W912PQ-20-Q-0001.pdf

SEE ADDENDUM

(No Collect Calls)

W912PQ20Q0001 10-Dec-2019

b. TELEPHONE NUMBER

518-786-4747

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 10 Jan 2020

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 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.

W912PQ9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CHRISTINE CAMPBELL

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

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

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

0011380467

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

USPFO NY PURCHASING & CONTRACTING

330 OLD NISKAYUNA ROAD

LATHAM NY 12110-2224

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$8,000,000

NAICS:

621210

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 OF137

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.

W912PQ20Q0001

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job Mobile Dental Services

FFP

Provide mobile dental services for the NYANG in accordance with the attached

Performance Work Statement (PWS).

Contractor must provide proof of its authorization through the New York Secretary of State and New York State Education Department as an entity registered to provide dental services within the State of New York

52.219-9, Small Business Subcontracting Plan- Applies for Large Business

Wage Determination Revision 10 Dated 16 July 2019 applies and is attached.

Contractor Officer Representative (COR) is LTC Joel Bachman, joel.a.bachman.mil@mail.mil 516-297-4103

32 Price per day is $_______________

16 Price per Half Day $_____________

Estimated 48 days or half days of mobile dental services required.

The pricing will be a firm fixed price "per day" with an estimate of 32 days each year and 16 half days required for this service is an estimate.

All unused days or half days in each calendar year will not be paid and will be de-obligated from the contract at the end of each period of performance or 1 year.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011380467

PSC CD: Q503

NET AMT

0002 1 Job Contract Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting

Please note the Contractor Manpower Reporting requirement is mandated by the

Dept. of Army and requires the reporting of the dollar value of labor hours and total labor hours required for the performance of an awarded service.

For more information Statement of Work/Contractor Manpower Reporting paragraph 14.

Requiring Activity UIC W8BNAA is provided to facilitate reporting.

Contractor Manpower Reporting website: https://www.ecmra.mil/Default.aspx

FOB: Destination

1001 1 Job OPTION Mobile Dental Services

FFP

days each year and 16 half days required for this service is an estimate.

All unused days or half days in each calendar year will not be paid and will be de-obligated from the contract at the end of each period of performance or 1 year.

1002 1 Job OPTION Contract Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting

Please note the Contractor Manpower Reporting requirement is mandated by the

Dept. of Army and requires the reporting of the dollar value of labor hours and total labor hours required for the performance of an awarded service.

For more information Statement of Work/Contractor Manpower Reporting paragraph 14.

Requiring Activity UIC W8BNAA is provided to facilitate reporting.

Contractor Manpower Reporting website: https://www.ecmra.mil/Default.aspx

2001 1 Job OPTION Mobile Dental Services

FFP

days each year and 16 half days required for this service is an estimate.

All unused days or half days in each calendar year will not be paid and will be de-obligated from the contract at the end of each period of performance or 1 year.

2002 1 Job OPTION Contract Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting

Please note the Contractor Manpower Reporting requirement is mandated by the

Dept. of Army and requires the reporting of the dollar value of labor hours and total labor hours required for the performance of an awarded service.

For more information Statement of Work/Contractor Manpower Reporting paragraph 14.

Requiring Activity UIC W8BNAA is provided to facilitate reporting.

Contractor Manpower Reporting website: https://www.ecmra.mil/Default.aspx

3001 1 Job OPTION Mobile Dental Services

FFP

days each year and 16 half days required for this service is an estimate.

All unused days or half days in each calendar year will not be paid and will be de-obligated from the contract at the end of each period of performance or 1 year.

3002 1 Job OPTION Contract Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting

Please note the Contractor Manpower Reporting requirement is mandated by the

Dept. of Army and requires the reporting of the dollar value of labor hours and total labor hours required for the performance of an awarded service.

For more information Statement of Work/Contractor Manpower Reporting paragraph 14.

Requiring Activity UIC W8BNAA is provided to facilitate reporting.

Contractor Manpower Reporting website: https://www.ecmra.mil/Default.aspx

4001 1 Job OPTION Mobile Dental Services

FFP

days each year and 16 half days required for this service is an estimate.

All unused days or half days in each calendar year will not be paid and will be de-obligated from the contract at the end of each period of performance or 1 year.

4002 1 Job OPTION Contract Manpower Reporting (CMR)

FFP

Contractor Manpower Reporting

Please note the Contractor Manpower Reporting requirement is mandated by the

Dept. of Army and requires the reporting of the dollar value of labor hours and total labor hours required for the performance of an awarded service.

For more information Statement of Work/Contractor Manpower Reporting paragraph 14.

Requiring Activity UIC W8BNAA is provided to facilitate reporting.

Contractor Manpower Reporting website: https://www.ecmra.mil/Default.aspx

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

Dental Readiness in support of: Individual Medical Readiness (IMR) to include Dental Exams, Treatment, Dental Class (Denclass) Entry for Alerted and Non-Alerted Soldiers in the New York Army National Guard (NYARNG).

1.0 General:

1.1 Scope: The contractor shall provide all management, personnel, equipment, tools, materials, supervision, certifications and supplies necessary to provide all listed services in compliance with HIPAA, Privacy Act, Radiologically-Compliant, OSHA, stand-alone environment and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Mobile Dental Services, as defined in this PWS.

1.2 Background:

Oral health is vital for force health protection. Failure to achieve a standard of oral health could preclude a Soldier from deploying. Dental Readiness is a command responsibility. DoD established a uniform dental classification in HA Policy 02-11. DoD policy requires dental screening examinations to be accomplished and documented on 95% of service members. Members of the Army National Guard shall receive an annual dental screening examination to determine their dental classification. The results of that screening examination shall be entered into the DENCLASS database onsite live. The DENCLASS database updates the Army Medical Protection System (MEDPROS).

1.3 Period of Performance (PoP): The Period of Performance shall be 1 Base Year of 12 months and 4, 12-month option years.

1.4 General Information:

1.4.1 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award.

After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

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

1.4.3 Recognized Holidays: The following are recognized United States (US) holidays.

While it is highly unlikely that services will be requested on the following Holidays, the contractor shall perform services on these days if services are requested by the Military.

1.4.3.1 New Year’s Day: January 1st

1.4.3.2 Martin Luther King, Jr.’s Birthday

1.4.3.3 President’s Day

1.4.3.4 Memorial Day

1.4.3.5 Independence Day: July 4th

1.4.3.6 Labor Day

1.4.3.7 Columbus Day

1.4.3.8 Veteran’s Day: November 11th

1.4.3.9 Thanksgiving Day

1.4.3.10 Christmas Day: December 25th

1.4.4 Place and Performance of Services: Expect operations on contracted full days to begin at 0630am and to continue until at least 1800. Contracted ½ days will generally, begin at 0630 and continue until at least 1300. However, start and completion times are dependent on the needs of the Military and may vary. Contracted Dental Operations shall continue until exams and treatment for scheduled PAX are complete. Any changes in start times or extended hours required to complete exams and treatment shall be accommodated at no additional cost to the Government. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. Teleworking is not authorized.

Performance shall be accomplished predominantly at the Camp Smith Training site but has the potential to be at any of the following locations: (not a complete list)

South Street Armory 174 South Street, Auburn, NY 13021

Camp Smith Training Site Bldg. 503, Cortlandt Manor, New York 10567

Niagara Falls Air Reserve Center

2502 Rubin Way, Niagara Falls, NY 14304

MATES Facility 4900 Tank Trail Rd, Fort Drum, NY 13602

Joint Forces Headquarters 330 Old Niskayuna Road, Latham, NY 12110

27th IBCT Headquarters 6900 Thompson Road, Syracuse, NY 13211

1.4.4.1 Telework: The Government may permit telework by contractor employees when determined to be in the best interest of the Government in meeting work requirements.

In furtherance of Continuity of Operations Planning (COOP), a telework program may be enacted to ensure that the Government's mission-critical operations stay operational during times of national emergency or incidents of national significance. Telework shall be at no additional cost to the Government.

1.4.4.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Contractors are not compensated for last minute cancelation of requested services due to Government shutdown. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.4.3 The contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times, and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance. The Government reserves the right to direct the removal of an employee for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.5 Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 For contractors requiring Common Access Card (CAC): The CAC is the DoD Federal Personal Identity Verification (PIV) credential. CAC issuance requirements are as follows:

In accordance with Department of Defense Manual (DoDM) 1000.13-M-V1, DoD Identification (ID) Cards, January 23, 2014, initial issuance of a CAC requires, at a minimum, the completion of an Federal Bureau of Investigation (FBI) fingerprint check with favorable results and submission of a National Agency Check with Inquiries (NACI) (or investigation approved in Federal Investigative Standards) to the Under Secretary of Defense for Intelligence (USD(I)) approved investigative service provider. The issuance of a CAC will be based on four criteria: (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-2, Personal Identity Verification (PIV) of Federal Employees and Contractors, August 2013, and DoD Manual 5200.02, Procedures for the DoD Personnel Security Program (PSP), April 3, 2017, and (d) verification of a claimed identity. Sponsorship and enrollment information about each applicant must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either the Real-Time Automated Personnel ID System (RAPIDS) using the DD Form 1172-2, or the Trusted Associate Sponsorship System (TASS).

1.4.5.1.1 HSPD-12 Background Investigation Requirements: The contractor shall ensure that all contractor and subcontractor personnel whose duties require CAC card issuance obtain them, and shall process all CAC card applications. The contractor shall ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) at the earliest possible date and that this forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward it to the National Guard Bureau (NGB) Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e-mail messages; the first will confirm that the investigative service provider has received the request, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the background investigation (BI) will be initiated. The contractor shall ensure immediate compliance with all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system. The contractor is cautioned that the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from two to six weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure that contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.4.5.1.2 Trusted Associate Sponsorship System (TASS): The contractor shall process CAC applications through the TASS, the procedures for which are described below.

Although there is no requirement for the contractor to designate a “Corporate Facility Security Officer" (FSO) to serve as its single point of contact for the BI, the TASS application process and other CAC and security-related matters, such designation facilitates these processes. If an FSO is not established, all contractor employees requiring a CAC will be required to process their own applications. The submission process for CAC applications is as follows:

1. The contractor's FSO or contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA). The TASS TA for this requirement will be: MSG MICHAEL A. ROSEN, USARMY NG NYARNG (USA) michael.a.rosen.mil@mail.mil

2. The Government will establish a TASS application account for each CAC Request and will provide each contractor employee a USER ID and password, via email, to the FSO. The FSO or contractor employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) at:

https://www.dmdc.osd.mil/tass/. The FSO or contractor employee shall follow up to ensure that the TA is processing the request.

3. The Government will inform the contractor's applicant, via email, of one of the following:

a. Approval. * Upon approval, the information is transferred to the DEERS database and an email notification is sent to the contractor with instructions on obtaining their CAC. The contractor proceeds to a RAPIDS station (RAPIDS Site Locator:

http://www.dmdc.osd.mil/rsl/).

b. Rejection. * The Government, in separate correspondence, will provide reason(s) for rejection.

https://www.dmdc.osd.mil/tass/

c. Return. Additional information or correction to the application required by the contractor employee.

*The contractor shall maintain records of all approved and rejected applications.

1.4.5.1.3 At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor employee by SSN and two forms of identification. Identity source documents must come from the list of acceptable documents included in Form I-9, OMB No. 1615- 0047, "Employment Eligibility Verification." Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture ID. The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS, and will then issue a CAC. Issued CACs will be valid for no longer than three years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

1.4.5.1.4 The contractor shall return issued CACs to the DEERS office upon departure or dismissal of each contractor employee, and shall obtain a receipt for each card and provide it to the TA/COR.

1.4.5.1.5 The contractor shall manage requests for new or renewal CAC cards in sufficient time to ensure that all contractor employees have them when needed to perform work under this contract. The contractor shall provide at least 10 calendar days advance notice to the TA, unless there are extenuating circumstances approved by the COR or KO.

1.4.5.1.6 The contractor shall obtain an Army Knowledge Online (AKO) email address for each applicant, including subcontractors, who may be deployed or require logical access to a government computer network. This can be done by going to:

http://www.us.army.mil and registering as an "Army Guest," with the sponsor being the COR or a COR- designated individual if the COR is ineligible to Serve as an AKO Sponsor. Note: If employees of a contractor lose the privilege to access AKO, they lose the ability to renew their CAC. Therefore, it is critical that contractor employees maintain their AKO accounts.

1.4.5.2 For contractors that do not require a CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a government representative).

http://www.us.army.mil/

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

1.4.5.4 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the Army Enterprise Infostructure (AEI). Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

1.4.5.4.1 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.5.4.2 Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://informationassurance.us.army.mil).

1.4.5.4.3 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.4.5.4.4 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.5.4.5 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.5.5 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all https://informationassurance.us.army.mil/ notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

1.4.5.6 AT Level 1 Awareness Training (AT): All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete Level 1 AT within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training. Level 1 AT is available at http://jko.jten.mil/courses/atl1/launch.html .

1.4.5.7 Information Assurance (IA)/Information Technology (IT) Training: All contractor employees and associated subcontractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter. All contractor employees performing services involving IA/IT functions shall comply with DoD and Army workforce training requirements in DoDD 8140.01, DoD 8570.01-M and AR 25-2 within six months of the start of contract performance. In accordance with DoD 8570.01-M, DFARS 252.239.7001 and AR 25-2, contractor employees performing Information Assurance Technical (IAT) functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

1.4.5.8 Information Awareness: All contractor employees with access to a government information system shall be registered in the Army Training Certification Tracking System (ATCTS) (https://atc.us.army.mil/iastar/index.php) at commencement of services, and shall successfully complete the DoD Information Assurance awareness training prior to access to the IS and then annually thereafter.

(https://ia.signal.army.mil/DoDIAA/).

1.4.5.9 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program. This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.10 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.

http://jko.jten.mil/courses/atl1/launch.html https://atc.us.army.mil/iastar/index.php https://ia.signal.army.mil/DoDIAA/ http://cdsetrain.dtic.mil/opsec/

1.4.5.11 OPSEC SOP/Plan. The contractor shall develop an OPSEC Standard Operating Procedure (SOP)/Plan and provide it to the COR within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan shall include a process to identify the government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. The contractor shall implement OPSEC measures as required by the Government. In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor shall ensure this individual becomes OPSEC Level II certified within 90 days of appointment as OPSEC coordinator in accordance with AR 530-1. Contractor shall provide a copy of the certification to the COR NLT 15 days after completion.

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.6.1 Key Control. NOTE: All references to keys include key cards. The contractor shall establish and implement methods of ensuring that no keys/key cards issued by the Government are lost or misplaced or are used by unauthorized persons. No keys issued by the Government shall be duplicated. The contractor shall include procedures covering key control in the QCP. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The contractor shall immediately report any occurrences of lost or duplicated keys/key cards to the COR.

1.4.6.1.1 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction by the KO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the Government replaces or re-keys the locks, the Government will deduct the total cost of lock replacement or re-keying from the monthly payment due the contractor. In the event a master key is lost or duplicated, the Government will replace all locks and keys for that system, and will deduct the total cost from the monthly payment due the contractor.

1.4.6.1.2 The contactor shall prohibit the use of the Government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of persons other than contactor employees engaged in the performance of services in those areas, or personnel authorized entrance by the KO.

1.4.6.2 Lock Combinations: The contractor shall establish and implement methods of ensuring that no lock combinations are revealed to unauthorized persons. The contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the contractor’s QCP.

1.4.7 Special Qualifications: Contractors must ensure that any personnel performing under the contract are fully trained, licensed, certified and qualified to provide services.

NOTE: The Government does not provide training to contractors. Contractors must ensure that any personnel performing under a contract are fully trained, licensed, certified and qualified to provide services.

1. Contractor must provide proof of its authorization through the New York Secretary of State and New York State Education Department as an entity registered to provide dental services within the State of New York.

a. Dental assistants must have a minimum of 5 years dental assisting experience and work under the direct supervision of a licensed dentist. Proof of qualifications will be produced upon the request of the State Dental Officer, the COR, DSS or their representatives.

b. Dentists must have current documentation of the following:

(1). New York State Dental License

(2) DEA (Drug Enforcement Agency) Registration, if applicable for dispensing medications

(3) Proof of current Malpractice Insurance (4)BLS/CPR (Basic Life Support/Cardio Pulmonary Resuscitation) training certificate

(5) New York State Infection Control Certificate of Training

(6) Signed and dated examination protocol should be completed by each dentist.

(7) Digital copy of 1-6 directly above shall be sent to the COR LTC Joel A Bachman joel.a.bachman.mil@mail.mil, and the DSS LTC Luis Garcia, luis.garcia9.mil@mail.mil, at least 72 hours prior to the mission. A hard copy must be on hand and furnished at the event prior to its commencement if requested by the SDO, DSS or COR or their representatives.

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR Subpart 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO.

The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor personnel are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such at all times when on Government facilities. The badges shall have the company name, employee name and the word “contractor” displayed. The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles passes) to the KO within 14 days of an employee’s departure.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero-tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at

FAR 22.17.

1.4.12 All travel related expenses incurred fulfilling this contract are the sole responsibility of the Contractor.

1.4.13 Data Rights: The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2 Contracting Officer (KO): A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3 Contracting Officer Representative (COR): An employee of the U.S. Government designated by the KO to monitor contractor performance. Such appointment will be in writing and will state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications.

This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.5 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.6 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.8 Quality Assurance: The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.11 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2 Acronyms:

ADA Americans with Disability Act AEI Army Enterprise Infostructure AR Army Regulation ASMR ASM Research (MODS module vendor) AT/OPSEC Antiterrorism/Operational Security BI Background Investigation CAC Common Access Card CM Contract Manager CMRA Contractor Manpower Reporting Application COR Contracting Officer Representative DA Department of the Army DD254 Department of Defense Contract Security Classification Specification Denclass Dental Classification System, Electronic Dental Record System DD Form Department of Defense Form DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense DSS Deputy State Surgeon FAR Federal Acquisition Regulation FDA Food and Drug Administration GFP/M/E/S Government Furnished Property/Material/Equipment/Services HA Health Affairs HIPPA Health Insurance Portability and Accountability Act HQDA Headquarters, Department of the Army HSPD Homeland Security Presidential Directive IA Information Assurance

IS Information System(s) KO Contracting Officer LAN Local Area Network MEDCOM-NY Medical Command- New York MEDPROS Medical Protection System MODS Medical Operational Data System MRE Medical Readiness Event NG6H 2065 Funding classification for dental exam NYARNG New York Army National Guard NGB National Guard Bureau OCI Organizational Conflict of Interest OCONUS Outside Continental United States OSHA Occupational Safety and Health Administration PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact PPE Personal Protective Equipment PRS Performance Requirements Summary PSR Periodontal Screening and Reporting PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program SDO State Dental Officer SF Standard Form SOW Statement of Work SRP Soldier Readiness Processing SSN Social Security Number TE Technical Exhibit TMJ Temporo-mandibular Joint USD(I) Under Secretary of Defense for Intelligence VFRE 2020 Funding Classification for Dental Treatment

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S):

The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Services: The Government will provide the following resources: The Government shall provide operating space for Occupational Safety and Health Administration (OSHA) compliant Mobile Dental Practices and an area to park mobile dental practice.

All operations, except for administrative setup at Camp Smith Training Site, shall be located in the gravel area provided for mobile/RV trailers.

3.2 Utilities: Contractor is solely responsible for all electricity, i.e. generators, provide their own internet access and is solely responsible for the disposal and control of all of the contractor’s general waste, infectious waste and sharps. Automation, to include computers, printers, internet access, etc. shall be the sole responsibility of the contractor and shall be tested prior to the event.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

4.2 Contractor Provided Equipment: Contractors may own or lease its fleet of Mobile Medical and Dental Services that meet all OSHA ADA & HIPAA standards to ensure a clean, safe, comfortable and productive workspace for medical services under the Individual Medical / Dental Readiness Requirements. An acceptable fleet may include RV style, hauled trailer or temporary building.

4.2.1 The mobile dental trailers must provide the following capabilities:

a. Provide x-ray areas with a minimum of 3mm lead-lined barriers and leaded glass for any patient observation points for x-ray radiation protection or there must be a minimum protective buffer zone of 6 feet distance between the operator and the x-ray source.

b. Perform digital bite-wing, Panoramic, and other necessary diagnostic x-rays and upload digital x-rays to DENCLASS.

c. Provide emergency medical resources consistent with OSHA standards, such as eye-wash station, distilled water tanks, automated external defibrillator, oxygen tank with delivery system and appropriate emergency medications.

d. Have walled dental operatory to provide confidentiality for patients.

e. Provide temperature-controlled rooms consistent with OSHA standard.

f. Have sterilization equipment in separate sterilization area.

g. Provide biohazard waste and sharps receptacles.

h. Provide fully functional electric powered professional quality dental chairs, compressor systems, vacuum systems and treatment instruments for fillings, extractions, root canals and other treatment authorized by NYARNG. Contractor shall supply an electric motor driven surgical handpiece unit for use in complex and wisdom tooth extractions. If dental instruments or treatment kits are found to be inadequate or incomplete by the SDO, COR, DSS or their representative, replacement or additional equipment will be required with 4 hours of written notice from COR or representative to the project manager onsite. Contractor shall provide all supplies and materials needed to complete contracted services.

i. Provide fully functional office technology including LAN with redundant computer systems with printing/copying capabilities to include CD/DVD writer, and stand-alone copier with paper. Contractor provided LAN is required due to limited band width within the military resource.

j. Adequate vehicle ventilation is required to minimize airborne pathogens.

k. Photographic quality paper and photo printer is required for bite wing/panoramic x-ray printouts to provide enhanced image quality (1200 x 4800 dpi or better).

l. At dental check in station, have separate printer and computer dedicated to review Soldiers’ information found in DENCLASS, and the ability to print bite-wings and panoramic x-rays onto photographic quality paper and place into Soldiers dental record.

Prior to an event, the contractor will print out, or store digitally for subsequent printout or display, the current diagnostic Panorex and bitewings less than 1 year old found in Denclass. Such printouts or displays will be available to exam and treatment dentists and State Dentists for review purposes. Printouts shall remain in the Soldiers hardcopy record post-mission. All x-rays digitally displayed for contract dentists for exam purposes shall also be available for display to the State Dentists for review purposes.

Contractor shall supply all computers, software, networking and data required to make such digitally displayed x-rays visible to the State Dentists. As an alternative to printing contractor may make those existing images available digitally to both contractor and State Dentists for exam, treatment and review purposes. If a digital system for display of images is utilized, all requirements for printer, computer and pre-mission scrub and storage of images remain in effect as printout of new x-rays will still be needed.

m. Four bite-wing radiographic and 2 panoramic x-ray stations with adequate staffing are…