W912P523R0002 Nashville District Medical Surveillance Program.pdf

SEE ADDENDUM

(No Collect Calls)

W912P523R0002 20-Jan-2023

b. TELEPHONE NUMBER

615.736.7793

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 15 Feb 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.

W912P59. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

ANDREW R ROTH

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

W38XDD2075432

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

CELRN-RC-N CONTRACTING BRANCH

110 9TH AVE SOUTH, A405

NASHVILLE TN 37203

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

(615) 736-7124FAX:

TEL: (615) 736-5679 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$21,500,000

NAICS:

541611

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 OF119

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

INSTRUCTIONS TO OFFERORS

1. The U.S. Army Corps of Engineers (USACE) Nashville District (LRN) has a professional service requirement for occupational health examinations. This acquisition is to procure the technical and administrative services to ensure readiness of all USACE LRN employees is maintained to accomplish our mission. This is a total small business set-aside. LRN contemplates the award of a firm fixed-price (FFP) Requirments Contract (IAW FAR Part 16.503). Task Orders will be issued off of the established Requirements Contract. The ordering period will be a base period of one-year with three (3) one-year option periods.

2. Task Order Information. All work under this contract will be ordered by issuance of individual Task Orders

(SF 1449). No work shall be performed under this contract before an individual Task Order has been issued by the KO. The Task Order will list those items from the contract schedule that are to be performed, include funding for the ordered work, state the period of performance covered, and provide invoicing instructions. Only the KO, by issuance of a modification, may make any change to a Task Order. The Government pays only for those services performed and accepted. If needed, after final payment has been made for services received on a Task Order, the KO will send an email notification with information addressing service(s) not used during the performance period. Subsequently, a bilateral modification will be issued by the KO to de-obligate funds for services not used and to reflect the services received by the government.

3. Addendum to FAR 52.212-1 Instruction to Offerors – Commercial Items. The following documentation must be submitted with your offer for evaluation.

a. SF 1449, Solicitation, Offer and Award; company name and address as it appears in the System for Award Management (SAM), include prompt payment terms, remittance address, Tax Identification Number (TIN), Unique Entity Identifier number, and Cage Code.

b. All amendments must be acknowledged

c. Completed schedule of prices

d. Review and submit all required information from FAR clause 52.212-2

e. A completed copy of the representations and certifications at FAR 52.212-3 Alt I

4. Offerors Address - Prospective Offerors should indicate in the offer, the address to which payment and/or correspondence should be mailed, if such address is different from that shown for the offeror on Standard Form 1449 Block 17a.

5. System for Award Management - By submission of a proposal, the Offeror acknowledges the requirement that prospective awardees must be registered in the System for Award Management (SAM) database prior to award, during performance, and through final payment of any contract resulting from this proposal. Lack of registration in the SAM database will make an Offeror ineligible for award. Contractors may obtain information on registration and annual confirmation requirements by calling 1-888-227-2423, or at:

http://www.sam.gov.

6. Wage Determination – During the services performed for the resulting contract, vendors must ensure they are following the applicable Wage Determinations as found at http://www.sam.gov/content/wage-determination. The applicable Wage Determinations for this solicitation are:

Service Contract Act WD # 2015-4647 Revised Dec 26, 2022 Service Contract Act WD # 2015-4687 Revised Dec 26, 2022 Service Contract Act WD # 2015-4599 Revised Dec 26, 2022 Service Contract Act WD # 2015-4525 Revised Dec 26, 2022 Service Contract Act WD # 2015-4643 Revised Dec 26, 2022 Service Contract Act WD # 2015-4695 Revised Dec 26, 2022

7. Basis of Award - The Government will award, without discussions, to a responsible Offeror whose offer conforming to the solicitation will be most advantageous to the Government based on relevant corporate experience & past performance, key personnel and price. The Government reserves the right to award to an offeror providing other than the lowest price offer based on the technical merits of the offeror’s proposal.

See performance work statement (PWS) and evaluation – commercial items specified in FAR 52.212-2 of this solicitation.

8. Responses will be evaluated to assure that an award is not made to a debarred contractor. In addition, contractors with known performance issues identified in determining the contractor’s responsibility per FAR Part 9 will be brought to the attention of the Contracting Officer and may be considered in making the awards. FAR Part 9, Contractor Qualification, requires that purchases shall be made from, and shall be awarded to, responsible prospective contractors only.

9. How to submit questions: Questions should be emailed to andrew.r.roth@usace.army.mil and dellaria.l.martin@usace.army.mil NLT January 31st, 2023 by 11:00 AM Central Time. All questions will be answered in an amendment issued via SAM.gov.

10. How to submit proposals: Proposal Submissions are due 15 February 2023 by 10:00 AM Central Time.

ALL SUBMISSIONS TO THIS RFP SHALL BE SUBMITTED ELECTRONICALLY THROUGH PIEE. No paper copies, CD-ROMs or facsimile submissions will be accepted. Electronic Proposal Submissions is required through the Army’s Electronic File Sharing Service in PIEE (https://piee.eb.mil/). The PIEE Application is used to send large files to individuals that would normally be too large to send via email.

Information regarding how to set up a vendor registration is included in this link:

https://pieetraining.eb.mil/wbt/xhtml/wbt/portal/overview/vendorRegister.xhtml.

On this page, click on the “Vendor User Registration” Doc and it will take you through the process of registering as a vendor.

If you plan on submitting a proposal, be sure to select “SOL-Solicitation” in the drop-down list and choose the

“Proposal Manager” role to be given the proper permissions.

Further training is available at the following links:

https://pieetraining.eb.mil/wbt/xhtml/wbt/sol/index.xhtml This link shows information regarding the Solicitation application in PIEE and the different roles available.

https://pieetraining.eb.mil/wbt/xhtml/wbt/sol/solicitation/proposals.xhtml This link is for Offerors regarding the Proposal Manager function and instruction on submitting a Proposal.

a. File Size Limitations: Offerors are advised to follow the PIEE instructions for uploading files. PIEE supports delivery of up to 1.9GB per file, with no limit on the number of files, as well as multiple file formats. If needed, Offerors are advised to break the files down into smaller sections in order to upload them into the system. In such cases, please divide the sections as logically as possible and be sure to clearly name the files as specified below.

b. File Naming Convention: To ensure your submission is received and processed appropriately, it is important that interested parties CAREFULLY ensure their electronic files adhere to the following naming convention:

1) W912P523R0002 - FIRM NAME – Past Performance & Technical Proposal

2) W912P523R0002 - FIRM NAME – Price Proposal

3) Each file name shall begin with the Solicitation number followed by the firm’s name, and a brief file description. Please see the examples above.

c. File Organization: Although hard copies are not accepted, each file shall be clearly indexed, and logically assembled. Font size shall be the size listed in the submission requirements for each factor.

Pages shall be letter sized (larger page sizes (such as 11x17 fold- outs, etc.) will be counted as two pages. Proposals shall be in a narrative format, organized and titled so that each section of the proposal follows the order and format of the factors. Information presented should be organized so as to pertain to only the evaluation factor in the section that the information is presented. Information pertaining to more than one evaluation factor should be repeated in each section for each factor.

d. Upload Completion & Deadline: Interested parties shall submit responses no later than the date specified on the Solicitation document. The time and date of proposal receipt will be the upload completion/delivery time and date recorded within the PIEE site. Do not assume that electronic submission will occur instantaneously. Large files (e.g. 10MB or more) will take some time to upload.

Offerors should time their upload effort with prudence by not waiting until the last few minutes—this will allow for unexpected delays in the transmittal process. Offerors are encouraged to keep a copy of the upload confirmation for their record. Submissions after the deadline will be considered late and will be processed in accordance with FAR 15.208.

e. Electronic Files: Files shall be in their native format (i.e. doc, xls, ppt, etc.), or if in pdf format, shall be in searchable text. Text and graphics portfolios of the electronic copies shall be in a format readable by Microsoft Office or Adobe applications. Data submitted in a spreadsheet format shall be readable by MS Excel (all cells and formulas should be unlocked).

Any information, presented in a proposal that the Offeror wants safeguarded from disclosure to other parties must be identified and labeled in accordance with the requirements of FAR Provision 52.215-1, Instructions to Offerors – Competitive Acquisition (Alternate I), subparagraph (e), which is incorporated by reference in the RFP. The Government will endeavor to honor the restrictions against release requested by Offerors, to the extent permitted under United States law and regulations.

PERFORMANCE WORK STATEMENT

Medical Examination Performance Work Statement (LRN Nashville District)

1. Purpose. This agreement establishes a means for the contractor to provide requested occupational health services and tasks for any of the available services noted below.

2. Delivery Areas:

Metro LRN Nashville Area.

Cheatham Dam Cheatham Lock Old Hickory Dam

Old Hickory Resource Office J. Percy Priest Lake Resource Office

Western Kentucky Area.

Kentucky Lock Barkley Lock Lake Barkley Natural Resource Barkley Powerhouse

Mid-Tennessee River Area.

Pickwick Lock Wheeler Lock Wilson Lock Guntersville Lock

East-Tennessee River Area

Chickamauga Lock Watts Bar Lock Fort Loudon/Melton Hill Lock Nickajack Lock

Mid-Cumberland Area

Center Hill Powerhouse Cordell Hull Powerhouse Dale Hollow Powerhouse

Center Hill Resource office

Eastern Kentucky Area

Wolf Creek/Laurel Power

Lake Cumberland Resource Office

The point of contact for invoicing is the LRN District Safety Office Floyd Payne, floyd.a.payne@usace.army.mil (Primary Contact 615-736-7182 or Paul Burress (Secondary Contact) 615- 736-2165.

3. Maximum authorized travel distance from facility to clinic shall be no more than 75 miles. However, if it is more advantageous for the employee to travel a greater distance that would be permissible.

a. All locations for treatment shall be brick and mortar facilities.

b. Mobile clinics will not be considered.

4. Reference Documents.

a. AR 40-5, Army Health Program, HQDA, 12 May 2020

b. ER 385-1-40, Safety – Occupational Health Program; HQUSACE, 10 September 2021

c. ER 385-1-86, U.S. Army Corps of Engineers Dive Program, HQUSACE, 23 November 2021.

d. ER 385-1-89, Hearing Conservation Program, HQUSACE, 15 October 2012.

e. ER 385-1-90, Respiratory Protection Program, HQUSACE, 30 April 2020.

f. ER 385-1-91, Training, Testing and Licensing of Motorboat Operators, HQUSACE, 1 September

2019.

g. ER 385-1-92, Safety and Occupational Health Requirements for Environmental Cleanup Projects, HQUSACE, 1 November 2018.

h. 29 CFR 1910.120, Labor Occupational Safety and Health Administration, as current.

i. 29 CFR 1910.1020, Labor Occupational Safety and Health Administration, as current.

j. The cited references can be found at https://armypubs.army.mil

Code of Regulations can be accessed at:

eCFR: 29 CFR Part 1910 -- Occupational Safety and Health Standards Official Publications of the Headquarters, U.S. Army Corps of Engineers https://www.publications.usace.army.mil

5. Establishing Medical Exam Appointments.

a. The contractor shall name an account manager or other person as the singular point of contact for all matters related to the execution of this contract.

b. The LRN Nashville District Safety Office shall provide the account manager with the name(s), contact information to include phone number and e-mail address, type of exam required, and reason for exam request.

c. The account manager or designated person shall advise the LRN Nashville District Safety Office of the proper procedures for establishing a medical exam appointment.

d. The LRN District Safety Office and the LRN Field Office will be responsible for establishing a medical exam appointment for each individual district employee.

e. LRN Nashville District Employees shall be responsible for following contractor instructions related to the establishment and performance of medical exams.

f. The contractor shall provide e-mail confirmation to the LRN District Safety Office, the LRN Field Office, and employee of the time, date and location of the examination. All appointments shall be scheduled and completed within 30 calendar days of task order issuance.

g. All billing for medical services shall be done within 45 calendar days of task order completion.

6. Determination of Medical Exam Scope.

a. Upon arrival at the medical exam location, the LRN Nashville District employee shall present the following forms as they apply to the employee’s examination: DOT Physical, Crane Operators Physical, OSHA Respirator Questionnaire. Forms documenting the physical used by the servicing provider may be used, provided they contain the same level of documentation.

b. If necessary, the contractor shall seek additional medical history, exposure history, and occupational history information from the employee.

c. The contractor shall refer to the regulations listed above to determine whether the employee is subject to specific medical examination requirements under any or all of those regulations.

d. Upon review of all pertinent documentation, the contractor shall determine and deliver a regimen of appropriate tests and examination procedures.

7. Analysis and Interpretation. All examination results and lab data shall be delivered by the contractor to a board-certified occupational health physician for review and determination of fitness.

8. Reports of Findings and Recommendations.

a. The employer may authorize additional tests to be performed to allow completion of an annual wellness exam, when desired by the employee and agreed to by the supervisor. The additional cost must not exceed 30% of the required occupational examination. The contract occupational health physician shall deliver his/her laboratory and examination findings and recommendations to:

i. The affected employee. (ANY TESTING DONE BEYOND THAT REQUIRED FOR

THE WELLNESS HEALTH EXAMINATION SHALL ONLY BE SHARED WITH

THE EMPLOYEE AND THEIR PERSONAL PHYSICIAN, IF REQUESTED.

THIS INFORMATION SHALL NOT BE INCLUDED IN THE OCCUPATIONAL

HEALTH RECORDS OR REVIEWS.)

b. The affected employee’s personal physician (if requested).

c. The contractor’s medical records manager.

d. If the employee is found fit for clearance, the occupational health physician shall issue a memorandum of medical clearance via secure email to the employee and the LRN Nashville District Safety Office within 7 business days (or 1 working week) of completion of appointment.

e. In the event that the employee is found unfit, the occupational health physician shall counsel the employee regarding the findings and any recommended follow-up actions.

9. Record Retention and Storage.

a. The contractor shall retain and store all medical documentation in accordance with the Health

Insurance Portability and Accountability Act (HIPAA) and OPM/GOVT-10 Employee Medical File System Records

b. In the event of contract termination or business interruption, the contractor shall ensure the secure transfer of all records in its care to an entity designated by the LRN Nashville District Safety Office.

c. The contractor shall establish and maintain a system that allows LRN Nashville District employees to access their medical records in accordance with 29 CFR 1910.1020.

10. Schedule of Fees for Service. The contractor shall submit a schedule of fees for service for all anticipated activities included, but not limited to the following:

a. Comprehensive Medical Exam (Medical Surveillance/HAZMAT)

b. Reproductive Cancer Screening (Female)

c. Audiometry

d. B-Reading

e. Chest X-Ray P/A

f. Colorectal Cancer Screening

g. Electrocardiogram

h. Spirometry

i. Best Vision

j. Comprehensive Vision

k. Tonometry

l. Vital Signs, Height/Weight

m. Scheduling

n. Venipuncture

o. Physician – Occupational Medicine Consultant (per hour)

p. Record Review – Physician (per hour)

q. Medical Review Officer (per hour)

r. Audiology Review (per record)

s. Record Processing (per hour)

t. Missed Appointment Fees (per occurrence)

u. Blood Type & Rh

v. Cholinesterase RBC and Plasma

w. SMA 20

x. Lead – Industrial whole blood

y. PCBs

z. PSA

aa. ZPP, Blood Protoporphyrins, zinc

bb. Chlorinated Hydrocarbons, Quant (B); Dichloromethane, 1-1-1 Trichloroethane, Trichloroethylene, Tetrachloroethylene, Dichlorobenzene, Chloroform

cc. Glucose 6 Phosphate Dehydrogenase

dd. Hepatitis B Surface Antibody (QL)

ee. Lyme’s Disease AB Screen

ff. Hepatitis A Vaccination #1

gg. Hepatitis A Vaccination #2

hh. Hepatitis B Vaccination #1

ii. Hepatitis B Vaccination #2

jj. Hepatitis B Vaccination #3

kk. Hepatitis A/B Combination #1

ll. Hepatitis A/B Combination #2

mm. Hepatitis A/B Combination #3

nn. Influenza Vaccination

oo. Tetanus Diphtheria Vaccination

pp. Tuberculosis Skin Test

Veterans Employment Emphasis for U.S. Army Corps of Engineers Contracts

In addition to complying with the requirements outlined in FAR Part 22.13, FAR Provision 52.222-38, FAR Clause 52.222-35, FAR Clause 52.222-37, DFARS 222.13 and Department of Labor regulations, U.S. Army Corps of Engineers (USACE) contractors and subcontractors at all tiers are encouraged to promote the training and employment of U.S. veterans while performing under a USACE contract. While no set-aside, evaluation preference, or incentive applies to the solicitation or performance under the resultant contract, USACE contractors are encouraged to seek out highly qualified veterans to perform services under this contract. The following resources are available to assist USACE contractors in their outreach efforts:

- U.S. Department of Labor Veterans’ Employment and Training Service (VETS): https://www.dol.gov/vets/

- Federal Veteran Employment Information: https://www.fedshirevets.gov/

- Veterans Opportunity to Work (VOW) Program: https://www.benefits.va.gov/vow/

- U.S. Army Warrior Transition Command Employment Index: https://wct.army.mil/modules/employers/index.html

- Hiring Our Heroes: https://www.uschamberfoundation.org/hiring-our-heroes

(End of special contract requirement)

Pre-screen candidates using E-Verify Program. Proposed language:

"The Contractor must pre-screen Candidates using the E-verify Program (http://www.uscis.gov/e-verify) website to meet the established employment eligibility requirements. The Vendor must ensure that the Candidate has two valid forms of Government issued identification prior to enrollment to ensure the correct information is entered into the E-verify system. An initial list of verified/eligible Candidates must be provided to the COR no later than 3 business days after the initial contract award."

Special Note: When contracts are with individuals, the individuals will be required to complete a Form I-9, Employment Eligibility Verification, with the designated Government representative. This Form will be provided to the Contracting Officer and shall become part of the official contract file.

PRICE SCHEDULE

Project Description: Contractor will provide all labor, equipment, services and materials to perform various physical examination, testing and immunizations in accordance with the attached Performance Work Statement and attached Medical Surveillance Program Annual Work Load for employees of the U.S. Army Corps of Engineers, Nashville Area Offices

Pricing Schedule Summary Base with 3 Option Years

Area B a s e Y e a r

O p t i o n Y e a r

O p t i o n Y e a r

O p t i o n Y e a r

Easte r n K e n t u c k y

Weste r n K e n t u c k y

East- T e n n e ss e e

Mid- C u m b e rl a n d

Mid- T e n n e ss e e

Nash vi ll e M et r o

Total Project Summary

Base Year $ Option

Year 1

Option Year 2

Option Year 3

Total Project Cost

Please refer to attached Medical Surveillance Program Annual Work Load with listings by the Area in the table above. Each area has an estimated annual workload that can be used to calculate the total cost by area for the base year and each option year.

Once complete with the Pricing Schedule Summary above, utilize the sum of each column to complete the Total Project Summary Table.

ANNUAL WORKLOAD DATA

U.S. Army Corps of Engineers LRN-Nashville District Medical Surveillance Program Annual Work Load Estimate Eastern Kentucky Area

Services Estimated

Workload Per Year

Base Year Option Year 1

Option Year 2

Option Year 3

a. Comprehensive Medical Exam (Medical Surveillance/HAZMAT) 30 $ $ $ $

b. Reproductive Cancer Screening (Female) 0 $ $ $ $

c. Audiometry 30 $ $ $ $

d. B-Reading 10 $ $ $ $

e. Chest X-Ray P/A 10 $ $ $ $

f. Colorectal Cancer Screening 0 $ $ $ $

g. Electrocardiogram 3 $ $ $ $

h. Spirometry 15 $ $ $ $

i. Best Vision 30 $ $ $ $

j. Comprehensive Vision 30 $ $ $ $

k. Tonometry 30 $ $ $ $

l. Vital Signs, Height/Weight 30 $ $ $ $

m. Scheduling 30 $ $ $ $

n. Venipuncture 30 $ $ $ $

o. Physician – Occupational Medicine Consultant (per hour) 30 $ $ $ $

p. Record Review – Physician (per hour) 30 $ $ $ $

q. Medical Review Officer (per hour) 30 $ $ $ $

r. Audiology Review (per record) 30 $ $ $ $

s. Record Processing (per hour) 30 $ $ $ $

t. Missed Appointment Fees (per occurrence) 0 $ $ $ $

u. Blood Type & Rh 0 $ $ $ $

v. Cholinesterase RBC and Plasma 30 $ $ $ $

w. SMA 20 0 $ $ $ $

x. Lead – Industrial whole blood 0 $ $ $ $

y. PCBs 0 $ $ $ $

z. PSA 0 $ $ $ $

aa. ZPP, Blood Protoporphyrins, zinc 0 $ $ $ $

bb. Chlorinated Hydrocarbons, Quant (B);

Dichloromethane, 1-1-1 Trichloroethane, Trichloroethylene, Tetrachloroethylene, Dichlorobenzene, Chloroform

0 $ $ $ $

cc. Glucose 6 Phosphate Dehydrogenase 0 $ $ $ $

dd. Hepatitis B Surface Antibody (QL) 0 $ $ $ $

ee. Lyme’s Disease AB Screen 0 $ $ $ $

ff. Hepatitis A Vaccination #1 0 $ $ $ $

gg. Hepatitis A Vaccination #2 0 $ $ $ $

hh. Hepatitis B Vaccination #1 0 $ $ $ $

ii. Hepatitis B Vaccination #2 0 $ $ $ $

jj. Hepatitis B Vaccination #3 0 $ $ $ $

kk. Hepatitis A/B Combination #1 0 $ $ $ $

ll. Hepatitis A/B Combination #2 0 $ $ $ $

mm. Hepatitis A/B Combination #3 0 $ $ $ $

nn. Influenza Vaccination 30 $ $ $ $

oo. Tetanus Diphtheria Vaccination 0 $ $ $ $

pp. Tuberculosis Skin Test 0 $ $ $ $

Note: All zero values are examinations that are not anticipated, but could become necessary in an unforseen situation.

List of any additional costs:

LRN-Nashville District

Western Kentucky Area

Workload Per Year

Base Year

Option Year 1

Option Year 2

Option Year

a. Comprehensive Medical Exam (Medical Surveillance/HAZMAT) 49 $ $ $ $

b. Reproductive Cancer Screening (Female) 0 $ $ $ $

c. Audiometry 49 $ $ $ $

d. B-Reading 10 $ $ $ $

e. Chest X-Ray P/A 10 $ $ $ $

f. Colorectal Cancer Screening 0 $ $ $ $

g. Electrocardiogram 3 $ $ $ $

h. Spirometry 15 $ $ $ $

i. Best Vision 49 $ $ $ $

j. Comprehensive Vision 49 $ $ $ $

k. Tonometry 49 $ $ $ $

l. Vital Signs, Height/Weight 49 $ $ $ $

m. Scheduling 49 $ $ $ $

n. Venipuncture 30 $ $ $ $

o. Physician – Occupational Medicine Consultant (per hour) 49 $ $ $ $

p. Record Review – Physician (per hour) 49 $ $ $ $

q. Medical Review Officer (per hour) 49 $ $ $ $

r. Audiology Review (per record) 49 $ $ $ $

s. Record Processing (per hour) 49 $ $ $ $

t. Missed Appointment Fees (per occurrence) 0 $ $ $ $

u. Blood Type & Rh 0 $ $ $ $

v. Cholinesterase RBC and Plasma 49 $ $ $ $

w. SMA 20 0 $ $ $ $

x. Lead – Industrial whole blood 0 $ $ $ $

y. PCBs 0 $ $ $ $

z. PSA 0 $ $ $ $

aa. ZPP, Blood Protoporphyrins, zinc 0 $ $ $ $

bb. Chlorinated Hydrocarbons, Quant (B);

Dichloromethane, 1-1-1 Trichloroethane, Trichloroethylene, Tetrachloroethylene, Dichlorobenzene, Chloroform

0 $ $ $ $

cc. Glucose 6 Phosphate Dehydrogenase 0 $ $ $ $

dd. Hepatitis B Surface Antibody (QL) 0 $ $ $ $

ee. Lyme’s Disease AB Screen 0 $ $ $ $

ff. Hepatitis A Vaccination #1 0 $ $ $ $

gg. Hepatitis A Vaccination #2 0 $ $ $ $

hh. Hepatitis B Vaccination #1 0 $ $ $ $

ii. Hepatitis B Vaccination #2 0 $ $ $ $

jj. Hepatitis B Vaccination #3 0 $ $ $ $

kk. Hepatitis A/B Combination #1 0 $ $ $ $

ll. Hepatitis A/B Combination #2 0 $ $ $ $

mm. Hepatitis A/B Combination #3 0 $ $ $ $

nn. Influenza Vaccination 49 $ $ $ $

Note: All zero values are examinations that are not anticipated, but could become necessary in an unforseen

Medical Surveillance Program Annual Work Load East Tennessee River Area

Workload Per Year

Base Year Option Year 1

Option Year 2

Option Year 3

a. Comprehensive Medical Exam (Medical Surveillance/HAZMAT) 37 $ $ $ $

b. Reproductive Cancer Screening (Female) 0 $ $ $ $

c. Audiometry 37 $ $ $ $

d. B-Reading 10 $ $ $ $

e. Chest X-Ray P/A 10 $ $ $ $

f. Colorectal Cancer Screening 0 $ $ $ $

g. Electrocardiogram 3 $ $ $ $

h. Spirometry 5 $ $ $ $

i. Best Vision 37 $ $ $ $

j. Comprehensive Vision 37 $ $ $ $

k. Tonometry 37 $ $ $ $

l. Vital Signs, Height/Weight 37 $ $ $ $

m. Scheduling 37 $ $ $ $

n. Venipuncture 30 $ $ $ $

o. Physician – Occupational Medicine Consultant (per hour) 37 $ $ $ $

p. Record Review – Physician (per hour) 37 $ $ $ $

q. Medical Review Officer (per hour) 37 $ $ $ $

r. Audiology Review (per record) 37 $ $ $ $

s. Record Processing (per hour) 37 $ $ $ $

t. Missed Appointment Fees (per occurrence) 0 $ $ $ $

u. Blood Type & Rh 0 $ $ $ $

v. Cholinesterase RBC and Plasma 37 $ $ $ $

w. SMA 20 0 $ $ $ $

x. Lead – Industrial whole blood 0 $ $ $ $

y. PCBs 0 $ $ $ $

z. PSA 0 $ $ $ $

aa. ZPP, Blood Protoporphyrins, zinc 0 $ $ $ $

bb. Chlorinated Hydrocarbons, Quant (B);

Dichloromethane, 1-1-1 Trichloroethane, Trichloroethylene, Tetrachloroethylene, Dichlorobenzene, Chloroform

0 $ $ $ $

cc. Glucose 6 Phosphate Dehydrogenase 0 $ $ $ $

dd. Hepatitis B Surface Antibody (QL) 0 $ $ $ $

ee. Lyme’s Disease AB Screen 0 $ $ $ $

ff. Hepatitis A Vaccination #1 0 $ $ $ $

gg. Hepatitis A Vaccination #2 0 $ $ $ $

hh. Hepatitis B Vaccination #1 0 $ $ $ $

ii. Hepatitis B Vaccination #2 0 $ $ $ $

jj. Hepatitis B Vaccination #3 0 $ $ $ $

kk. Hepatitis A/B Combination #1 0 $ $ $ $

ll. Hepatitis A/B Combination #2 0 $ $ $ $

mm. Hepatitis A/B Combination #3 0 $ $ $ $

nn. Influenza Vaccination 50 $ $ $ $

Note: All zero values are examinations that are not anticipated, but could become necessary in an unforseen

Mid-Cumberland Area

Workload Per Year

Base Year Option Year 1

Option Year 2

Option Year 3 a.

Comprehensive Medical Exam (Medical Surveillance/HAZMAT) 55 $ $ $ $

b. Reproductive Cancer Screening (Female) 0 $ $ $ $

c. Audiometry 55 $ $ $ $

d. B-Reading 10 $ $ $ $

e. Chest X-Ray P/A 10 $ $ $ $

f. Colorectal Cancer Screening 0 $ $ $ $

g. Electrocardiogram 3 $ $ $ $

h. Spirometry 15 $ $ $ $

i. Best Vision 55 $ $ $ $

j. Comprehensive Vision 55 $ $ $ $

k. Tonometry 55 $ $ $ $

l. Vital Signs, Height/Weight 55 $ $ $ $

m. Scheduling 55 $ $ $ $

n. Venipuncture 30 $ $ $ $ o.

Physician – Occupational Medicine Consultant (per hour) 55 $ $ $ $

p. Record Review – Physician (per hour) 55 $ $ $ $

q. Medical Review Officer (per hour) 55 $ $ $ $

r. Audiology Review (per record) 55 $ $ $ $

s. Record Processing (per hour) 55 $ $ $ $

t. Missed Appointment Fees (per occurrence) 0 $ $ $ $

u. Blood Type & Rh 0 $ $ $ $

v. Cholinesterase RBC and Plasma 55 $ $ $ $

w. SMA 20 0 $ $ $ $

x. Lead – Industrial whole blood 0 $ $ $ $

y. PCBs 0 $ $ $ $

z. PSA 0 $ $ $ $

aa. ZPP, Blood Protoporphyrins, zinc 0 $ $ $ $ bb.

Chlorinated Hydrocarbons, Quant (B);

Dichloromethane, 1-1-1 Trichloroethane, Trichloroethylene, Tetrachloroethylene, Dichlorobenzene, Chloroform

0 $ $ $ $

cc. Glucose 6 Phosphate Dehydrogenase 0 $ $ $ $

dd. Hepatitis B Surface Antibody (QL) 0 $ $ $ $

ee. Lyme’s Disease AB Screen 0 $ $ $ $

ff. Hepatitis A Vaccination #1 0 $ $ $ $

gg. Hepatitis A Vaccination #2 0 $ $ $ $

hh. Hepatitis B Vaccination #1 0 $ $ $ $

ii. Hepatitis B Vaccination #2 0 $ $ $ $

jj. Hepatitis B Vaccination #3 0 $ $ $ $

kk. Hepatitis A/B Combination #1 0 $ $ $ $

ll. Hepatitis A/B Combination #2 0 $ $ $ $

mm. Hepatitis A/B Combination #3 0 $ $ $ $

nn. Influenza Vaccination 55 $ $ $ $

oo. Tetanus Diphtheria Vaccination 0 $ $ $ $

pp. Tuberculosis Skin Test 0 $ $ $ $

Note: All zero values are examinations that are not anticipated, but could become necessary in an unforseen

Mid-Tennessee River Area

Workload Per Year

Base Year Option Year 1

Option Year 2

Option Year 3 a.

Comprehensive Medical Exam (Medical Surveillance/HAZMAT) 42 $ $ $ $

b. Reproductive Cancer Screening (Female) 0 $ $ $ $

c. Audiometry 42 $ $ $ $

d. B-Reading 10 $ $ $ $

e. Chest X-Ray P/A 10 $ $ $ $

f. Colorectal Cancer Screening 0 $ $ $ $

g. Electrocardiogram 3 $ $ $ $

h. Spirometry 21 $ $ $ $

i. Best Vision 21 $ $ $ $

j. Comprehensive Vision 42 $ $ $ $

k. Tonometry 42 $ $ $ $

l. Vital Signs, Height/Weight 42 $ $ $ $

m. Scheduling 42 $ $ $ $

n. Venipuncture 30 $ $ $ $ o.

Physician – Occupational Medicine Consultant (per hour) 42 $ $ $ $

p. Record Review – Physician (per hour) 42 $ $ $ $

q. Medical Review Officer (per hour) 42 $ $ $ $

r. Audiology Review (per record) 42 $ $ $ $

s. Record Processing (per hour) 42 $ $ $ $

t. Missed Appointment Fees (per occurrence) 0 $ $ $ $

u. Blood Type & Rh 0 $ $ $ $

v. Cholinesterase RBC and Plasma 30 $ $ $ $

w. SMA 20 0 $ $ $ $

x. Lead – Industrial whole blood 0 $ $ $ $

y. PCBs 0 $ $ $ $

z. PSA 0 $ $ $ $

aa. ZPP, Blood Protoporphyrins, zinc 0 $ $ $ $ bb.

Chlorinated Hydrocarbons, Quant (B);

Dichloromethane, 1-1-1 Trichloroethane, Trichloroethylene, Tetrachloroethylene, Dichlorobenzene, Chloroform

0 $ $ $ $

cc. Glucose 6 Phosphate Dehydrogenase 0 $ $ $ $

dd. Hepatitis B Surface Antibody (QL) 0 $ $ $ $

ee. Lyme’s Disease AB Screen 0 $ $ $ $

ff. Hepatitis A Vaccination #1 0 $ $ $ $

gg. Hepatitis A Vaccination #2 0 $ $ $ $

hh. Hepatitis B Vaccination #1 0 $ $ $ $

ii. Hepatitis B Vaccination #2 0 $ $ $ $

jj. Hepatitis B Vaccination #3 0 $ $ $ $

kk. Hepatitis A/B Combination #1 0 $ $ $ $

ll. Hepatitis A/B Combination #2 0 $ $ $ $

mm. Hepatitis A/B Combination #3 0 $ $ $ $

nn. Influenza Vaccination 42 $ $ $ $

Note: All zero values are examinations that are not anticipated, but could become necessary in an unforseen

Nashville Metropolitan Area

Workload Per Year

Base Year Option Year 1

Option Year 2

Option Year 3 a.

Comprehensive Medical Exam (Medical Surveillance/HAZMAT) 50 $ $ $ $

b. Reproductive Cancer Screening (Female) 0 $ $ $ $

c. Audiometry 50 $ $ $ $

d. B-Reading 10 $ $ $ $

e. Chest X-Ray P/A 10 $ $ $ $

f. Colorectal Cancer Screening 0 $ $ $ $

g. Electrocardiogram 3 $ $ $ $

h. Spirometry 15 $ $ $ $

i. Best Vision 50 $ $ $ $

j. Comprehensive Vision 50 $ $ $ $

k. Tonometry 50 $ $ $ $

l. Vital Signs, Height/Weight 50 $ $ $ $

m. Scheduling 450 $ $ $ $

n. Venipuncture 30 $ $ $ $ o.

Physician – Occupational Medicine Consultant (per hour) 50 $ $ $ $

p. Record Review – Physician (per hour) 50 $ $ $ $

q. Medical Review Officer (per hour) 50 $ $ $ $

r. Audiology Review (per record) 50 $ $ $ $

s. Record Processing (per hour) 50 $ $ $ $

t. Missed Appointment Fees (per occurrence) 0 $ $ $ $

u. Blood Type & Rh 0 $ $ $ $

v. Cholinesterase RBC and Plasma 50 $ $ $ $

w. SMA 20 0 $ $ $ $

x. Lead – Industrial whole blood 0 $ $ $ $

y. PCBs 0 $ $ $ $

z. PSA 0 $ $ $ $

aa. ZPP, Blood Protoporphyrins, zinc 0 $ $ $ $ bb.

Chlorinated Hydrocarbons, Quant (B);

Dichloromethane, 1-1-1 Trichloroethane, Trichloroethylene, Tetrachloroethylene, Dichlorobenzene, Chloroform

0 $ $ $ $

cc. Glucose 6 Phosphate Dehydrogenase 0 $ $ $ $

dd. Hepatitis B Surface Antibody (QL) 0 $ $ $ $

ee. Lyme’s Disease AB Screen 0 $ $ $ $

ff. Hepatitis A Vaccination #1 0 $ $ $ $

gg. Hepatitis A Vaccination #2 0 $ $ $ $

hh. Hepatitis B Vaccination #1 0 $ $ $ $

ii. Hepatitis B Vaccination #2 0 $ $ $ $

jj. Hepatitis B Vaccination #3 0 $ $ $ $

kk. Hepatitis A/B Combination #1 0 $ $ $ $

ll. Hepatitis A/B Combination #2 0 $ $ $ $

mm. Hepatitis A/B Combination #3 0 $ $ $ $

nn. Influenza Vaccination 50 $ $ $ $

oo. Tetanus Diphtheria Vaccination 0 $ $ $ $

pp. Tuberculosis Skin Test 0 $ $ $ $

Note: All zero values are examinations that are not anticipated, but could become necessary in an unforseen

ADDENDUM TO INSTRUCTIONS

SECTION L

INSTRUCTIONS, CONDITIONS & NOTICES TO OFFEROR

1. GENERAL REQUIREMENTS

1.1 Intent: The intent of this solicitation is to select one contractor for the Medical Surveillance

Services for the Nashville District.

1.2 Project Description: The Nashville District Contracting Division has a requirement from the Nashville District Operations Division to provide medical surveillance services for the 6 LRN District Areas (Metro Nashville Area, Western Kentucky Area, Mid-Tennessee River Area, East-Tennessee River Area, Mid-Cumberland Area, and the Eastern Kentucky Area).

Medical examinations include:

c. Audiometry

d. B-Reading

e. Chest X-Ray P/A

f. Colorectal Cancer Screening

g. Electrocardiogram

h. Spirometry

i. Best Vision

j. Comprehensive Vision

k. Tonometry

l. Vital Signs, Height/Weight

m. Scheduling

n. Venipuncture

o. Physician – Occupational Medicine Consultant (per hour)

p. Record Review – Physician (per hour)

q. Medical Review Officer (per hour)

r. Audiology Review (per record)

s. Record Processing (per hour)

t. Missed Appointment Fees (per occurrence)

u. Blood Type & Rh

v. Cholinesterase RBC and Plasma

w. SMA 20

x. Lead – Industrial whole blood

y. PCBs

z. PSA

aa. ZPP, Blood Protoporphyrin’s, zinc

bb. Chlorinated Hydrocarbons, Quant (B); Dichloromethane, 1-1-1 Trichloroethane, Trichloroethylene, Tetrachloroethylene, Dichlorobenzene, Chloroform

cc. Glucose 6 Phosphate Dehydrogenase

dd. Hepatitis B Surface Antibody (QL)

ee. Lyme’s Disease AB Screen

ff. Hepatitis A Vaccination #1

gg. Hepatitis A Vaccination #2

hh. Hepatitis B Vaccination #1

ii. Hepatitis B Vaccination #2

jj. Hepatitis B Vaccination #3

kk. Hepatitis A/B Combination #1

ll. Hepatitis A/B Combination #2

mm. Hepatitis A/B Combination #3

nn. Influenza Vaccination

1.3 Basis of Selection of Award: This is “Best Value – Tradeoff” solicitation, as it may be in the best interest of the Government to consider award to other than the lowest priced Offeror or other than the highest technically rated Offeror.

1.4 Type of Contract: The Government intends to award one firm-fixed price requirements services contract.

1.5 Who May Submit: The procurement is a small business set aside.

1.6 North American Industry Classification System (NAICS) Code and Small Business Size Standard: The NAICS code for this project is 541611 with a size standard of $21,500,000.

2. 0 WHERE TO SUBMIT & SUBMITTAL DEADLINE

2.1 Offerors shall submit their proposals no later than the time and date specified in Block 13 of Standard Form 1449 (SF 1449) of this solicitation to: Procurement Integrated Enterprise Environment (PIEE) Solicitation Module.

3.0 SUBMISSION FORMAT AND NUMBER OF SUBMITTALS

3.1 Offerors are required to submit a proposal made up of a Past Performance Proposal, Technical Proposal, and a Price Proposal. All proposal materials shall be in binders with a table of contents and tabbed section dividers. The sections should parallel the submission requirements identified below. Volume I and II submitted material should be organized sequentially under tabs to facilitate evaluation. Volume II shall be placed in a separate sealed envelope as explained below. Materials not organized under the appropriate tabs, and in the sequence of subparagraphs under each tab, may easily be overlooked during evaluations thus possibly affecting the rating of the Offeror.

Proposal Requirements (Evalution Factors) Quantity to be Submitted

Past Performance & Technical

Proposal (Volume I)

Factor I- Perfromance Confidence Assessment

Original and two (2) copies

Price Proposal (Volume II)

Factor III – Price A. Proposal Data Sheet B. SF 1449 and knowledged amendments C. Section B Schedule of

Prices D. Section K (unless available at SAM)

Original Only

4.0 PROPOSAL INFORMATION

4.1 Offerors are cautioned that “parroting” of the Performance Work Statement with a statement of intent to perform does not reflect an understanding of the requirement or capability to perform. Offerors are responsible for including sufficient details to permit a complete and accurate evaluation of each proposal. Proprietary information shall be clearly marked.

Proposal clarity and material organization in each volume are mandatory but special printing, binding, or use of color or graphics is not necessary. The information submitted by the Offeror for each of the listed areas will be evaluated independently from each other. Therefore, each of the separate areas must be complete, able to stand alone, and have no inferred or actual reference to any other areas of the proposal. No material shall be incorporated by reference.

Offerors are advised that conciseness and relevance of the proposal is important and unrelated information will not be evaluated. Proposals that provide only superficial coverage of the information required may not receive additional consideration and may be excluded from the competitive range. Additionally, should the proposal include any standard company terms and conditions that conflict with the terms and conditions of the solicitation, the proposal may be determined to be “unacceptable” and thus ineligible for award. Offerors shall limit submissions to the data essential for evaluation so that a minimum of time and funds are spent in preparing the information. However, in order to be effectively and equitably evaluated, Offerors must include information that is sufficiently detailed to describe the Offeror’s ability to perform the work in a timely manner.

4.2 The Government shall not be liable for any cost incurred by the Offeror in submitting a proposal in response to this solicitation.

4.3 The criteria specified in this Request for Proposal (RFP) and the Performance Work Statement are binding contract criteria, and in cases of any conflict subsequent to award between RFP criteria, performance work statement and the contractor’s proposal, the RFP criteria and performance work statement shall govern unless there is a written agreement between the Contracting Officer and the contractor on the waiving of a specific requirement.

4.4 Clarification of Provisions of this RFP. Any explanation desired by an Offeror regarding the meaning or interpretation of the RFP and/or any contact between the Offeror and USACE concerning this solicitation shall be submitted in writing to the Contract Officer via email at Dellaria.L.Martin@usace.army.mil or via courier at the following address:

USACE, Nashville Contracting Division Attn: Dellaria L. Martin (W912P5-23-R-0002) Room #A-405 (Mailroom) 801 Broadway Nashville, TN 37203

ADDENDUM TO EVALUATION FACTORS

SECTION M

EVALUATION FACTORS FOR

AWARD

PROPOSAL CONTENT

1.0 ORGANIZATION. Proposals shall be organized as follows

Past Performance Proposal

Factor I- Performance Confidence Assessment

Technical Proposal

Price Proposal

Factor III – Price

Tab A – Proposal Data Sheet Tab B – SF33 and acknowledged amendments (if any) Tab C – Section B – Schedule of Prices Tab D – Section K (unless available at SAM.GOV)

2.0 CONTENT

2.1 Content of Volume I, Factor I – Performance Confidence Assessment

2.1.1 Provide descriptions for up to five (5) of the company’s operation and maintenance projects that are 30% or more complete within the last ten (10) years for projects which are similar to this project in scope and magnitude. Provide a complete project detail sheet of contracting experience including Federal, State, and local government and private sector contracts that demonstrates your capability to perform the work specified in this solicitation. A Project Detail Sheet is included at the end of this section for your use.

Use as many forms as necessary to meet the criteria. If you elect not to use the form, all information identified on the form is still required for evaluation of this item and should be ordered the same. Include the names and background of any predecessor companies.

Similar in scope is defined as contracts with substantial efforts for tasks involving the following:

c. Audiometry

d. B-Reading

e. Chest X-Ray P/A

f. Colorectal Cancer Screening

g. Electrocardiogram

h. Spirometry

i. Best Vision

j. Comprehensive Vision

k. Tonometry

l. Vital Signs, Height/Weight

m. Scheduling

n. Venipuncture

o. Physician – Occupational Medicine Consultant (per hour)

p. Record Review – Physician (per hour)

q. Medical Review Officer (per hour)

r. Audiology Review (per record)

s. Record Processing (per hour)

t. Missed Appointment Fees (per occurrence)

u. Blood Type & Rh

v. Cholinesterase RBC and Plasma

w. SMA 20

x. Lead – Industrial whole blood

y. PCBs

z. PSA

aa. ZPP, Blood Protoporphyrin’s, zinc

bb. Chlorinated Hydrocarbons, Quant (B); Dichloromethane, 1-1-1 Trichloroethane, Trichloroethylene, Tetrachloroethylene, Dichlorobenzene, Chloroform

cc. Glucose 6 Phosphate Dehydrogenase

dd. Hepatitis B Surface Antibody (QL)

ee. Lyme’s Disease AB Screen

ff. Hepatitis A Vaccination #1

gg. Hepatitis A Vaccination #2

hh. Hepatitis B Vaccination #1

ii. Hepatitis B Vaccination #2

jj. Hepatitis B Vaccination #3

kk. Hepatitis A/B Combination #1

ll. Hepatitis A/B Combination #2

mm. Hepatitis A/B Combination #3

nn. Influenza Vaccination

2.1.2 If Offeror represents the combining of two or more companies (joint venture) for the purpose of this RFP, then include each company’s role in the projects listed in this paragraph as related to its role for this project. If the Joint Venture partners have never worked together on similar jobs, so indicate. However, if the firms have worked together on other type jobs, include these, and address the working relationships on those jobs.

2.1.3 References should be provided for all past performance submitted on a Project Detail Sheet or its equivalent. The Offeror may identify past or current contracts (including Federal, State, local government and private) for recent and relevant work by submitting Past Performance Questionnaires on Form PPQ-0 (“PPQ”) included at the end of this section. Page 1 of the PPQ should be submitted with your proposal. USACE requests that the Offeror’s client completes this full questionnaire and submits directly to Dellaria.L.Martin@usace.army.mil via email at Dellaria.L.Martin@usace.army.mil or via fax at 615-736-7986 prior to proposal closing date. In the event that a completed PPQ is not received from the Offeror’s client prior to the proposal closing date, USACE reserves the right to contact such client to obtain a completed PPQ.

The PPQ included in the solicitation is provided for the Offeror and its team members to submit to the client for each project the Offeror includes in its proposal for Factor I. The client should ensure correct phone numbers and email addresses are provided for their point of contact. It is the Offeror’s responsibility to ensure the PPQs are provided in a timely matter. So, Offerors are encouraged to follow-up with clients/references to ensure timely submittal of questionnaires.

Offerors shall not incorporate by reference into their proposal PPQs previously submitted for other RFPs. However, this does not preclude the Government from utilizing previously submitted PPQ information in the past performance evaluation. Performance recognition documents received within the last ten (10) years such as awards, award fee determinations, customer letters of commendation, and any other forms of performance recognition should be included.

In addition to the above, the Government may review any other sources of information for evaluating past performance. Other sources may include, but are not limited to, past performance information retrieved through the Past Performance Information Retrieval System (PPIRS), including Contractor Performance Assessment Reporting System (CPARS), using all CAGE/UEI numbers of team members (partnership, joint venture, teaming arrangement, or parent company/subsidiary/affiliate) identified in the Offeror’s proposal, inquiries of owner representative(s), Federal Awardee Performance and Integrity Information System (FAPIIS), Electronic Subcontract Reporting System (eSRS), and any other known sources not provided by the Offeror. While the Government may elect to consider data from other sources, the burden of providing detailed, current, accurate and complete past performance information rests with the Offeror. The Government may not contact all of the identified client references/ points of contact.

This assessment is based on the Offeror’s record of relevant and recent past performance information that pertains to the services outlined in the solicitation requirements. If the firm is divided into severable segments (e.g., division, group, or unit) the Government will evaluate only the past performance of those segments of the firm(s) that will actually perform the work.

2.2 Content of Factor III - Price Proposal (separate package)

The Offeror shall submit a completed Proposal Data Sheet. The format is provided at the end of this section. The Offeror shall also submit SF 1449 and Section B, Proposal Price Schedule and Section K Representations and Certifications, in original only. Unless available at SAM.GOV, Offerors shall submit all representations and certifications at Section K, including those incorporated by reference. See FAR Solicitation Provision 52.252-1 for instructions on how to obtain the full-text provisions.

Note: If any Amendments are issued against this Solicitation, the Offeror shall include its acknowledgment of those Amendments by returning the signed amendments with its proposal and/or filling in block number 14 of the SF 1449 and submitting the signed document with its proposal. The SF 1449, block number 24 must be completed by an authorized person from the company. Failure to acknowledge amendments and/or sign the SF33 may result in the Offeror’s proposal being removed from consideration. If the company is a joint venture, then all members of the joint venture must sign. The Offeror shall submit proof of financial capability consisting of the most recent financial statement covering assets and liabilities. The firm’s banking institution name, address, point of contact (POC) name, POC email and telephone number shall also be provided.

Project Detail Sheet Project Name & Location: Contract Number:

Description of Work…