Amendment 0002 Solicitation W912SV20R0001 Pricing Schedule.pdf

SEE ADDENDUM

(No Collect Calls)

W912SV20R0001 18-Apr-2020

b. TELEPHONE NUMBER

339-202-3829

8. OFFER DUE DATE/LOCAL TIME

01:00 PM 18 May 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.

W912SV9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JEAN T. GREENWOOD

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

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 BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

USPFO MA PURCHASING & CONTRACTING

2 RANDOLPH ROAD

HANSCOM AFB MA 01731

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 W90ALU 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W90ALU - MEDCOM

MAJOR MATT PAQUIN

59 GRENIER STREET BLDG 1507

HANSCOM, AFB MA 01731

TEL: 339-202-4004 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

X 8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$30,000,000

NAICS:

561320

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.

W912SV20R0001

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1001 1 Job Base Period (6 Months)

FFP

The Contractor shall provide all labor, supplies, materials and supervision necessary to provide medical and dental non-clinical case management and administrative care coordinator staffing and provider credentialing services in support of Individual Medical Readiness (IMR) IAW the Performance Work Statement (PWS).

FOB: Destination

PSC CD: R699

NET AMT

1002 1 Job Travel - Base Period

FFP

OFFERORS: DO NOT change the price of this CLIN in your proposals. The Not To Exceed (NTE) amount is provided by the Government.

This CLIN is to support contractor TDY travel IAW the JTR to include transportation, lodging, meals, per diem, mileage, parking, tolls and all other allowable travel related expenses. Allowable travel is only to locations that exceed normal contractor employee commuting distance to the main location of performance at Hanscom AFB, MA.

All travel shall be approved in advance by the COR and all invoicing against this CLIN must be supported by an approved travel voucher. Travel shall be invoiced at cost only and any unexpended amount on this CLIN shall be deobligated at the end of the period of performance and is not transferable to the subsequent period.

NET AMT $6,000.00 NTE

1003 2 Each Contractor Manpower Reporting

FFP

Report all contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract via https://www.ecrma.mil in accordance with the addendum to FAR Clause 52.212-4 no later than (NLT) the delivery date applicable to this CLIN.

2001 1 Job OPTION Option Period 1 (12 Months)

FFP

The Contractor shall provide all labor, supplies, materials and supervision necessary to provide medical and dental non-clinical case management and administrative care coordinator staffing and provider credentialing services in support of Individual Medical Readiness (IMR) IAW the Performance Work Statement (PWS).

2002 1 Job OPTION Travel - Option Period 1

FFP

OFFERORS: DO NOT change the price of this CLIN in your proposals. The Not To Exceed (NTE) amount is provided by the Government.

This CLIN is to support contractor TDY travel IAW the JTR to include transportation, lodging, meals, per diem, mileage, parking, tolls and all other allowable travel related expenses. Allowable travel is only to locations that exceed normal contractor employee commuting distance to the main location of performance at Hanscom AFB, MA.

All travel shall be approved in advance by the COR and all invoicing against this CLIN must be supported by an approved travel voucher. Travel shall be invoiced at cost only and any unexpended amount on this CLIN shall be deobligated at the end of the period of performance and is not transferable to the subsequent period.

NET AMT $12,000.00 NTE

2003 1 Each OPTION Contractor Manpower Reporting

FFP

Report all contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract via https://www.ecrma.mil in accordance with the addendum to FAR Clause 52.212-4 no later than (NLT) the delivery date applicable to this CLIN.

3001 1 Job OPTION Option Period 2 (12 Months)

FFP

The Contractor shall provide all labor, supplies, materials and supervision necessary to provide medical and dental non-clinical case management and administrative care coordinator staffing and provider credentialing services in support of Individual Medical Readiness (IMR) IAW the Performance Work Statement (PWS).

3002 1 Job OPTION Travel - Option Period 2

FFP

OFFERORS: DO NOT change the price of this CLIN in your proposals. The Not To Exceed (NTE) amount is provided by the Government.

This CLIN is to support contractor TDY travel IAW the JTR to include transportation, lodging, meals, per diem, mileage, parking, tolls and all other allowable travel related expenses. Allowable travel is only to locations that exceed normal contractor employee commuting distance to the main location of performance at Hanscom AFB, MA.

All travel shall be approved in advance by the COR and all invoicing against this CLIN must be supported by an approved travel voucher. Travel shall be invoiced at cost only and any unexpended amount on this CLIN shall be deobligated at the end of the period of performance and is not transferable to the subsequent period.

3003 1 Each OPTION Contractor Manpower Reporting

FFP

Report all contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract via https://www.ecrma.mil in accordance with the addendum to FAR Clause 52.212-4 no later than (NLT) the delivery date applicable to this CLIN.

4001 1 Job OPTION Option Period 3 (12 Months)

FFP

The Contractor shall provide all labor, supplies, materials and supervision necessary to provide medical and dental non-clinical case management and administrative care coordinator staffing and provider credentialing services in support of Individual Medical Readiness (IMR) IAW the Performance Work Statement (PWS).

4002 1 Job OPTION Travel - Option Period 3

FFP

OFFERORS: DO NOT change the price of this CLIN in your proposals. The Not To Exceed (NTE) amount is provided by the Government.

This CLIN is to support contractor TDY travel IAW the JTR to include transportation, lodging, meals, per diem, mileage, parking, tolls and all other allowable travel related expenses. Allowable travel is only to locations that exceed normal contractor employee commuting distance to the main location of performance at Hanscom AFB, MA.

All travel shall be approved in advance by the COR and all invoicing against this CLIN must be supported by an approved travel voucher. Travel shall be invoiced at cost only and any unexpended amount on this CLIN shall be deobligated at the end of the period of performance and is not transferable to the subsequent period.

4003 1 Each OPTION Contractor Manpower Reporting

FFP

Report all contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract via https://www.ecrma.mil in accordance with the addendum to FAR Clause 52.212-4 no later than (NLT) the delivery date applicable to this CLIN.

5001 1 Job OPTION Option Period 4 (12 Months)

FFP

The Contractor shall provide all labor, supplies, materials and supervision necessary to provide medical and dental non-clinical case management and administrative care coordinator staffing and provider credentialing services in support of Individual Medical Readiness (IMR) IAW the Performance Work Statement (PWS).

5002 1 Job OPTION Travel - Option Period 4

FFP

OFFERORS: DO NOT change the price of this CLIN in your proposals. The Not To Exceed (NTE) amount is provided by the Government.

This CLIN is to support contractor TDY travel IAW the JTR to include transportation, lodging, meals, per diem, mileage, parking, tolls and all other allowable travel related expenses. Allowable travel is only to locations that exceed normal contractor employee commuting distance to the main location of performance at Hanscom AFB, MA.

All travel shall be approved in advance by the COR and all invoicing against this CLIN must be supported by an approved travel voucher. Travel shall be invoiced at cost only and any unexpended amount on this CLIN shall be deobligated at the end of the period of performance and is not transferable to the subsequent period.

5003 1 Each OPTION Contractor Manpower Reporting

FFP

Report all contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract via https://www.ecrma.mil in accordance with the addendum to FAR Clause 52.212-4 no later than (NLT) the delivery date applicable to this CLIN.

6001 1 Job OPTION Option for 52.217-8 (up to 6 Months)

FFP

This optional CLIN is provided in the event that the additional time allowed by FAR 52.217-8 is needed. If used, the POP may be any amount of time up to, but shall not exceed, 6 months.

DO NOT PRICE THIS OPTIONAL CLIN. This CLIN shall be evaluated IAW the methodology stated in FAR Provision 52.212-2 under the price factor.