W912QR20R0036.pdf

SEE ADDENDUM

(No Collect Calls)

W912QR20R0036 14-Feb-2020

b. TELEPHONE NUMBER

502.315.7406

8. OFFER DUE DATE/LOCAL TIME

01:00 PM 10 Mar 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 X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W912QR9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

TRAVIS I DUNN

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

(TYPE OR PRINT)

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

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

W22W9K00275492

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

U. S. ARMY ENGINEER DISTRICT, LOUISVILLE

600 DR. MARTIN LUTHER KING, JR. PLACE

ROOM 821

LOUISVILLE KY 40202-2239

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

502.315.6195 OR 6193FAX:

TEL: 502.315.6172 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$8,000,000

NAICS:

621330

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)

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.

W912QR20R0036

Section SF 1449 - CONTINUATION SHEET

GENERAL REQUIREMENTS

The intent of this solicitation is to select one (1) contractor to provide services to support the Employee Assistance Program for the Great Lakes and Ohio River Division as detailed in the PERFORMANCE WORK STATEMENT.

This solicitation is a 100% set-aside for Small Businesses registered in the System for Award Management (SAM) under NAICS code 621330 - Offices of Mental Health Practitioners (except Physicians).

One (1) firm-fixed-price contract will be awarded as a result of this solicitation. The contract will include a base year of services and four (4) individual option years as detailed below:

Base Year: 01 April 2020 through 31 March 2021 Option Year 1: 01 April 2021 through 31 March 2022 Option Year 2: 01 April 2022 through 31 March 2023 Option Year 3: 01 April 2023 through 31 March 2024 Option Year 4: 01 April 2024 through 31 March 2025

Basis of award will be the Best Value Trade-off method as detailed in the PROCEDURES FOR SUBMITTAL

OF OFFERS AND PROPOSAL EVALUATION CRITERIA.

Offerors submitting proposals for this project should limit submissions to data essential for evaluation of proposals so that a minimum of time and monies will have been expended in preparing information required herein. However, in order to be effectively and equitably evaluated, the proposals must include information sufficiently detailed to clearly describe the offeror’s ability to provide the services required. Proposals should follow in the order of sequence set forth in the solicitation.

Offerors shall submit their proposals no later than the time and date specified in Block 8 of Standard Form 1449 to:

U.S. Army Corps of Engineers Attn: Travis Dunn 600 Dr. Martin Luther King, Jr. Place, Room 821 Louisville, KY 40202-2230

Offerors are required to submit a proposal made up of a Technical Proposal and a Price Proposal. All proposal materials shall be submitted in binders with a table of contents and tabbed section dividers. The sections should parallel the submission requirements identified below. Sections 1 and 2 shall be submitted in original and two (2) copies. Section 3 (Price) shall be submitted in original only and shall be placed in a separate envelope.

Offerors shall furnish evidence of its insurability concerning medical liability insurance. This solicitation will be used to award a nonpersonal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the contractor are rendered in its capacity as an independent contractor.

The contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier standard coverage amount required for each location listed in the PERFORMANCE WORK STATEMENT.

All contractors must be registered in the System for Award Management (www.SAM.gov) to be eligible for award of a contract. All proposed contractors are highly encouraged to review FAR Clause 52.232-33 Payments by Electronic Funds Transfer – System for Award Management, which indicates “All payments by the Government under this contract shall be made by electronic funds transfer (EFT).” Those not currently registered can obtain registration by going to the website http://www.SAM.gov. The process can usually be completed from 24 to 48 hours after submission. Contractors will need to obtain a Unique Entity Identifier (formerly DUNS number) for http://www.sam.gov/ processing their registration. If you do not already have a Unique Entity Identifier, one can be obtained from http://www.SAM.gov. Refer to www.SAM.gov for information formerly found in CCR, EPLS, ORCA and FedReg.

PLEASE NOTE: SAM is completely free of charge for both registrants and users. Begin the registration process immediately in order to avoid delay of the contract award should your firm be selected.

Vendors can check whether an account is active by performing a query by their CAGE or Unique Entity Identifier (known as DUNS). The new registration process may now take several weeks, so vendors are highly encouraged to begin registering as soon as possible to avoid any possible delays in future contract awards. Remember, there is no cost to use SAM.

To find out additional information about the changes of the SAM registration process, contractors should visit the Frequently Asked Questions (FAQ) link located at the top of the SAM homepage (www.sam.gov).

NOTE: Page numbering in this document may not be accurate.

http://www.sam.gov/

PROCEDURES FOR SUBMITTAL OF OFFERS AND PROPOSAL EVALUATION CRITERIA

Overview.

The intent of this solicitation is to select one contractor to provide services to support the Employee Assistance Program (EAP) for the Great Lakes and Ohio River Division as detailed in the Performance Work Statement.

The basis of award is the Best Value Trade-off Process. The Government will evaluate the proposals in accordance with the criteria described herein, and will award one (1) firm-fixed-price contract to the responsible offeror whom the Source Selection Authority (SSA) determines conforms to the solicitation, is fair and reasonable in price, and represents the best overall value to the Government, all factors considered. The Government reserves the right to accept other than the lowest priced offer or to reject all offers.

Submittal of offers.

Offerors submitting proposals for this project should limit submissions to data essential for evaluation of proposals so that a minimum of time and monies will have been expended in preparing information required herein. However, in order to be effectively and equitably evaluated, the proposals must include information sufficiently detailed to clearly describe the offeror's past performance, technical approach and management capabilities necessary for successful completion of the project. Requirements stated in this Request for Proposal (RFP) are minimums.

Offerors are required to submit a proposal made up of a Technical proposal and a Price proposal. All proposal materials shall be submitted in binders with a table of contents and tabbed section dividers. The sections should parallel the submission requirements identified below. Section 1 and Section 2 shall be submitted in original and two

(2) copies. Section 3 (Price) shall be submitted in original only and shall be placed in a separate envelope.

*NOTE: Provide the complete Technical proposal and Price on a CD/DVD (one copy each). The paper copy of the proposal shall be used for evaluation and will control any conflicts or discrepancies between the two media. Offerors are responsible for ensuring paper copy is consistent with electronic copy of the proposal.

Proposal Evaluation Process.

A Source Selection Evaluation Board (SSEB) comprised of representatives of the U.S. Army Corps of Engineers, evaluate the proposals. Offerors are advised that the technical evaluation and rating of proposals will be conducted in strict confidence. Technical proposals (i.e., the non-price evaluation factors) will be reviewed and rated without knowledge of the price offered. The number and identities of offerors are not revealed to anyone who is not involved in the evaluation and award process or to other offerors. Proposals will be evaluated based on the factors described herein, and the basis of award is the Trade-off Process.

The evaluation process essentially consists of four parts: proposal compliance review and Responsibility Determination, Technical Evaluation, Price Evaluation, and Price/Technical Trade-off Analysis.

Proposal Compliance Review: This is an initial review to ensure that all required forms and certifications are complete and that both a technical and price proposal were received.

Technical Evaluation: The SSEB will evaluate and rate the proposals against the RFP requirements. Past Performance will be rated based on confidence in performance, with the final confidence assessment rating based on the extent of recent, relevant experience and how well the offeror performed that experience. Risk Management Plan will be rated using an adjectival-based system (Outstanding, Good, Acceptable, Marginal, Unacceptable). Small Business Participation Plan will be rated on an “Acceptable/Unacceptable” basis.

Price Evaluation: The SSEB and Contracting Officer/SSA will evaluate price proposals independent of the technical evaluation. The SSEB will not have access to price information until completion of the technical evaluation.

Price/Technical Trade-off Analysis: After all above evaluations are complete, the Contracting Officer/SSA will compare the relative advantages and disadvantages of technical proposals and compare prices. The Source Selection Authority will then consider all factors to select the proposal offering the best value to the Government.

Proposal Information and Related Evaluation Factors.

Proposals will be evaluated in accordance with the factors below, listed in relative order of importance. All non-price evaluation factors, when combined, are considered approximately equal to price. Offerors are reminded to include their best technical and price terms in their initial offer and not to automatically assume that they will have an opportunity to participate in discussions or be asked to submit a revised offer. The Government may make award of a conforming proposal without discussions, but reserves the right to conduct discussions if the Contracting Officer determines them to be necessary.

NOTE: Factors are listed in descending order of importance.

Section 1 – Experience / Past Performance (Three-Ring Binder) 1st

Section 2 – Work Plan (Three-Ring Binder) 2nd

Section 3 – Price and Pro Forma Information (Sealed Envelope)

Tab A Standard Form 1449 (signed) Not Rated

Tab B Price Breakout Schedule Not Rated

Tab C Joint Venture Agreements (if applicable) Not Rated

Tab D Pre-Award Information (Representations and Certifications) Not Rated

Ratings.

Evaluators will apply the adjectival rating for the definition that most closely matches the evaluation.

TABLE 1

Technical Assessment Ratings

Adjectival Rating Definition Outstanding Proposal indicates an exceptional approach and understanding of the requirements and contains multiple strengths, and risk of unsuccessful performance is low.

Good Proposal indicates a thorough approach and understanding of the requirements and contains at least one strength, and risk of unsuccessful performance is low to moderate.

Acceptable

Proposal meets requirements and indicates an adequate approach and understanding of the requirements, and risk of unsuccessful performance is no worse than moderate.

Marginal Proposal has not demonstrated an adequate approach and understanding of the requirements and/or risk of unsuccessful performance is high.

Unacceptable Proposal does not meet requirements of the solicitation, and thus, contains one or more deficiencies, and/or risk of unsuccessful performance is unacceptable.

Proposal is unawardable.

TABLE 2

Past Performance Relevancy Ratings

Rating Definition Very Relevant Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.

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

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

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

TABLE 3

Performance Confidence Assessments Rating Definition Substantial Confidence Based on the offeror’s recent/relevant performance record, the Government has a high expectation that the offeror will successfully perform the required effort.

Satisfactory Confidence Based on the offeror’s recent/relevant performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort.

Limited Confidence Based on the offeror’s recent/relevant performance record, the Government has a low expectation that the offeror will successfully perform the required effort.

No Confidence Based on the offeror’s recent/relevant performance record, the Government has no expectation that the offeror will successfully perform the required effort.

Neutral Confidence No recent/relevant performance record is available or the offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned. The offeror may not be evaluated favorably or unfavorably on the factor of past performance.

Definitions.

1. Deficiency. A material failure of a proposal to meet a Government requirement or a combination of significant weaknesses in a proposal that increases the risk of unsuccessful contract performance to an unacceptable level. See FAR 15.001.

2. Strength. An aspect of an offerors’ proposal that has merit or exceeds specified performance or capability requirements in a way that will be advantageous to the Government during contract performance.

3. Significant Strength. An aspect of an offerors’ proposal that has appreciable merit or appreciably exceeds specified performance or capability requirements in a way that will be appreciably advantageous to the Government during contract performance.

4. Weakness. A flaw in the proposal that increases the risk of unsuccessful contract performance. See

FAR 15.001.

5. Significant Weakness. A flaw in the proposal that appreciably increases the risk of unsuccessful contract performance. See FAR 15.001.

6. Uncertainty. Any aspect of a non-cost/price factor proposal for which the intent of the offeror is unclear (e.g., more than one way to interpret the offer or inconsistencies in the proposal indicating that there may have been an error, omission or mistake).

7. Clarification. Limited exchanges between the Government and offerors that may occur when award without discussions is contemplated. See FAR 15.306(a)(1).

8. Adverse Past Performance. Past performance information that supports a less than satisfactory rating from sources where the information is from other than formal rating systems such as “PPIRS.”

SUBMISSION REQUIREMENTS

Section 1 Experience / Past Performance.

Provide descriptions of a maximum three (3) service projects substantially complete or completed within the last five (5) years which are similar to this solicitation’s requirements in size and scope. Projects considered similar in size will have multiple locations/offices where services are/were provided. Projects considered similar in scope will have provided Employee Assitance Program services as outlined in the “List of Services to be Provided” section of the Performance Work Statement.

Provide references for the experience identified in Section 1. Reference information should include the name of the organization supported, their location, and point of contact information. Also include any ratings, letters, awards, etc. which support past performance on these projects. The Government shall also use other methods to obtain past performance information to include CPARS and PPIRS.

*Formats for Contractor Experience are included for your use.

*See attached ‘Project Detail Sheet’ and ‘Past Performance Questionnaire (PPQ)’.

Section 2 Work Plan.

Provide a summary of how all tasks identified in the Performance Work Statement will be met and performed. Work plan shall be limited to 30 pages to include all sample attachments. Offerors shall furnish evidence of its insurability concerning medical liability insurance. This solicitation will be used to award a nonpersonal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the contractor are rendered in its capacity as an independent contractor. The contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier standard coverage amount required for each location listed in the Performance Work Statement.

Section 3 Price.

The offeror shall submit in a separate envelope, Standard Form 1449 (first page only and must be signed), Price Breakout Schedule (fully completed), Joint Venture Agreements (if applicable), and Pre-Award Information (completed Representations and Certifications section of solicitation)

EVALUATION CRITERIA

Section 1 Experience / Past Performance.

The SSEB will evaluate both the extent and quality of recent and relevant experience as identified in the proposal.

Documentation of successful completion of a maximum three (3) projects/experience similar in nature and scope to this solicitation, as outlined in the “List of Services to be Provided” section of the Performance Work Statement, will be favorably considered in the evaluation. Conversely, proposals that do not include substantial evidence that the offeror has experience, qualifications and production capability to successfully prosecute the proposed project will be unfavorably considered. Documentation of satisfactory performance of experience similar in size, scope, complexity and dollars will be favorably considered. Conversely, offers which do not achieve satisfactory performance will not be favorably considered.

In addition to the past performance information submitted in the proposal, the Government will, at a minimum, review past performance information retrieved through the Past Performance Information Retrieval System (PPIRS), including CPARS. Additionally, the Government may review any other sources of information for past performance, including for projects other than those submitted by the offeror. Other sources may include, but are not limited to, past performance information retrieved through FAPIIS, Dun & Bradstreet, etc. or any other relevant information to assist in its evaluation of an offeror’s past performance. The Government reserves the right to check any or all cited references to verify supplied information and to assess owner satisfaction. The Government also reserves the right to not contact the provided references.

The SSEB will assign a confidence rating to each offeror based on the degree of successful performance of all recent and relevant projects identified in the proposal in response to Section 1, as well as on other relevant past performance information not submitted by the offeror, as discussed above in accordance with Table 2 and Table 3.

Section 2 Work Plan.

The SSEB will evaluate the offeror’s level of understanding and ability to provide the services required in the Performance Work Statement and evidence of its insurability concerning medical liability insurance. Comprehensive plans that demonstrate a clear understanding of the work and an ability to coordinate resources to ensure successful pursuit of the work will be evaluated favorably. Plans that do not demonstrate a clear understanding of the work, that do not demonstrate a capability to coordinate resources, or that do not demonstrate appropriate excess capacity will be evaluated less favorably in accordance with Table 1 and the Definitions provided.

Section 3 Price.

The SSEB will evaluate price proposals independent of the technical/quality evaluation. The SSEB will not have access to price information until completion of the technical/quality evaluation.

PROJECT DETAIL SHEET

Your firm’s name _______________________________________________________________

Name of Project/Location(s)_______________________________________________________

General Scope of Project

Your role (prime, joint venture, subcontractor) and work self-performed

Percentage of Work completed by Prime Contractor Personnel: ___________________________%

Cost: $_______________

Award Date: ____________

Completion or Scheduled Completion Date: _____________

Extent and type of work you subcontracted out:

Owner’s Point of Contact (POC) for reference (name and company and telephone number):

NAVFAC/USACE PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0) CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information Firm Name: CAGE Code:

Address: DUNs Number:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description:

Complexity of Work High Med Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information Name:

Title:

Phone Number:

Email Address:

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

NOTE: NAVFAC/USACE REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE COMPLETED QUESTIONNAIRE TO USACE WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON USACE SOLICITATIONS. THE

GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

(E) Exceptional Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

An Exceptional rating is appropriate when the Contractor successfully performed multiple significant events that were of benefit to the Government/Owner. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

(VG) Very Good Performance meets contractual requirements and exceeds some to the Government’s/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

A Very Good rating is appropriate when the Contractor successfully performed a significant event that was a benefit to the Government/Owner. There should have been no significant weaknesses identified.

(S) Satisfactory Performance meets minimum contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.

A Satisfactory rating is appropriate when there were only minor problems, or major problems that the Contractor recovered from without impact to the contract. There should have been NO significant weaknesses identified. Per DOD policy, a fundamental principle of assigning ratings is that Contractors will not be assessed a rating lower than Satisfactory solely for not performing beyond the requirements of the contract.

(M) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor's proposed actions appear only marginally effective or were not fully implemented.

A Marginal rating is appropriate when a significant event occurred from which the Contractor had trouble overcoming and that impacted the Government/Owner.

(U) Unsatisfactory Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the Contractor's corrective actions appear or were ineffective.

An Unsatisfactory rating is appropriate when multiple significant events occurred from which the contractor had trouble overcoming and that impacted the Government/Owner. A singular problem, however, could be of such serious magnitude that it alone constitutes an Unsatisfactory rating.

(N) Not Applicable

No information or did not apply to your contract

Rating will be neither positive nor negative.

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING THAT BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY:

a) Quality of technical data/report preparation efforts E VG S M U N

b) Ability to meet quality standards specified for technical performance E VG S M U N

c) Timeliness/effectiveness of contract problem resolution without extensive customer guidance

E VG S M U N

d) Adequacy/effectiveness of quality control program and adherence to contract quality assurance requirements (without adverse effect on performance)

E VG S M U N

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

a) Compliance with contract delivery/completion schedules including any significant intermediate milestones. (If liquidated damages were assessed or the schedule was not met, please address below)

E VG S M U N

b) Rate the contractor’s use of available resources to accomplish tasks identified in the contract

E VG S M U N

3. CUSTOMER SATISFACTION:

a) To what extent were the end users satisfied with the project? E VG S M U N

b) Contractor was reasonable and cooperative in dealing with your staff (including the ability to successfully resolve disagreements/disputes;

responsiveness to administrative reports; efforts to keep lines of communication open)

E VG S M U N

c) To what extent was the contractor cooperative, businesslike, and concerned with the interests of the customer?

E VG S M U N

d) Overall customer satisfaction E VG S M U N

4. MANAGEMENT/ PERSONNEL/LABOR

a) Effectiveness of on-site management, including management of subcontractors, suppliers, materials, and/or labor force?

E VG S M U N

b) Ability to hire, apply, and retain a qualified workforce to this effort E VG S M U N

c) Government Property Control E VG S M U N

d) Knowledge/expertise demonstrated by contractor personnel E VG S M U N

e) Utilization of Small Business concerns E VG S M U N

f) Ability to simultaneously manage multiple projects with multiple disciplines E VG S M U N

g) Ability to assimilate and incorporate changes in requirements and/or priority, including planning, execution, and response to Government changes

E VG S M U N

h) Effectiveness of overall management (including ability to effectively lead, manage, and control the program)

E VG S M U N

5. COST/FINANCIAL MANAGEMENT

a) Ability to meet the terms and conditions within the contractually agreed price(s)?

E VG S M U N

b) Contractor proposed innovative alternative methods/processes that reduced cost, improved maintainability, or other factors that benefited the client

E VG S M U N

c) If this is/was a Government cost type contract, please rate the Contractor’s timeliness and accuracy in submitting monthly invoices with appropriate back-

E VG S M U N

up documentation, monthly status reports/budget variance reports, compliance with established budgets, and avoidance of significant and/or unexplained variances (under runs or overruns)

d) Is the Contractor’s accounting system adequate for management and tracking of costs? If no, please explain in Remarks section.

Yes No

e) If a Government contract, has it been partially or completely terminated for default or convenience or are there any pending terminations? Indicate if show cause or cure notices were issued, or any default action in comment section below.

Yes No

f) Have there been any indications that the contractor has had any financial problems? If yes, please explain below.

Yes No

6. SAFETY/SECURITY

a) To what extent was the contractor able to maintain an environment of safety, adhere to its approved safety plan, and respond to safety issues?

(Includes: following the users rules, regulations, and requirements regarding housekeeping, safety, correction of noted deficiencies, etc.)

E VG S M U N

b) Contractor complied with all security requirements for the project and personnel security requirements. E VG S M U N

7. GENERAL

a) Ability to successfully respond to emergency and/or surge situations (including notifying the COR, PM, or Contracting Officer in a timely manner regarding urgent contractual issues).

E VG S M U N

b) Compliance with contractual terms/provisions (explain if specific issues) E VG S M U N

c) Would you hire or work with this firm again? (If no, please explain below) Yes No

d) In summary, provide an overall rating for the work performed by this Contractor.

E VG S M U N

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments that may assist our office in evaluating performance risk (please attach additional pages if necessary):

PERFORMANCE WORK STATEMENT

The contractor will provide a complete diagnostic and referral service to maintain the Great Lakes and Ohio River Division’s regional Employee Assistance Program, to include Cincinnati Division Office, Buffalo District Office, Chicago District Office, Detroit District Office, Huntington District Office (including Beckley Recruiting Battalion), Louisville District Office, Nashville District Office, Pittsburgh District Office, and all field locations.

1. The Cincinnati Division Office has approximately 100 employees.

2. The Buffalo District Office has approximately 300 employees.

3. The Chicago District Office has approximately 300 employees.

4. The Detroit District has approximately 400 employees.

5. The Huntington District has approximately 1000 employees, which includes approximately 21 employees in the Beckley Recruiting Battalion.

6. The Louisville District has approximately 1200 employees.

7. The Nashville District has approximately 800 employees.

8. The Pittsburgh District has approximately 700 employees.

The contractor shall employ appropriate staff necessary to provide services for approximately 5,000 employees of the Great Lakes and Ohio River Division Corps of Engineers. It is expected that these services are to be provided to the immediate family members of employees covered by the program, whenever services are offered, at no additional cost to the Government.

This program is an integral part of overall occupational health; however, it will have no direct connection with existing Health Units maintained by the Division/District Offices.

EAP Staff Qualifications:

At a minimum, the contractor’s staff of professional counselors is required to hold a master’s degree and a current state license or certificate to practice at the highest independent level as a mental health practitioner consistent with state laws. In addition, at least one staff member must be a certified Post Traumatic Stress Disorder counselor able to perform eye movement desensitization and reprocessing (EMDR) treatment, and Chemical Dependency.

List of Services to be Provided (1-12 below):

1. Consultation with appropriate administrative managers and employee representatives of the participating agency to:

a. Meet when deemed necessary by the participating agency.

b. Maintain pertinent information on applicable insurance benefits.

c. Provide information at the start of the program and periodically thereafter, but not less than quarterly for employees, and if appropriate, their dependents.

2. Training of all supervisors and appropriate employee representatives in program orientation, problem detection, intervention, confrontation, and referral and follow-up techniques (in groups of not more than 40 for approximately two hours each) onsite at each location as required. Refresher training will be provided when deemed necessary, by the participating agency. In addition, staff members shall be available for consultation with any new supervisors as the need arises.

3. Crisis and/or group counseling as requested by supervisors for their employees.

4. Provide brochures for employees and posters for all employee bulletin boards located throughout the Division/District Offices and field locations.

5. Counseling services for employees and/or dependents, if appropriate, marital and family related, and financial problems to include identity theft, and all other problems which may reduce the employee’s work efficiency.

Services shall be available at a place convenient to the employee and/or, if appropriate, employee’s dependent(s).

Clients shall either be referred by supervisor or self-referred and specifically, the contractor shall:

a. Interview the employee and determine the nature of the problem. If necessary to make this determination, obtain written consent from the employee to obtain appropriate information.

b. Recommend various sources to the employee to deal with the problem; and advise the employee of these treatment resources, where they are available in the community, the possible costs, and if appropriate, encourage the employee to participate in an appropriate rehabilitation program. The contractor may not, without the employee’s written consent, refer the employee to themselves for treatment. The contractor shall advise the employee when counseling ends and treatment begins. The contractor shall set the limit of counseling sessions per issue on a case by case basis and shall not preclude employees and/or dependents from being seen on the same issue more than once.

c. Follow-up with the employee and the appropriate resource to determine if he/she is making satisfactory progress.

d. For returning deployed employees perform and short-term counseling services for Post Traumatic Stress Disorder (PTSD) which may include eye movement desensitization and reprocessing (EDMR).

6. If an employee is found to have used illegal drugs or identifies themselves as a user of illegal drugs, the contractor will:

a. Arrange for the employee to meet with a professional counselor licensed to diagnose and treat substance abuse within 72 hours of referral;

b. Consult with the District’s Labor and Management Employee Relations (L/MER) Specialist and the employee’s supervisor on immediate removal of the employee from their position;

c. Refer the employee to treatment as appropriate;

d. Monitor the employee’s treatment and provided periodic updates as requested;

e. Advise the L/MER and employee’s supervisor on the employee’s completion of or failure to comply with the terms of their treatment program; and

f. Recommend follow up testing as appropriate.

7. Through Identity Theft Services, employee has access to information on how to prevent identity theft;

consultation with specialists who provide support, answers and guidance; and a Victim Action Kit sent via express mail that includes forms, credit bureau contacts and a step by step action plan.

8. Mediation services in any location specified by the agency for the purpose of resolving complaints, improving working relationships, or assisting with other employment matters by a mediator qualified to assist in such matters.

9. Furnish quarterly report of statistics to agency to include number of agency’s employees counseled, types of problems, and place of referral for treatment. Additionally, the contractor will furnish statistics for the agency annually for the following five categories: Alcoholism, Drug Abuse, Emotional Disorders, Stress and Other. The statistics shall include the following:

a. Number of new or reopened cases counseled by the medical personnel or other counseling specialists.

b. Number of employees helped by counseling.

c. Number of employees not helped by counseling (total of (1) (2) and (3) below):

(1) Retired after entering program.

(2) Terminated after entering the program, and

(3) Remain with agency

d. Number of employees not helped by counseling that were voluntarily separated after entering the program.

e. Number of employees for whom it is too early in the counseling program to judge whether or not they have been helped.

f. Number of voluntary referrals – self referral.

g. Number of involuntary referrals – supervisory referral.

10. The contractor shall provide the following administrative services:

a. Counseling/interviews shall be conducted in person when possible. Telephonic/video/web based counseling may be done when: the client’s request can easily be obtained and provided over the phone/video/web; the client’s work location or home is more than an one hour drive from an available counseling location; or where telephonic/video/web based counseling is preferred by the client. Provisions must be made for providing the same services to field employees. The Great Lakes and Ohio River Division boundaries cover Kentucky, Indiana, Illinois, Ohio, Michigan, West Virginia, Tennessee, Alabama, Pennsylvania, New York, Wisconsin, and Minnesota.

b. Live telephone services shall be made available via a toll-free number on a 24-hour, 7-day a week basis for emergency access to service. A toll-free number will be provided for hearing impaired clients using a telephone device for the deaf. Calls (including emergency and after hours calls) are answered in person by a professional staff member (not by answering service or machine) with crisis capability on a 24-hour basis.

Medical and other emergencies are forwarded to 911 or other emergency services in caller’s local area, as appropriate.

c. Administrative support services for appointments, records, etc. shall be provided by the contractor.

11. Additional information and resources are to be provided via a monthly newsletter and accessible webpage.

Monthly newsletter should provide information on at least one topic of interest to assist in the welfare of employees along with EAP contact information. Webpage services should be available on a 24-hour, 7 day a week basis to assist in communicating availability of EAP services, additional resources, training materials, self-assessments, news articles, additional references, etc. Topics of interest may include, but are not limited to: interview skills, financial assistance, elder care/aging parents, childcare, divorce, marriage, empty nest, drugs, alcohol, physical/mental/verbal abuse, deployment, depression, weight management, healthy diet, eating disorders, and physical fitness.

12. Program Promotion and Publicity:

a. Within 30 days of contract initiation, the contractor will provide the EAP coordinator at least 50 copies of a poster publicizing EAP services and contact information and at least 5,000 copies (one for each employee) of a wallet card informing employees of the program’s existence, the services available, and how to access services to include contractor’s name, toll-free telephone number, and web address. These items will be updated as needed throughout the contract period and additional copies will be provided without cost at the request of the EAP coordinator.

b. At least annually after the start of the contract, the contractor will provide additional wallet cards (sufficient quantity for all District employees) and a different promotional poster (50 copies) to promote awareness and use of the EAP program.

13. Antiterrorism/Force Protection.

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

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

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

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

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

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

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

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

(End of special contract requirement) http://www.uscis.gov/e-verify https://www.dol.gov/vets/ https://www.fedshirevets.gov/ https://www.benefits.va.gov/vow/ https://wct.army.mil/modules/employers/index.html https://www.uschamberfoundation.org/hiring-our-heroes

PRICE BREAKOUT SCHEDULE

PROJECT: Great Lakes and Ohio River Division’s regional Employee Assistance Program

LOCATIONS: Cincinnati Division Office, Buffalo District Office, Chicago District Office, Detroit District Office, Huntington District Office, Louisville District Office, Nashville District Office, Pittsburgh District Office, Civilian Personnel Advisory Center, and all field locations

PROPOSER’S NAME: ________________________________________

BASE YEAR (01 April 2020 through 31 March 2021)

LOCATION UNIT AMOUNT

0001 Cincinnati Division Office Job 0002 Buffalo District Office Job 0003 Chicago District Office Job 0004 Detroit District Office Job 0005 Huntington District Office Job 0006 Louisville District Office Job 0007 Nashville District Office Job 0008 Pittsburgh District Office Job

TOTAL BASE PROPOSAL

OPTION YEAR 1 (01 April 2021 through 31 March 2022)

0009 Cincinnati Division Office Job 0010 Buffalo District Office Job 0011 Chicago District Office Job 0012 Detroit District Office Job 0013 Huntington District Office Job 0014 Louisville District Office Job 0015 Nashville District Office Job 0016 Pittsburgh District Office Job

TOTAL OPTION 1 PROPOSAL

OPTION YEAR 2 (01 April 2022 through 31 March 2023)

0017 Cincinnati Division Office Job 0018 Buffalo District Office Job 0019 Chicago District Office Job 0020 Detroit District Office Job 0021 Huntington District Office Job 0022 Louisville District Office Job 0023 Nashville District Office Job 0024 Pittsburgh District Office Job

TOTAL OPTION 2 PROPOSAL

OPTION YEAR 3 (01 April 2023 through 31 March 2024)

0025 Cincinnati Division Office Job 0026 Buffalo District Office Job 0027 Chicago District Office Job 0028 Detroit District Office Job 0029 Huntington District Office Job 0030 Louisville District Office Job 0031 Nashville District Office Job 0032 Pittsburgh District Office Job

TOTAL OPTION 3 PROPOSAL

OPTION YEAR 4 (01 April 2024 through 31 March 2025)

0033 Cincinnati Division Office Job 0034 Buffalo District Office Job 0035 Chicago District Office Job 0036 Detroit District Office Job 0037 Huntington District Office Job 0038 Louisville District Office Job 0039 Nashville District Office Job 0040 Pittsburgh District Office Job

TOTAL OPTION YEAR 4

TOTAL BASE YEAR

TOTAL OPTION YEARS (YEARS 1, 2, 3, and 4)

TOTAL BASE AND ALL OPTIONS

REPRESENTATIONS AND CERTIFICATIONS

COMPANY NAME AND ADDRESS: _______________________________________

PHONE NUMBER ________________ FAX NUMBER ________________

EMAIL ADDRESS ______________________________________________________

BUSINESS SIZE (select one)

Large Business _____ Small Business_____ HUBZone Business_____ 8A _____

Woman-Owned ____ Service-Disabled Veteran-Owned ____

Contractor is registered with SAM: _____ YES _____ NO (See FAR 52.204-7)

TAX ID # ______________________

INDICATE Unique Entity Identifier (previously DUNS NUMBER) ___________________ CAGE NO. _________ (Note: See FAR 52.204-7. Unique Entity Identifier is a 9 digit numeric code.) (FAR 52.204-7)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 52.203-6 Restrictions On Subcontractor Sales To The Government SEP 2006 52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

OCT 2010

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper

MAY 2011

52.204-7 System for Award Management OCT 2018 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2018

52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-22 Alternative Line Item Proposal JAN 2017 52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for Debarment

OCT 2015

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-1 (Dev) Instructions to Offerors - Commercial Items. (DEVIATION 2018-O0018)

OCT 2018

52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018 52.217-5 Evaluation Of Options JUL 1990 52.219-6 (Dev) Notice of Total Small Business Set-Aside (DEVIATION

2019-O0003).

JAN 2019

52.219-8 Utilization of Small Business Concerns OCT 2018 52.219-14 (Dev) Limitations on Subcontracting (DEVIATION 2019-O0003). JAN 2019 52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity…