10-T-0024 LABORATORY SERVICES.doc

Section SF 1449 - CONTINUATION SHEET

LABORATORY SERVICES

Statement of Work (SOW)

For Laboratory Testing

In Support of:

Individual Medical Readiness (IMR)

Laboratory Testing for Soldiers of the

New York Army National Guard (NYARNG)

21 April 2010 – 30 Sep 2010

NYARNG MEDICAL COMMAND

1 Buffington Street, Bldg. 120, Watervliet Arsenal, Watervliet, New York 12189

Task Monitors:

COL Craig Meinking

Commander, MEDCOM, NYARNG

(518) 270-1514 / Cell: 716-830-3602 craig.w.meinking@us.army.mil

1. DEFINITIONS/ACRONYMS:

ADA – Americans with Disabilities Act

ASMR – ASM Research (MODS modules vendor)

CAC – Common Access Card

DA – Department of the Army

DD Form – Department of Defense Form

DoD - Department of Defense

FDA – Food and Drug Administration

HA – Health Affairs

HIPAA – Health Insurance Portability and Accountability Act

IMR – Individual Medical Readiness

LAN – Local Area Network

MEDCOM-NY – Medical Command – New York

MEDPROS – Medical Protection System

MODS – Medical Operational Data System

MRW – Medical Readiness Weekend

NG6H 2065 - Funding

NYARNG – New York Army National Guard

OCONUS – Outside Continental United States

OSHA – Occupational Safety and Health Administration

POC – Point of Contact

PPE – Personal Protective Equipment

SF – Standard Form

SOW – Statement of Work

SRP – Soldier Readiness Processing

2. BACKGROUND:

Individual medical preparedness is vital for force health protection. Laboratory testing for G6PD deficiency, Lipid Panels and other blood work are required by DoD and NYARNG.

3. OBJECTIVES AND SCOPE:

The objective of this Statement of Work is to provide parameters and criteria for the completion (pick up and testing) of Blood/Urine samples as required for Soldiers of the New York Army National Guard (NYARNG).

4. GOVERNMENT- FURNISHED PROPERTY AND INFORMATION

Medical Command, NYARNG will provide the required supplies (ie. needles/syringes) to obtain and perform centrifugal separation of the specimen if needed for Laboratory Testing.

The number of specimens taken will vary daily as numbers are based on mission requirements.

5. CONTRACTOR FURNISHED ITEM:

Contracted laboratory will provide all supplies needed to draw and contain specimen with exception of those noted in section 4 above. This includes all tubes, sterile urine cups, requisition forms, packing and shipping items, and any other supplies needed to provide safe and secure shipping to the contractor.

Contractor shall be governed and comply with all applicable State and Federal Laws.

Contractor will provide for pickup of samples between 0900 to 1800 hours, Monday thru Sunday from various sites throughout New York State as designated by NYARNG Medical Command. Once Samples picked up they will be taken to the Contractor Lab and be processed/ tested and the results will be provided to Medical Command in written format

Contractor must provide written test results to NYARNG MEDCIAL COMMAND within 48 hrs of receipt of samples through a secure website and by mail/ fax.

6. SPECIFIC TASKS:

A. Contractor must be able to perform the following Laboratory Tests as needed:

1. Glucose-6-Phospate Dehydrogenase, RBC (G-6-PD RBC)

2. Blood Group and Rh factor

3. Lipid Panel (which includes Total Cholesterol, HDL Cholesterol, LDL Cholesterol, Cholesterol/HDL Cholesterol Ration, Calculated LDL, and Triglycerides);

4. Cholesterol, Total

5. CBC Hemogram (which includes WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW (Red Cell Distribution Width), MPV (Mean Platelet Volume), and Platelet Count)

6. Glucose

7. Prostate Specific Antigen, Total (PSA)

8. Urinalysis Dipstick with Microscopic Reflex (includes Macroscopic and Dipstick)

9. Drug Screen, 10 Drug, without confirmation, THC cutoff at 50 ng/mL (Includes Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana (50 ng/mL Tetrahydrocannabinol screening cutoff), Methadone, Methaqualone, Opiates, Phencyclidine (PCP), and Proxyphene *no chain of custody needed)

10. Sickle Cell Screen with Reflex

11. Measles Antibody (IGG) (Rubeola Antibody IgG)

12. Mumps Antibody (IGG) (Mumps Virus Antibody, IgG)

13. Rubella Antibody (IGG)

14. Hepatitis A Virus Antibody, Total (HAV Antibody, Total)

15. Hepatitis B Core Antibody, Total (HBc Antibody, Total)

16. Liver Panel II (Includes Alanine Aminotransferase (ALT), Albumin, Alkaline Phosphatase, Aspartate Aminotransferase (AST), Gamma Glutamyltransferase (GGT), Globulin (calculated), Lactate Dehydrogenase (LD), Total and Direct Bilirubin, and Total Protein)

B. On occasion other laboratory tests will be ordered on an as needed base to support NYARNG medical readiness requirements.

C. Routine physical exam labs ordered are G-6-PD RBC, Blood Group and Rh Factor, Lipid Panel, and Total Cholesterol.

D. There will be approximately 1500 Soldiers seen yearly in the medical clinic at Watervliet Arsenal, which normally operates Tuesday- Thursday, which will require a more comprehensive lab analysis than seen in routine physical exams.

E. Lab testing performed on mass events such as Medical Readiness Weekends (MRWs) and Soldier Readiness Processing (SRP) for mobilization, which can take place in multiple locations, will primarily involve G6PD and Blood RH Factor testing on perhaps 15- 20% of the Soldiers seen. Approx 30% seen will require over 40 labs ie. Lipid panels, Total Cholesterol, Glucose, PSA.

F. Contractor will provide instruction to Medical Command on how to label the specimen containers and what specific tubes are required for each specific individual test and how to fill out the Contractors requisition (lab order) forms, so that prompt and accurate Lab testing can be completed on the specimens that are provided.

G. Contractor shall be licensed by the State of New York to provide the specific services rendered.

H. Contractor will provide monthly invoices for services rendered to NYARNG Medical Command prior to payment being made. The Contractor will be paid on the basis of the invoice, which must state (a) date of service rendered, type of test performed, and cost of test performed, (b) or in other formats agreed to by the contractor and contracting office.

7. APPLICABLE DOCUMENTS:

Copy of New York State License to perform medical laboratory testing

8. PLACES OF PERFORMANCE:

Medical Command is a Mobile Unit and Contractor will need to be able to pick up/ test specimens in multiple areas of New York State. The most common pick up sites will include the following list.

1. 1 Buffington Street, BLDG 120, Watervliet Arsenal, Watervliet, NY 12189

2. Camp Smith Training Site (CSTS), Cortlandt Manor, NY 10567

3. Fort Drum, Watertown, NY

4. Buffalo, NY

9. PERIOD OF PERFORMANCE: 21 April 2010 – 30 September 2010

10. OTHER CONDITIONS/ SECURITY:

a. Safety: The contractor has established a safety and health program in accordance with the New York State as well as Federal Occupational Safety and Health Administration (OSHA) standard.

b. The contractor employee shall be responsible for safeguarding all Government Property provided for contractor use. At the end of each work period, all Government materials must be secured.

c. Contractor must be New York State Licensed to perform Laboratory Testing.

11. ACCEPTANCE PLAN:

All work performed and all test data to be submitted under this task will be made available to be inspected for compliance with the SOW and accepted by the government.

12. QUALITY CONTROL:

The contractor shall adopt a quality assurance program that monitors all lab service activities and ensures the highest quality customizable lab services available.

Contractor Evaluation: The Government will evaluate the contractor’s performance using the “Contractor Performance Assessment Reporting System (CPARS) ( http://www.cpars.csd.disa.mil/). The Government may evaluate the quality of professional and administrative services provided.

13. APPENDICES.

A. Estimated Workload Data

APPENDIX A

ESTIMATED WORKLOAD DATA

Workload is variable as stated in section 6 and based on the number of NYARNG Soldiers who are attending Medical Readiness or Soldier Readiness Processing events during the training year as well as approx 30 Soldiers a week receiving routine medical care in the Watervliet Arsenal Medical Command Clinic .These numbers will vary by the events with up to 2500 Soldiers in a month during mobilization events. Medical Command is responsible for assessing the medical readiness of each Soldier. This includes specific blood work for all Soldiers over 40 and other test as needed. There are approximately 10,500 Soldiers in the NYARNG.

The table below projects approximately; when and how many Soldiers are to be seen during Medical Event Periods. Not all these Soldiers will need Lab work, as stated in Section 6E. This table does not include the number of Soldiers mentioned in Section 6D that are to be seen at the Watervliet Arsenal.

Organizational Analysis

Army National Guard (ARNG):

Source: (http://www.arng.army.mil/)

Vision is to be “Relevant, reliable, ready and accessible.”

Mission:

· Federal: “Maintain properly trained and equipped units available for prompt mobilization for war, national emergency or as otherwise needed.”

· State: To provide trained and disciplined forces for domestic emergencies or as otherwise required by state law.

Technical Specifications Contractor serves as the Laboratory Specimen Testing Contractor for the Medical Command Commander and his/her staff for matters regarding the laboratory specimen pick up and testing. Contractor is to work with the MEDCOM Commander and his/her staff to develop a screening plan and facilitate the implementation and the progress toward the plan.

2.0

Technical Specifications: The following technical specifications are provided to demonstrate the task environment in which the services will be delivered. The following specifications are not directives on how the services are to be provided but an example of what traditionally has been required to successfully support the task order objective. The contractor is encouraged to surpass the minimal technical specifications as well as demonstrate technical, operational, and administrative expertise to support the customer in exceeding organizational and departmental objectives.

2.1 Kick-off Meeting: There will be an initial meeting of the Medical Command and the contractor to discuss upcoming requirements that involve the Laboratory Specimen Pick-up and Testing. The Contractor shall present a program work plan, including technical approach. Establish milestones, meetings, coordination, submittals, and review period. The program plan shall address program and project organization which includes compliance with AR’s, coordination procedures and activity schedule; and describe the quality assurance and quality control procedures, and activities that will contribute to the successful execution.

2.2 Program Management; The Contractor shall manage the objectives and technical review for laboratory specimen pick up and testing. This may include site visits to various locations within New York State.

2.2.1 Training: Contractor will be fully trained and be governed and comply with all applicable State and Federal Laws.

2.2.2 Reporting Requirements: The contractor shall: Pick up Specimens at different locations throughout New York State, Test the Specimens at an approved facility. Contractor will then report those results within 2 business days of specimen pick up and testing to MEDCOM.

3.0 Additional Requirements and Notes:

3.1 The Contractor shall be governed and comply with all applicable State and Federal Laws.

3.2 Contractor shall be licensed by the State of New York to provide the specific services rendered.

3.3 Contractor must be able to perform the following Laboratory Tests as needed:

17. Glucose-6-Phospate Dehydrogenase, RBC (G-6-PD RBC)

18. Blood Group and Rh factor

19. Lipid Panel (which includes Total Cholesterol, HDL Cholesterol, LDL Cholesterol, Cholesterol/HDL Cholesterol Ration, Calculated LDL, and Triglycerides);

20. Cholesterol, Total

21. CBC Hemogram (which includes WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW (Red Cell Distribution Width), MPV (Mean Platelet Volume), and Platelet Count)

22. Glucose

23. Prostate Specific Antigen, Total (PSA)

24. Urinalysis Dipstick with Microscopic Reflex (includes Macroscopic and Dipstick)

25. Drug Screen, 10 Drug, without confirmation, THC cutoff at 50 ng/mL (Includes Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana (50 ng/mL Tetrahydrocannabinol screening cutoff), Methadone, Methaqualone, Opiates, Phencyclidine (PCP), and Proxyphene *no chain of custody needed)

26. Sickle Cell Screen with Reflex

27. Measles Antibody (IGG) (Rubeola Antibody IgG)

28. Mumps Antibody (IGG) (Mumps Virus Antibody, IgG)

29. Rubella Antibody (IGG)

30. Hepatitis A Virus Antibody, Total (HAV Antibody, Total)

31. Hepatitis B Core Antibody, Total (HBc Antibody, Total)

32. Liver Panel II (Includes Alanine Aminotransferase (ALT), Albumin, Alkaline Phosphatase, Aspartate Aminotransferase (AST), Gamma Glutamyltransferase (GGT), Globulin (calculated), Lactate Dehydrogenase (LD), Total and Direct Bilirubin, and Total Protein)

3.4 They shall possess experience/knowledge directly related to the Army/Air National Guard related to the requirements of the task order.

3.5 It is highly desirable that the Contractor have experience working as a liaison between community based organizations and the military.

3.5 Location of Pick- up Sites is New York State.

4.0 Security Requirements:

4.1.1 Contractor Verification System. Contractor Verification System (CVS) program was implemented under Homeland Security Presidential Directive-12 (HSPD-12): Policy for Common Identification Standard for Federal Employees and Contractors. CVS was developed as a web-based tool designed to automate the application, validation and approval process for issuance for the Common Access Card (CAC) to eligible Department of Defense contractor personnel. The Contractor shall obtain the necessary clearance(s) and comply with all regulatory guidance. The Contractor shall be in compliance with HSPD-12 at all times and is subject to any future requirements to this directive.

http://www.whitehouse.gov/omb/memoranda/fy2005/m05-24.pdf

5.0 Miscellaneous:

5.1.

Referring to the Basic Contract PWS paragraph 7.9; Performance of Services During Crisis Declared by the National Command Authority or Overseas Combatant Commander. Not Applicable this Task Order.

5.2 The contractor is cautioned that if off-duty active military personnel are hired under this contract, they may be subject to permanent change of station, change in duty hours, or deployment. Military Reservists and National Guard members may be subject to recall to active duty. The absence of such employees shall not constitute an excuse for nonperformance under this contract.

5.3 Hours of Operation: The contractor shall perform the services required under this contract within core operating hours which are 9:00 am to 6:00 pm Monday thru Sunday.

Service Delivery Summary Worksheet

Task Order Objective: The objective of this contract is to serve as the Laboratory Specimen Testing Contractor for the Medical Command Directorate (MEDCOM). The Contractor shall pick-up and perform laboratory specimen testing. All programs are critical. Place of performance will be New York.

2.2

· Picks up Specimens from various sites throughout New York State, standard 99.5% of the time.

· Analyze and result specimens, standard 99.5% with less than 2 % error.

Periodic Inspection/ Spot Checks /Monthly

• Contractor will be fully trained and be governed and comply with all applicable State and Federal Laws.

Reporting Requirements/Data Management

• Records the results and reports to MEDCOM within 48 hrs of specimen pick up and testing.

Plans

Technical Specification

2.2.2

• Pick-up Specimens from various sites throughout New York State.

• Tests the Specimens, records results and report to MEDCOM

Quality Assurance Surveillance Plan:

The Customer Point of Contact (POC) will monitor contractor performance and complete the Quality Assurance Surveillance Plan Worksheet provided below on a monthly basis. The following information will be provided to the Contracting Officer and the Contracting Officer Representative (COR) to ensure service and/or deliverables support the PWS objectives. If the performance rating for any task in this order is “Red” during any time in the performance period, the customer will provide the Contracting Officer and the COR documentation and appropriate action will be taken to remedy the deficiency. The quality rating may change from “Green” to “Red” without notice. We anticipate the POC utilizing the “Yellow” quality rating to alert the contracting office and the COR of quality issues that have the potential for a “Red” quality rating if corrective action is not taken.

The Quality Assurance Surveillance Plan Worksheet will be submitted to the Contracting Officer with a copy to the COR following the first month of performance. Future months will be submitted to the Contracting Officer only, unless COR involvement is warranted. The COR will assume a quality performance rating of “Green” on all measured deliverables unless otherwise notified. By approving service and/or deliverables that this form documents, the POC confirms the quality performance rating of “Green” unless otherwise annotated.

At the end of the task order period of performance or annually, the POC will be asked to complete a Quality Performance Review to document the quality performance rating during the performance period. This will be submitted to the Contracting Officer and the COR.

The POC may submit a Quality Assurance Worksheet at anytime and as often as necessary to document quality levels. If Contractor response to an identified quality deficiency is unsatisfactory, the Contracting Officer or COR will contact the appropriate Contractor representative to implement a plan of action to remedy the identified deficiency.

The task order COR must be formally trained which requires 2 courses; DAU CLC106, COR with a Mission Focus and CLC 013, Performance-Based Services Acquisition, (proof of training certificates are required). New certificates required every 2 years.

The Point of Contact for this task order is COL Craig W. Meinking, Watervliet Arsenal at criag.w.meinking@us.army.mil telephone 518-270-1514.

The Customer must identify what component of the deliverable and/or service requires attention.

The Customer must identify what component of the deliverable and/or service is below the minimum AQL.

QUALITY ASSURANCE SURVEILLANCE PLAN WORKSHEET

Performance Rating

· Picks up Specimens from various sites throughout New York, standard 99.5%.

· Analyze and result specimens, standard 99.5% with no more than 2 % error.

Yellow

Red

Contractor will be fully trained and be governed and comply with all applicable State and Federal Laws.

Yellow

Red

Records the results and reports to MEDCOM within 48 hrs of specimen pick up and testing.

Yellow

Red

Pick-up Specimens from various sites throughout New York State.

Yellow

Red

• Contract employee(s) has required badges displayed and identify themselves as contractors 98% of the time.

Yellow

Red

Period of Performance: From _______________to____________

Number of Hours Actually Worked: ______ (Include only actual hours worked. Do not include non worked holidays, leave, etc. these are included in the rate the Government pays and are not paid as hours worked.) Reimbursable Expenses: (include receipts) _______ Travel_______ (include approval sheet)

Approved by: Date: __________________________

(Task Order Point of Contact)

Each

Fort Drum, New York

FFP

Pick up and testing of Blood/Urine samples

FOB: Destination

PURCHASE REQUEST NUMBER: W90KPY10069001

NET AMT

Each

Watervliet Arsenal, New York

Pick up and testing of Blood/Urine samples

NET AMT

Each

Buffalo, New York

Pick up and testing of Blood/Urine samples

NET AMT

Each

Camp Smith Training Site-Cortlandt Manor

Pick up and testing of Blood/Urine samples

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

30-SEP-2010

MAJ MICHAEL HANNON

BUILDING 40-4

1 BUFFINGTON STREET

WATERVLIET ARSENAL

WATERVLIET NY 12189

518 270 1520

W77936

30-SEP-2010

W77936

30-SEP-2010

W77936

30-SEP-2010

W77936

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (FEB 2009)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 621511.

(2) The small business size standard is 13,500,000 million dollars.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the clause at 52.204-7, Central Contractor Registration, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the clause at 52.204-7 is not included in this solicitation, and the offeror is currently registered in CCR, and has completed the ORCA electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

(__) Paragraph (d) applies.

(__) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c)(1) The following representations or certifications in ORCA are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless--

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $100,000.

(iii) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the clause at 52.204-7, Central Contractor Registration.

(iv) 52.204-5, Women-Owned Business (Other Than Small Business).This provision applies to solicitations that--

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(v) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(vi) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(vii) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(viii) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(ix) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(x) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xi) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xii) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xiii) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xiv) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA-designated items.

(xv) 52.225-2, Buy American Act Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xvi) 52.225-4, Buy American Act--Free Trade Agreements—Israeli Trade Act Certificate. (Basic, Alternate I, and Alternate II) This provision applies to solicitations containing the clause at 52.225-3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $67,826, the provision with its Alternate II applies.

(xvii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xviii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification.

(xix) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to--

(A) Solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions; and

(B) For DoD, NASA, and Coast Guard acquisitions, solicitations that contain the clause at 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns.

(2) The following certifications are applicable as indicated by the Contracting Officer:

(Contracting Officer check as appropriate.)

----(i) 52.219-19, Small Business Concern Representation for the Small Business Competitiveness Demonstration Program.

------(ii) 52.219-21, Small Business Size Representation for Targeted Industry Categories Under the Small Business Competitiveness Demonstration Program.

------(iii) 52.219-22, Small Disadvantaged Business Status.

------(A) Basic.

------(B) Alternate I.

------(iv) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

------(v) 52.222-48, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment Certification.

------(vi) 52.222-52 Exemption from Application of the Service Contract Act to Contracts for Certain Services--Certification.

------(vii) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (Alternate I only).

------(viii) 52.223-13, Certification of Toxic Chemical Release Reporting.

------(ix) 52.227-6, Royalty Information.

------ (A) Basic.

------ (B) Alternate I.

------(x) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The offeror has completed the annual representations and certifications electronically via the Online Representations and Certifications Application (ORCA) website at http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below (offeror to insert changes, identifyingchange by clause number, title, date). These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR Clause Title Date Change

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

(End of Provision)

52.213-4 TERMS AND CONDITIONS--SIMPLIFIED ACQUISITIONS (OTHER THAN COMMERCIAL ITEMS) (DEC 2009)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses that are incorporated by reference:

(1) The clauses listed below implement provisions of law or Executive order:

(i) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

(ii) 52.222-21, Prohibition of Segregated Facilities (Feb 1999) (E.O. 11246).

(iii) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).

(iv) 52.222-50, Combating Trafficking in Persons (FEB 2009) (22 U.S.C. 7104(g)).

(v) 52.225-13, Restrictions on Certain Foreign Purchases (FEB 2006) (E.o.s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

(vi) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(vii) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Pub. L. 108-77, 108-78).

(2) Listed below are additional clauses that apply:

(i) 52.232-1, Payments (Apr 1984).

(ii) 52.232-8, Discounts for Prompt Payment (Feb 2002).

(iii) 52.232-11, Extras (Apr 1984).

(iv) 52.232-25, Prompt Payment (OCT 2008).

(v) 52.233-1, Disputes (JUN 2008).

(vi) 52.244-6, Subcontracts for Commercial Items (DEC 2009).

(vii) 52.253-1, Computer Generated Forms (Jan 1991).

(b) The Contractor shall comply with the following FAR clauses, incorporated by reference, unless the circumstances do not apply:

(1) The clauses listed below implement provisions of law or Executive order:

(i) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (AUG 2009) (E.O. 13126).

(ii) 52.222-20, Walsh-Healey Public Contracts Act (DEC 1996) (41 U.S.C. 35-45) (Applies to supply contracts over $10,000 in the United States, Puerto Rico, or the U.S. Virgin Islands).

(iii) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (Sept 2006) (38 U.S.C. 4212) (Applies to contracts of $100,000 or more).

(iv) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (SEP 2006) (38 U.S.C. 4212) (Applies to contracts of $100,000 or more).

(v) 52.222-36, Affirmative Action for Workers with Disabilities (JUN 1998) (29 U.S.C. 793) (Applies to contracts over $30,000, unless the work is to be performed outside the United States by employees recruited outside the United States.) (For purposes of this clause, United States includes the 50 States, the District of Columbia, Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, and Wake Island.).

(v) 52.222-37, Employment Reports on Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (SEP 2006) (38 U.S.C. 4212) (Applies to contracts over $100,000).

(vi) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.) (Applies to service contracts over $2,500 that are subject to the Service Contract Act and will be performed in the United States, District of Columbia, Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, Johnston Island, Wake Island, or the outer continental shelf lands.).

(vii) 52.223-5, Pollution Prevention and Right-to-Know Information (Aug 2003) (E.O. 13148) (Applies to services performed on Federal facilities).

(viii) 52.223-15, Energy Efficiency in Energy-Consuming Products (DEC 2007) (42 U.S.C. 8259b) (Unless exempt pursuant to 23.204, applies to contracts when energy-consuming products listed in the ENERGY STAR Program or Federal Energy Management Program (FEMP) will be--

(A) Delivered;

(B) Acquired by the Contractor for use in performing services at a Federally-controlled facility;

(C) Furnished by the Contractor for use by the Government; or

(D) Specified in the design of a building or work, or incorporated during its construction, renovation, or maintenance.)

(ix) 52.225-1, Buy American Act--Supplies (FEB 2009) (41 U.S.C. 10a-10d) (Applies to contracts for supplies, and to contracts for services involving the furnishing of supplies, for use in the United States or its outlying areas, if the value of the supply contract or supply portion of a service contract exceeds the micro-purchase threshold and the acquisition--

(A) Is set aside for small business concerns; or

(B) Cannot be set aside for small business concerns (see 19.502-2), and does not exceed $25,000.)

(x) 52.232-33, Payment by Electronic Funds Transfer--Central Contractor Registration (May 1999). (Applies when the payment will be made by electronic funds transfer (EFT) and the payment office uses the Central Contractor Registration (CCR) database as its source of EFT information.)

(xi) 52.232-34, Payment by Electronic Funds Transfer--Other than Central Contractor Registration (Oct 2003). (Applies when the payment will be made by EFT and the payment office does not use the CCR database as its source of EFT information.)

(xii) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. Appx 1241). (Applies to supplies transported by ocean vessels (except for the types of subcontracts listed at 47.504(d).)

(2) Listed below are additional clauses that may apply:

(i) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (SEP 2006) (Applies to contracts over $30,000).

(ii) 52.211-17, Delivery of Excess Quantities (SEPT 1989) (Applies to fixed-price supplies).

(iii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (MAR 2009) (Pub. L. 110-247) (Applies to contracts greater than $25,000 that provide for the provision, the service, or the sale of food in the United States.)

(iv) 52.247-29, F.o.b. Origin (FEB 2006) (Applies to supplies if delivery is f.o.b. origin).

(v) 52.247-34, F.o.b. Destination (NOV 1991) (Applies to supplies if delivery is f.o.b. destination).

(c) FAR 52.252-2, Clauses Incorporated by Reference (FEB 1998). This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://www.acquisition.gov/far/ http://farsite.hill.af.mil/vffara.htm

(d) Inspection/Acceptance. The Contractor shall tender for acceptance only those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. The Government must exercise its postacceptance rights--

(1) Within a reasonable period of time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(e) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence, such as acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(f) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges that the Contractor can demonstrate to the satisfaction of the Government, using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred that reasonably could have been avoided.

(g) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(h) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(End of clause)

52.215-6 PLACE OF PERFORMANCE (OCT 1997)

(a) The offeror or respondent, in the performance of any contract resulting from this solicitation, ( ) intends, ( ) does not intend (check applicable block) to use one or more plants or facilities located at a different address from the address of the offeror or respondent as indicated in this proposal or response to request for information.

(b) If the offeror or respondent checks “intends” in paragraph (a) of this provision, it shall insert in the following spaces the required information:

Place of Performance(Street Address, City, State, County, Zip Code)

Name and Address of Owner and Operator of the Plant or Facility if Other Than Offeror or Respondent

(End of provision)

52.216-23 EXECUTION AND COMMENCEMENT OF WORK (APR 1984)

The Contractor shall indicate acceptance of this letter contract by signing three copies of the contract and returning them to the Contracting Officer not later than 3 days after award of contract. Upon acceptance by both parties, the Contractor shall proceed with performance of the work, including purchase of necessary materials.

(End of clause)

52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

The Government may increase the quantity of supplies called for in the Schedule at the unit price specified. The Contracting Officer may exercise the option by written notice to the Contractor within 3 business days. Delivery of the added items shall continue at the same rate as the like items called for under the contract, unless the parties otherwise agree.

(End of clause)

CLIN0001 SPREADSHEET

$ Per Test

1. Glucose-6-Phospate Dehydrogenase, RBC (G-6-PD RBC)

2. Blood Group and Rh factor

3. Lipid Panel (which includes Total Cholesterol, HDL Cholesterol, LDL Cholesterol, Cholesterol/HDL Cholesterol Ration, Calculated LDL, and Triglycerides);

4. Cholesterol, Total

5. CBC Hemogram (which includes WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW (Red Cell Distribution Width), MPV (Mean Platelet Volume), and Platelet Count)

6. Glucose

7. Prostate Specific Antigen, Total (PSA)

8. Urinalysis Dipstick with Microscopic Reflex (includes Macroscopic and Dipstick)

9. Drug Screen, 10 Drug, without confirmation, THC cutoff at 50 ng/mL (Includes Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana (50 ng/mL Tetrahydrocannabinol screening cutoff), Methadone, Methaqualone, Opiates, Phencyclidine (PCP), and Proxyphene *no chain of custody needed)

10. Sickle Cell Screen with Reflex

11. Measles Antibody (IGG) (Rubeola Antibody IgG)

12. Mumps Antibody (IGG) (Mumps Virus Antibody, IgG)

13. Rubella Antibody (IGG)

14. Hepatitis A Virus Antibody, Total (HAV Antibody, Total)

15. Hepatitis B Core Antibody, Total (HBc Antibody, Total)

16. Liver Panel II (Includes Alanine Aminotransferase (ALT), Albumin, Alkaline Phosphatase, Aspartate Aminotransferase (AST), Gamma Glutamyltransferase (GGT), Globulin (calculated), Lactate Dehydrogenase (LD), Total and Direct Bilirubin, and Total Protein)

CLIN0002 SPREADSHEET

$ Per Test

1. Glucose-6-Phospate Dehydrogenase, RBC (G-6-PD RBC)

2. Blood Group and Rh factor

3. Lipid Panel (which includes Total Cholesterol, HDL Cholesterol, LDL Cholesterol, Cholesterol/HDL Cholesterol Ration, Calculated LDL, and Triglycerides);

4. Cholesterol, Total

5. CBC Hemogram (which includes WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW (Red Cell Distribution Width), MPV (Mean Platelet Volume), and Platelet Count)

6. Glucose

7. Prostate Specific Antigen, Total (PSA)

8. Urinalysis Dipstick with Microscopic Reflex (includes Macroscopic and Dipstick)

9. Drug Screen, 10 Drug, without confirmation, THC cutoff at 50 ng/mL (Includes Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana (50 ng/mL Tetrahydrocannabinol screening cutoff), Methadone, Methaqualone, Opiates, Phencyclidine (PCP), and Proxyphene *no chain of custody needed)

10. Sickle Cell Screen with Reflex

11. Measles Antibody (IGG) (Rubeola Antibody IgG)

12. Mumps Antibody (IGG) (Mumps Virus Antibody, IgG)

13. Rubella Antibody (IGG)

14. Hepatitis A Virus Antibody, Total (HAV Antibody, Total)

15. Hepatitis B Core Antibody, Total (HBc Antibody, Total)

16. Liver Panel II (Includes Alanine Aminotransferase (ALT), Albumin, Alkaline Phosphatase, Aspartate Aminotransferase (AST), Gamma Glutamyltransferase (GGT), Globulin (calculated), Lactate Dehydrogenase (LD), Total and Direct Bilirubin, and Total Protein)

CLIN0003 SPREADSHEET

$ Per Test

1. Glucose-6-Phospate Dehydrogenase, RBC (G-6-PD RBC)

2. Blood Group and Rh factor

3. Lipid Panel (which includes Total Cholesterol, HDL Cholesterol, LDL Cholesterol, Cholesterol/HDL Cholesterol Ration, Calculated LDL, and Triglycerides);

4. Cholesterol, Total

5. CBC Hemogram (which includes WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW (Red Cell Distribution Width), MPV (Mean Platelet Volume), and Platelet Count)

6. Glucose

7. Prostate Specific Antigen, Total (PSA)

8. Urinalysis Dipstick with Microscopic Reflex (includes Macroscopic and Dipstick)

9. Drug Screen, 10 Drug, without confirmation, THC cutoff at 50 ng/mL (Includes Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana (50 ng/mL Tetrahydrocannabinol screening cutoff), Methadone, Methaqualone, Opiates, Phencyclidine (PCP), and Proxyphene *no chain of custody needed)

10. Sickle Cell Screen with Reflex

11. Measles Antibody (IGG) (Rubeola Antibody IgG)

12. Mumps Antibody (IGG) (Mumps Virus Antibody, IgG)

13. Rubella Antibody (IGG)

14. Hepatitis A Virus Antibody, Total (HAV Antibody, Total)

15. Hepatitis B Core Antibody, Total (HBc Antibody, Total)

16. Liver Panel II (Includes Alanine Aminotransferase (ALT), Albumin, Alkaline Phosphatase, Aspartate Aminotransferase (AST), Gamma Glutamyltransferase (GGT), Globulin (calculated), Lactate Dehydrogenase (LD), Total and Direct Bilirubin, and Total Protein)

CLIN0004 SPREADSHEET

$ Per Test

1. Glucose-6-Phospate Dehydrogenase, RBC (G-6-PD RBC)

2. Blood Group and Rh factor

3. Lipid Panel (which includes Total Cholesterol, HDL Cholesterol, LDL Cholesterol, Cholesterol/HDL Cholesterol Ration, Calculated LDL, and Triglycerides);

4. Cholesterol, Total

5. CBC Hemogram (which includes WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW (Red Cell Distribution Width), MPV (Mean Platelet Volume), and Platelet Count)

6. Glucose

7. Prostate Specific Antigen, Total (PSA)

8. Urinalysis Dipstick with Microscopic Reflex (includes Macroscopic and Dipstick)

9. Drug Screen, 10 Drug, without confirmation, THC cutoff at 50 ng/mL (Includes Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Marijuana (50 ng/mL Tetrahydrocannabinol screening cutoff), Methadone, Methaqualone, Opiates, Phencyclidine (PCP), and Proxyphene *no chain of custody needed)

10. Sickle Cell Screen with Reflex

11. Measles Antibody (IGG) (Rubeola Antibody IgG)

12. Mumps Antibody (IGG) (Mumps Virus Antibody, IgG)

13. Rubella Antibody (IGG)

14. Hepatitis A Virus Antibody, Total (HAV Antibody, Total)

15. Hepatitis B Core Antibody, Total (HBc Antibody, Total)

16. Liver Panel II (Includes Alanine Aminotransferase (ALT), Albumin, Alkaline Phosphatase, Aspartate Aminotransferase (AST), Gamma Glutamyltransferase (GGT), Globulin (calculated), Lactate Dehydrogenase (LD), Total and Direct Bilirubin, and Total Protein)