) The solicitation number;

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

(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 Federal Acquisition Regulation

(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 quote 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. Quotes that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of quotes. The quoter agrees to hold the prices in its quote firm for 110 calendar days from the date specified for receipt of quotes, unless another time period is specified in an addendum to the solicitation.

https://www.gsa.gov/forms-library/solicitationcontractorder-commercial-items https://www.acquisition.gov/far/part-52#FAR_52_212_3 https://www.acquisition.gov/far/part-52#FAR_52_212_3 https://www.gsa.gov/forms-library/solicitationcontractorder-commercial-items

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of quotes. 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 preaward testing.

(e) Multiple quotes. Quoters are encouraged to submit multiple quotes presenting alternative terms and conditions, including alternative line items (provided that the alternative line items are consistent with FAR subpart 4.10, or alternative commercial products or commercial services for satisfying the requirements of this solicitation. Each quote submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of quotes.

(1) Quoters are responsible for submitting quotes, and any modifications, revisions, or withdrawals, 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 quotes or revisions are due.

(2)(i) Any quote, modification, revision, or withdrawal of a quote received at the Government office designated in the solicitation after the exact time specified for receipt of quotes is "late" and will not be considered unless it is received before award is made and the Contracting Officer determines that accepting the late quote would not unduly delay the acquisition. However, a late modification of an otherwise successful quote, that makes its terms more favorable to the Government, will be considered at any time it is received prior to award.

(3) If an emergency or unanticipated event interrupts normal Government processes so that quotes cannot be received at the Government office designated for receipt of quotes 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 quotes 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.

(4) Quote may be withdrawn by written notice received at any time before the exact time set for receipt of quotes. Oral quotes in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile quotes, quotes may be withdrawn via facsimile received at any time before the exact time set for receipt of quotes, subject to the conditions specified in the solicitation concerning facsimile quotes. A quote may be withdrawn in person by a quoter or its authorized representative if, before the exact time set for receipt of quotes, the identity of the person requesting withdrawal is established and the person signs a receipt for the quote.

(g) Purchase order issuance. Quotes 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, theContracting 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 quote, unless the quoter qualifies the quote by specific limitations. Unless otherwise provided in the Schedule, quotes may not be submitted for quantities less than those specified. The Government reserves the right to issue a purchase order for any item for a https://www.acquisition.gov/far/part-4#FAR_Subpart_4_10 quantity less than the quantity quoted, at the unit prices quoted, unless the quoter specifies otherwise in the quote.

(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/).

(3) Documents not available from ASSIST may be ordered from the Department of Defense Single Stock

Point (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) Unique entity identifier.(Applies to all quotes that exceed the micro-purchase threshold, and quotes at or below the micro-purchase threshold if the solicitation requires the Contractor to be registered in the System for Award

Management (SAM).) The Quoter shall enter, in the block with its name and address on the cover page of its quote, the annotation "Unique Entity Identifier" followed by the unique entity identifier that identifies the

Quoter's name and address. The Quoter also shall enter its Electronic Funds Transfer (EFT) indicator, if applicable. The EFT indicator is a four-character suffix to the unique entity identifier. The suffix is assigned at the discretion of the Quoter to establish additional SAM records for identifying alternative EFT accounts (see FAR subpart 32.11) for the same entity. If the Quoter does not have a unique entity identifier, it should contact the entity designated at www.sam.gov for unique entity identifier establishment directly to obtain one. The Quoter should indicate that it is a quoter for a Government contract when contacting the entity designated at www.sam.gov for establishing the unique entity identifier.

http://uscode.house.gov/browse.xhtml%3Bjsessionid%3D114A3287C7B3359E597506A31FC855B3 http://uscode.house.gov/browse.xhtml%3Bjsessionid%3D114A3287C7B3359E597506A31FC855B3 https://assist.dla.mil/wizard/index.cfm https://www.acquisition.gov/far/part-32#FAR_Subpart_32_11 http://www.sam.gov/ http://www.sam.gov/

(k) [Reserved]

(l) Debriefing. If a post-award debriefing is given to requesting quoters, the Government shall disclose the following information, if applicable:

(1) The agency’s evaluation of the significant weak or deficient factors in the debriefed quoter’s quote.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed quoter and past performance information on the debriefed quoter.

(3) The overall ranking of all quoters, when any ranking was developed by the agency.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial products, the make and model of the product to be delivered by the successful quoter.

(6) Reasonable responses to relevant questions posed by the debriefed quoter as to whether source- selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

(End of provision)

National Guard Bureau, Agency Protest Program

NG Agency Protest Program is intended to encourage interested parties to seek resolution of their concerns with the

National Guard (NG) as an Alternative Dispute Resolution forum, rather than filing a protest with the Government

Accountability Office (GAO) or other external forum.

Contract award or performance is suspended during the protest to the same extent, and within the same time periods as if filed at the GAO. The NG protest decision goal is to resolve protests within 35 calendar days from filing. An agency protest may be filed with either the Contracting Officer or the NG Agency’s Protest Decision

Authority, but not both, in accordance with NG protest procedures.

To be timely, the protests must be filed with the periods specified in FAR 33.103.

1) Protests to the Contracting Officer shall be filed under FAR 52.233-2 at:

United States Property and Fiscal Office for California

Purchasing and Contracting Division

ATTN: Curtis Alexander

10620 Mather Blvd

Mather, California 95655-4125

Email: curtis.l.alexander.civ@army.mil

2) To file a protest under the NG Agency Protest Program, the protest must request resolution under that program and be sent to the address below:

National Guard Bureau

Office of the Director of Acquisitions

ATTN: NGB-AQ-O

111 S. George Mason Dr.

Arlington, VA 22204

Email: ng.ncr.ngb-arng.mbx.ngb-task-order-ombudsman@mail.mil

NG Public-facing, general Protest information is found at:

https://www.nationalguard.mil/Leadership/Joint- Staff/Special-Staff/Director-of-Acquisitions/

Directorate of Acquisitions information for the contracting enterprise is found at https://gko.portal.ng.mil/ngb/STAFF/D01/D01/OI/Protests%20and%20Complaints/Forms/AllItems.aspx mailto:curtis.l.alexander.civ@army.mil mailto:ng.ncr.ngb-arng.mbx.ngb-task-order-ombudsman@mail.mil http://www.nationalguard.mil/Leadership/Joint-http://www.nationalguard.mil/Leadership/Joint-https://gko.portal.ng.mil/ngb/STAFF/D01/D01/OI/Protests%20and%20Complaints/Forms/AllItems.aspx

QUOTE PREPARATION

INSTRUCTIONS

General: The following instructions cover specific preparation and submission of the quoter’s quote for this solicitation. Quoters must follow the instructions contained herein. Quoters are cautioned that any noncompliance with the terms and conditions of the RFQ may cause their quote to be determined not eligible for award. Quotes must be received by the United States Property and Fiscal- California, Curtis Alexander at curtis.l.alexander.civ@army.mil or no later than the date and time specified in Block 8 on the face page of the

RFQ. To facilitate uniform handling and evaluation, submission of quote packages via electronic mail to Curtis

Alexander at curtis.l.alexander.civ@army.mil is required with the Subject Line:[W912LA23Q0029]

Your quote will be evaluated in accordance with FAR Part 13.106-2. We will consider how well you complied with these instructions. We may consider any significant failure to comply with these instructions to be indicative of what we could expect from you during contract performance. Please contact our contracting officer if you do not understand any part of these instructions.

Volume Organization

Quote: Quotes shall be submitted to the Government as one e-mail with two separate volumes (i.e., attachments) as set forth below:

VOLUME PAGE

LIMITS

NUMBER OF

COPIES

DESCRIPTION

I N/A 1 Completed SF 1449, amendments, and representations and certifications (fill-ins)

II N/A 1 Technical – Quoter’s capability statement on its technical approach in supplying products and/or services that meet users’ needs (see Volume II below)

III 2 1 Past Performance – 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); (see

Volume III below)

In addition to the volume organization set forth above, quote volumes shall comply with the following format:

Each volume shall be marked with the RFQ number and the quoter’s name and address, and the number of the

Volume, i.e. I, or II. Quotes shall be in the English language and all monies shall beproposed in United States dollars.

Print shall be no smaller than a font size of 12. Paper size shall be 8 1/2” X 11,”, and margins shallbe no smaller than 1 inch, and each page within a volume shall be numbered consecutively.

Do not include extraneous information not requested by the RFQ.

Volume I, Quote

General: Your quote shall consist of the following: (1) Standard Form 1449, Solicitation/Contract/Order for

Commercial Items, with blocks 12, 17, and 30 completed by you (including any amendments issued). (2)

Standard Form 1449, Solicitation/Contract/Order for Commercial Items, Section SF 1449 – Continuation Sheet

(Schedule of Supplies/Services), with yourproposed prices inserted in the appropriate blank spaces. (3) Quoters mailto:curtis.l.alexander.civ@army.mil shall ensure that all clauses and provisions that require “fill in” information are appropriately completed, including the proposed prices associated with the contract line items in the Schedule of the RFQ.

The completion and submission of the above items of information will constitute your quote and written assent to perform in accordance with the terms of this RFQ.

Volume II, Technical - Risk General: The Offeror shall demonstrate an understanding of the requirements of the Performance

Work Statement (PWS). Provide your technical approach to satisfying the requirements of the PWS. Discuss the unique aspects of the requirement (to include specific sections and tasks of the PWS), as applicable, and your approach to satisfying these requirements. Define the risks inherent in the requirement and/or your technical approach, as well as your risk mitigation plan.

At a minimum the capabilities statement must include: (1) project no. and brief (e.g., 1-5 sentence) description of relevant work performed that demonstrates corporate experience; (2) a corresponding list of points of contact (name, phone number, and email) for each experience listed in item (1); and (3) any Contractor Team Arrangements under

FAR subpart 9.6.

Volume III, Past Performance

1. General: The past performance assessment will assess the prime’s (hereafter referred to as quoter’s) ability to successfully accomplish the effort based on the quoter’s demonstrated present and past work record. The

Government may evaluate the quoter’s demonstrated record of contract compliance in supplying products and services that meet users’ needs, including cost and schedule. The recency and relevancy of the information, the source of the information, context of the data and general trends in the contractor’s performance may be considered.

First, we may evaluate recency. For purposes of this evaluation, recency is defined as demonstrated experience

(active or completed efforts) performed within the past three (3) years from the issuance date of this solicitation. Second, we may evaluate recent contracts for relevancy as described below. Third, we may evaluate recent and somewhat relevant or above contracts for overall quality.

The evaluation of the quoter’s (including partnerships and joint venture) present/past performance WILL NOT include the present/past performance of any subcontractors, predecessor companies, affiliates, other divisions or corporate management even though they may perform major or critical aspects of this requirement. Only the quoter's

(includes partnerships and joint ventures) past performance will be evaluated.

2. Past Performance Assessment: Present and Past Performance is a measure of the degree to which you have satisfied your customers in the past and complied with federal, state, and local laws and regulations. Your past performance is relevant to this competition when you have done recent work that has confronted you with the same kinds of challenges that you would reasonable expect to encounter during performance of the contract described by the RFQ. We will assess your past performance on the basis of recency, relevancy, and quality (general trends in contractor performance and source of information). Past performance information may be obtained from any sources available to the Government.

3. Past Performance Evaluation Ratings:

a) As a result of the recency and relevancy assessments of current and prior contracts, a relevancy rating described below may be assigned within the past performance evaluation.

Table 1

Adjectival Rating Description

Relevant Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.

Not Relevant Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.

Scope = Type of Work, Functions, Skill Mix and/or Labor Classifications, etc.

Magnitude of effort = Dollar Value and Period of Performance

Complexities = Contract Type (e.g., Indefinite Delivery Contract, Firm-Fixed-Price, FAR-based, Other Government

Transaction, UCC), Location (on-base, off-base, geographical), Terms and Conditions (e.g., private, Federal, DoD, Army, National Guard Bureau), etc.

Table 2

Adjectival Rating Description

Acceptable Based on the quoter’s performance record, the Government has a reasonable expectation that the quoter will be able to successfully perform the required effort, or the quoter’s performance record is unknown.

Unacceptable Based on the quoter’s performance record, the Government does not have a reasonable expectation that the quoter will be able to successfully perform the required effort.

(End of Addenda)

ADDENDUM TO 52.212-2

BASIS OF AWARD- EVALUATION

I. Basis for Contract Award – Evaluation of Quotations-Simplified Acquisition Procedures

(a) In accordance with FAR 13.106, the Government will award a contract resulting from this solicitation to the responsible quoter whose quote conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate quotes comparatively without priced tradeoffs:

(i) Technical -Risk

(ii) Past Performance

(iii) Price

(b) Options. The Government will evaluate quotes for award purposes by adding the total price for all options to the total price for the basic requirement. This includes options under FAR clause 52.217-8, Option to Extend

Services, if included in this solicitation. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A quotation is not an offer and, consequently, cannot be accepted by the Government to form a binding contract. Therefore, issuance by the Government of an order in response to a supplier’s quotation does not establish a contract. A written notice of award or purchase order, mailed or otherwise furnished to the successful quoter is an offer by the Government to the supplier to buy certain supplies or services upon specified terms and conditions. A contract is established when the supplier accepts the offer.

II. Quote Evaluation: The evaluation process will be accomplished as follows (Organized by Volume):

A. General: We will award a contract to the responsible quoter who represents the best value to the

Government on the basis of comparison of its (1) quote.

B. Volume I, Quote

1. General: We will determine the merits of your quote on the basis of (a) its acceptability and (b) its quoted price.

(a) Acceptability: We will determine the acceptability of your quote on an acceptable or unacceptable basis.

We will consider your quote acceptable if it (i) conforms to the material solicitation requirements; (ii) manifests your unconditional assent to the terms of this Request for Quote (RFQ), and (iii) you are a responsible prospective contractor pursuant to FAR 9.104-1. (NOTE: By submission of a quote, the quoter represents that it unconditionally assents to the terms of this Request for Quote, except for any written express exceptions.)

• Conformance. Material solicitation requirements include those terms affecting quality, quantity, price, or delivery.

• Assent. If you (1) take exception to any term of this RFQ, (2) propose any additional terms, or (3) omit material information required by this RFQ then we will consider your quote to be unacceptable and ineligible for contract award.

(b) Price: We will evaluate your price for fairness and reasonableness in accordance with FAR 13.106-3(a).

C. Volume II, Technical Factor

1. General: The technical factor assessment will assess the prime’s (hereafter referred to as quoter’s) ability to successfully accomplish the effort based on the quoter’s demonstrated technical approach. The Government will evaluate the quoter’s demonstrated technical approach in supplying products and/or services that meet users’ needs.

Technical approach simply means the method of fulfilling the government’s requirement and will be assessed based on direct comparisons of proposals--without objective standards--pursuant to FAR 13.106-2(b)(3).

The Government will evaluate quoters and their capability statements and assign one of the confidence risk ratings below. We will evaluate things like what work you did, when and where you did it, whom you did it for, and what methods you presumably used. It is important to understand the difference between a quoter’s experience and its past performance – the government may assign a No Confidence rating based on a quoter’s lack of experience.

Substantial Confidence

Based on the quoter’s experience and performance record, the Government has a high confidence that the quoter will successfully perform the required effort and the risk of unsuccessful performance is low.

Satisfactory Confidence

Based on the quoter’s experience and performance record, the Government has a reasonable confidence that the quoter will successfully perform the required effort, and the risk of unsuccessful performance is low to moderate.

Limited Confidence

Based on the quoter’s experience and performance record, the Government has a low confidence that the quoter will successfully perform the required effort, and the risk of unsuccessful performance is high.

No Confidence

Based on the quoter’s experience and performance record, the Government has no confidence that the quoter will be able to successfully perform the required effort, and the risk of unsuccessful performance is unacceptable. Quote is unacceptable and cannot form the basis for award.

Volume III, Past Performance

1. General: The past performance assessment will assess the prime’s (hereafter referred to as quoter’s) ability to successfully accomplish the effort based on the quoter’s demonstrated present and past work record. The

Government may evaluate the quoter’s demonstrated record of contract compliance in supplying products and services that meet users’ needs, including cost and schedule. The recency and relevancy of the information, the source of the information, context of the data and general trends in the contractor’s performance may be considered.

First, we may evaluate recency. For purposes of this evaluation, recency is defined as demonstrated experience

(active or completed efforts) performed within the past three (3) years from the issuance date of this solicitation. Second, we may evaluate recent contracts for relevancy as described below (see Table 1). Third, we may evaluate recent and relevant contracts for overall quality (see Table 2).

The evaluation of the quoter’s (including partnerships and joint venture) present/past performance WILL NOT include the present/past performance of any subcontractors, predecessor companies, affiliates, other divisions or corporate management even though they may perform major or critical aspects of this requirement. Only the quoter's (includes partnerships and joint ventures) past performance will be evaluated.

2. Past Performance Assessment: Present and Past Performance is a measure of the degree to which you have satisfied your customers in the past and complied with federal, state, and local laws and regulations. Your past performance is relevant to this competition when you have done recent work that has confronted you with the same kinds of challenges that you would reasonable expect to encounter during performance of the contract described by the RFQ. We will assess your past performance on the basis of recency, relevancy, and quality

(general trends in contractor performance and source of information). Past performance information may be obtained from any sources available to the Government.

3. Past Performance Evaluation Ratings:

a) As a result of the recency and relevancy assessments of current and prior contracts, a relevancy rating described below may be assigned within the past performance evaluation.

Table 1

Adjectival Rating Description

Relevant Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.

Not Relevant Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.

Scope = Type of Work, Functions, Skill Mix and/or Labor Classifications, etc.

Magnitude of effort = Dollar Value and Period of Performance

Complexities = Contract Type (e.g., Indefinite Delivery Contract, Firm-Fixed-Price, FAR-based, Other

Government Transaction, UCC), Location (on-base, off-base, geographical), Terms and Conditions (e.g., private, Federal, DoD, Army, National Guard Bureau), etc.

Adjectival Rating Description

Acceptable Based on the quoter’s performance record, the Government has a reasonable expectation that the quoter will be able to successfully perform the required effort, or the quoter’s performance record is unknown.

Unacceptable Based on the quoter’s performance record, the Government does not have a reasonable expectation that the quoter will be able to successfully perform the required effort.

Table 2

(End of Addenda)

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

FOR

Occupational Medical Examination Services 09/06/2023

1 General: Occupational medical examinations are performed for two distinct purposes:

Medical qualification-based on the requirements of the duty position

Medical surveillance-objective evaluation of potential or actual hazards or exposures in the duty location of the federal employee based on Industrial Hygiene Risk Assessment Surveys and random testing

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Occupational Medical Examination Program Services, as defined in this PWS, to perform medical examinations annually for approximately 600 California Army National Guard full time federal employees for baseline hiring, termination or transfer.

Additionally, medical surveillance examinations to be completed annually based on work code and Industrial Hygiene (IH) Risk Assessment Codes (RAC). This requirement should not fluctuate above 600 personnel, annually. The government reserves the right to increase and/or decrease the number of employees requiring examinations, during the contract period, based on the requirement for medical services, as defined in this PWS.

1.1.1 Objectives: The purpose of the Occupational Medical Examination Program is to provide job-related Occupational Health Examinations and Medical Surveillance Services to approximately 600 CA ARNG full-time federal technician support (FTS) and/or temporary personnel who are exposed to OSHA level PEL health hazards in the work environment.

The examination shall include personnel assigned to positions requiring specific standards of physical fitness. Personnel not included under these examinations are State Employees, civilian contractors, Active Guard Reserve, Active Duty for Operational Support (ADOS) and part-time traditional Soldiers. This contract is to provide annual examinations to screen CA ARNG Federal employees for potential exposure to occupational workplace hazards and basic health.

1.2 Background: This contract is for “Non Personal” Health Care “Services”, as defined in FAR

37.101. In accordance with FAR Part 37.4 the Government may enter a non-personal health care services contract with physicians, dentists and other health care providers under authority of 10 U.S.C. 2304 and 41 U.S.C. 253.

1.2.1 Examinations are required for compliance with the following:

1.2.1.1 DoDM 6055.05, Occupational Medical Surveillance Manual

1.2.1.2 Army Regulation 11-34 The Army Respiratory Protection Program

1.2.1.3 29 CFR1910.120, Occupational Safety and Health Standards for Medical Surveillance

1.2.1.4 29 CFR 1960, Safety and Health Provisions for Federal Employees

1.2.1.5 ANSI 288.6-1884, American National Standards for respiratory protection, respirator use, & physical qualifications for personnel

1.2.1.6 Threshold Limit Values (TLVs) and Biological Exposure Indices, as established by the American Conference of Governmental Industrial Hygienists (ACGIH).

1.3 Period of Performance (PoP): The anticipated Period of Performance is for a total of approximately 20 days beginning 29 September 2023 through 28 September 2024. Period of Performance shall be for a period of one (1) year to accomplish the required services.

1.4 General Information: Examinations are required annually for approximately 300-1000 CA ARNG full time employees. This requirement will not fluctuate above 600 personnel, annually. The government reserves the right to increase and/or decrease the number of employees requiring examinations, during the contract period, based on the requirement.

1.4.1 Place and Performance of Services: The contractor must maintain a facility within 200 mile radius of CA Army National Guard (CA ARNG) facilities located within the state of CA. Or provide Mobile services within 5 miles of the CA ARNG facilities (see para. 1.4.12 for locations). The Contractor must provide services between the hours of 0700-1630 on a typical duty week of Monday through Friday, except on recognized US holidays. The contractor shall always maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. (Meaning at least one facility in each location) that provides Occupational Health Examinations.

1.4.2 Telework: Telework is not authorized.

1.4.1.2 Reserved

1.4.1.3 Reserved

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays. The contractor shall not perform services on these days:

1.4.2.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Juneteenth National Independence Day: June 19th

1.4.2.6 Independence Day: July 4th

1.4.2.7 Labor Day

1.4.2.8 Columbus Day

1.4.2.9 Veteran’s Day: November 11th

1.4.2.10 Thanksgiving Day

1.4.2.11 Christmas Day: December 25th

1.4.3 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer

Representative (COR) NLT 10 days after contract award. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.4 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.5 Reserved.

1.4.5.1 Reserved.

1.4.5.1.1 Reserved.

1.4.5.1.2 Reserved.

1.4.5.1.3 Reserved.

1.4.5.1.4 Reserved

1.4.5.1.5 Reserved

1.4.5.1.5.1 Reserved.

1.4.5.1.6 Reserved.

1.4.5.2 Reserved

1.4.5.3 Reserved

1.4.5.4 Reserved

1.4.5.5 Communications Security/Information Technology (COMSEC/IT) Security All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.6 Reserved.

1.4.5.6.1 Reserved.

1.4.5.6.2 Reserved.

1.4.5.6.3 Reserved.

1.4.5.6.4 Reserved.

1.4.5.6.5 Reserved.

1.4.5.7 Reserved.

1.4.5.8. Reserved.

1.4.5.9 Reserved.

1.4.5.10 Protection of Personally Identifiable Information (PII) and Personal Health Information (PHI). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised. Contractor will also ensure all health information is safeguarded in accordance with federal regulations.

1.4.5.11 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR (if no COR is assigned, delete to the COR and replace with to the KO) within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

1.4.6 Reserved

1.4.6 Reserved

1.4.6.1.1 Reserved

1.4.6.1.2 Reserved

1.4.6.1.3 Reserved

1.4.6.2 Reserved

1.4.7 Special Qualifications: The contractor shall ensure all employees possess all required licenses for OHSA Occupational Health Exams. This does not include education or other qualifications for the position in which the contractor employee is performing, dress codes, or other information. (NOTE: The Government does not provide training to contractors. Contractors must ensure that any personnel performing under a contract are fully trained, licensed, certified, and otherwise qualified to provide services.)

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance.

At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor 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 that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-https://securityawareness.usalearning.gov/opsec/index.htm mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.10.1 Reserved

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero- tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in any form of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract.