W91YTZ-16-R-0039AMENDMENT1.docx

W91YTZ-16-R-0039

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

QUESTIONS

W91YTZ-16-R-0039 – Amendment questions:

QUESTIONS

W91YTZ-16-R-0039 – Amendment questions:

1. Would you consider changing the NAICS code or making it unrestricted for SDVO companies?

Response: No. The Contracting Officer made the determination to set aside the requirement for Small Disabled Veteran Owned Small Business (SDVOSB) and the USAHCA (P) Small Business Programs Office concurred with the KO decision in accordance with FAR 19.405.

2. Page – 108 - Part 1: technical, Sub-factor 4: VA Eligibility Letter from the VA. According to the Fed Biz website it takes a minimum of 90 days to generate a letter for CVE. Also many letters are written to veteran oriented magazines by veteran owned small business owners that the process of application is difficult or almost impossible to maneuver. In the past bidders were allowed to self-certify and produce the documents to prove they meet the criteria for veteran owned veteran disabled. The letter is VA not DOD generated and requirement will put an undue burden on small veteran owned business. In fact be a non-starter unless the bid turn in date is extended for more than 90 days.

Response: The Government has changed Addendums to 52.212-1 and 52.212-2 .Part 1 Technical Subfactor 4 as follows:

Sub-factor 4: Small Business Disabled Veteran Owned Small Business (SDVOSB) - The Contractor shall Self-Certify SDVOSB status at time of proposal by providing self-certification letter that is a service disabled veteran owned small business and that it is a small business under NAICS code assigned to the procurement. 52.212-3 Offerors Representations and Certifications shall be submitted certifying SDVOSB Status..

3. The proposal has 2 CLIN items for the same work. Do they have to be separate bids for CLIN 0001 & 0002.

Response: Yes-In accordance with the Addendum 52.212-2 part 3.

4. CLIN 0001 indicates that there are 14.58 FTEs currently providing services on contract. Who is the incumbent company?

Response: Information can be located by Freedom of Information Act (FOIA). Ms. Sheryl Butler is the POC for this and can be located at sheryl.a.butler4.civ@mail.mil.

5. What is the current contract value?

Response: You may request this information through the Functional Freedom of information Act (FOIA) at the email address above.

6. Are the services described in the PWS currently being provided by the incumbent?

Response: Yes

7. Does CLIN 0001, CLIN 0002, CLIN 1001, CLIN 1002, CLIN 2001, CLIN 2002, CLIN 3001, CLIN 3002, CLIN 4001, CLIN 4002 represent the total number of hours and FTEs that the government is requesting (18 FTEs).

Response: Yes

8. Question: Are there currently DNPs and PhDs currently providing CRNA services in the Obstetrical Department?

Response: There is one PhD and no DNPS.

9. Question: Should the contractor include sick days in the compensation plan for the HCP?

Response: Yes. Please see the attachment # 9 Compensation plan – you may add or delete in the Fringe Benefit section. As indicated in the PWS, the mission is based on a 24/7 operation.

10. Question: The PWS indicates the WD lists Good Friday as a paid holiday. However, when referencing the WD, Good Friday is not included. Please clarify?

Response: Mission as indicated in the PWS is based on a 24/7 operation; Good-Friday has been deleted as a holiday on the PWS.

11. Will the CRNAs be scheduled daily to cover shifts in the locations noted in the PWS or will the CRNAs be primarily assigned to the main operating room with the exception of the 4 CRNAs that will cover Labor and Delivery.

Response: Assignments are indicated on the PWS.

12. Will call be required? If so how often will it occur and will all staff (GS/Military /Contractors) participate in call?

Response: Assignments and shifts are indicated on the PWS.

13. Will the contractor have to provide coverage for CRNAs that have scheduled and unscheduled absences.

Response: Coverage is assigned on a 24/7 basis as indicated on the PWS.

14. Will the department provide a scheduling template for the contractor to use?

Response: Yes.

15. Historically, how much overtime has been performed by the contractor CRNAs?

Response: Overtime is not authorized as indicated in line item 0001, and In accordance with the PWS 1.9.11. CRNAs fall under the Service Contract Act and based on the pay and may be eligible for overtime after 40 hours per week or 80 hours per 2 weeks. Historically ,no overtime has been paid.

16. Will the department head/designee review and approve the HCP resume/CV prior to the contractor submitting a credentials packet for the HCP

Response: Yes

17. How many packets can the contractor submit to cover the 18 FTEs?

Response: The current incumbents typically work 10 to 12 full time equivalents and 8 to 10 part timers and typically work 10-12 hour shifts. As a minimum, contract employee part-timers are required to work monthly minimums for CAC Cards, computer access and training. Monthly minimums are 40 hours per month which must be worked every 30 days.

18. Will the contractor be required to hire PRN staff to potentially cover leave or unscheduled absences?

Response: Yes – In accordance with the PWS 19.33 – 19.35

19. In the QASP and PRS states that the contractor must prepare medical records, forms and documents or it could result in a CDR. Please explain and clarify.

Response: Please refer to attachment #3 QASP – of the solicitation which states: “The government may result in cure notice being processed; Document performance in CPARS”. Failure of the Provider to prepare documents will result in a email being sent to contractor to contact the provider to correct the issues. Failure to do so will result in a negative CPARS rating.

20. On page 10 of the RFP under additional information there is language noted as if this contract will be an IDIQ? Please clarify is this is a single award of IDIQ?

Response: IDIQ – single IDIQ will be issued.

21. As indicated in the clause 52.216-22 this request is an indefinite quantity contract for services. Is it the government’s intent to order the majority of the labor hours specified in the RFP within the first three months of an award?

Response: Labor hours specified will be used during the entire period of performance or the base and four 12 out-years. Typically, task orders are issued for one year at a time.

22. Page 123 of the Solicitation identifies services as “Neonatal” Care. Please confirm CRNA services?

Response: Yes – services are for CRNA.

23. Is it the Government’s intent to receive a given relevancy ratings, a past performance effort must involve “X” number of FTES?

Response: Yes. The determination was made by the contracting officer to establish a range of relevancies for performance depending of the FTEs. Please refer to the solicitation page 123 & 124, Addendum to 52.212-2.

24. Please provide additional information on how determination was made that 15 FTEs would be considered relevant, and 10 would be considered somewhat relevant? What about 16 or 17, or 11-14 FTES? Why is cutoff for “Somewhat Relevant” at 10 FTEs?

Response: The determination was made by the contracting officer to establish a range of relevancies for performance depending of the FTEs. Please refer to the solicitation page 123 & 124, Addendum to 52.212-2.

25. For purposes of the past performance evaluation, will individual task or delivery orders performed by an offeror under a single IDIQ contract be evaluated cumulatively or separately? Although the Past Performance Relevancy Ratings reference evaluating the number of CRNA FTEs “on a single contract or task order,” they also state that “[f]or IDIQ contracts, there must be evidence provided of all awarded task orders including pertinent information such as providing CRNA's.” Given the potentially limited universe of past performance experience relevant to this procurement, we believe it would be in the government’s interest to evaluate task or delivery orders within a single IDIQ contract cumulatively.

Response: Relevancy is based on multiple contracts as indicated per the change to the Addendum 52.212-2.

26. The last paragraph of the Past Performance Evaluation Criteria states, in part, that “[t]he Government reserves the right to down grade the Overall Past Performance rating of any Offeror based on lack of relevant performance information.” However, as recognized by the availability of an “Unknown Confidence (Neutral)” rating, offerors should not be penalized for a lack of relevant past performance. Please confirm that if the Government determines that an offeror does not have sufficiently relevant past performance to earn either a “Substantial Confidence” or “Satisfactory Confidence” rating then the offeror will receive an “Unknown Confidence (Neutral)” rating (as opposed to a negative “Limited Confidence” or “No Confidence” rating).

Response: Correct

27. Why are only recency and relevancy considered in the past performance review? Wouldn’t it be more advantageous to review recency, relevancy (types of positions), and scope (size of contract) separately?

Response: Past Performance confidence ratings was determined by the government to determine recency; relevancy; quality and confidence.

28. Aren’t the FTE counts a more appropriate determination of scope as opposed to a determination of where or not something is relevant?

Response: See pages 123 and 124 for assessing of Past Performance Relevancy

29. On page 109, the description of Subfactor 2 of the Technical Volume includes the following “[t]he Compensation and Retention plan is based on the breakdown of the contractor’s compensation plan demonstrating employee salary amount, employee fringe benefits, as well as company profit overhead and G&A.” Please confirm that this evaluation is based on completed Attachment 9 (Compensation Plan) and that a completed Attachment 9 is the expectation for meeting this item.

Response: Yes.

30. Compensation Plan – The CLIN structure has two line items for CRNAs in each year. We interpret this to mean that two different completed Compensation Plans are required with submission. Can the Government confirm that this assumption is correct?

Response: No - please complete one compensation plan for the base and all out years as indicated on page 95 of the solicitation.

31. On page 110, the submission instructions for Past Performance state that offerors are “required to submit information on a single page”, however the Past Performance Volume is given a page limit of 10 pages. We assume that this means that no more than 1 page can be used to write-up each reference for a maximum total of 10 references. Can the Government confirm that this assumption is correct?

Response: On pages 109 & 110,, contractors are to identify past performance using two methods as follows: Part II Past Performance as part of the proposal, and submitting questionnaires to respective references which shall be forward to our office. You may have any many references you wish as long as they are in the last three years. Number of pages has been increased to 20 due to the number of pages in the past performance questionnaire.

32. Will the Government be evaluating any aspect of offerors’ price proposals for price realism?

Response: No

32. As indicated in the clause 52.216.22 this request is an indefinite quantity contract for services. Is it the government's intent to order the majority of the labor hours specified in the RFP for CRNAs within the first three months of an award?

Response: Labor hours will be used for the mission on a 24/7 basis for the base and four 12 month options periods.

33. Do the ELECTRONIC OFFERS instructions (one complete electronic copy to include Part I Technical, Part II Past Performance and Part III Price) mean that we should submit 3 files ( Part I, Part II and Part III) at the same time within the same email? Or do the instructions advise that all 3 volumes should be combined in 1 document/1 file?

Response: Documents are to be identified by volume and marked as either sanitized or un-sanitized. You may submit all volumes in one document or separately as space permits.

34. Should the SANITIZED PART I TECHNICAL ELEMENT ONLY and compensation plan submission consist of a separate email with one file containing both Part I and the Attachment 9 Compensation Plan or one email with two files: 1) Part I Technical; 2)Attachment 9 Compensation Plan?

Response: As space permits, you may submit the sanitized copies in one email or separately.

35. Is the Compensation Plan referred to in Subfactor 2 on pages 108/109 the same as the Compensation Plan referred to on pages 110/111? Or is the Compensation Plan in the Technical Volume-Subfactor 2 different from the Attachment 9 Compensation Plan? It appears that they are different since RFP instructions advise to submit Volume I and also submit Compensation Plan (Attachment 9) in both sanitized and unsanitized versions. Also, the 30 page Volume I limit does not seem to allow for the Attachment 9 Compensation Plan to be presented within the page count. Please advise.

Response: Submit one sanitized and one un-sanitized compensation plan.

36. Is there a maximum number of Past Performance references that can be submitted? Page 110 seems to indicate that all past performance information must be submitted on a single page; Page111 allows 10 pages. Does this mean that information about each reference must consist of 1 page and we are allowed up to 10 references?

Response: Submit references for required positions within the last three years. The 10 pages limit has been changed to reflect 20 pages.

37. Should items I, ii, iii, iv and v be submitted as part of Volume III – Price? If not, what Volume should they be included in or do these items comprise a separate file?

Response: Yes, these items shall be submitted in Volume III- Price

38. Can we submit 6 files and indicate that 2 are sanitized versions? Should the sanitized file versions be submitted separately from the rest of the proposal (e.g., Volume -Technical Sanitized and a second file for Compensation Plan (Attachment 9 sent as one submission)? Or should the sanitized and un sanitized versions be submitted in the same email?

Response: Depending on the size of the documents, you may submit all volumes in one email or separate emails. Ensure all documents are marked by volume; company name; and solicitation number.

39. Should individual Compensation Plans (1 page each) for each provider type be submitted as a combined file or should there be a separate file for each provider type (both sanitized and unsanitized versions)?

Response: There is only one provider type. Submit one sanitized and one un-sanitized copy.

40. Please clarify what is meant by Original Electronically (1) email. Should all 3 Unsanitized Versions be submitted at the same time in one mail? Or should each Volume be submitted separately in different emails. Same question for Sanitized versions.

Response: You may submit all volumes in one email, or separate emails depending on the size of the documents.

41. Please note the following from the RFP; not sure what “a technical exhibit must be directly linked to the pricing of a line item” means in this context. What is a technical Exhibit?

Response: The Technical Exhibit language was deleted and not applicable to this requirement.

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 06-Jun-2016 11:00 AM to 08-Jun-2006 11:00 AM.

The following have been modified:

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Part I: Technical

Sub-factor 1 - Recruitment Plan

Sub-factor 2 - Comepensation and Retention Plan

Sub-factor 3 –Plan describing training procedures and your plan to maintain required certifications and immunizations.

Sub-factor 4 - Small Businss Disabled Veteran Owned Small Business (SDVOSB) - The Contractor shall Self-Certify SDVOSB status at time of proposal.

Sub-factor - 5 Transition Plan

Sub-factor 6 - Mission Essential Plan

All technical subfactors are equal. If any technical subfactors receive an unacceptable rating the combined technical rating will be unacceptable. All technical subfactors are equal. If any technical subfactor receives an unacceptable ratings the combined technical rating will be unacceptable. Technical and past performance when combined are more important than price. However, price could become the determining selection factor if the quality of the proposals are determined essentially equal. The Contracting Officer may establish a competitive range in order to ensure an efficient source selection. Contract personnel are required to meet the standards of the PWS and perform all duties on the PWS. The contractor shall provide the plans requested as sub-factors. The information provided by the offeror will be a significant factor in the Government's determination of technical acceptability.

Award will be made on the Best Value Trade-off basis. Technical and past performance when combined is more important than price.

Part II: Past Performance

Part III: Price

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(d) Competitive Acquisition. The contracting officer may limit the number of proposals in the competitive range to the greatest number that will permit an efficiencient competition among the most highly rated proposals in accordance with FAR 52.21-2(f) (4).

(End of provision)

ADDENDUM TO 52.212-4

(w) 52.212-4 (c) is changed to read as follows:

Changes in the terms and conditions of this contract may be made only by written agreement of the parties. However, any administrative changes such as change of the finance office, typographical or grammatical errors, bimonthly payment to authorized Contractors, exercise of contract options periods, and the option to extend the term of the contract, may be changed unilaterally by the Government provided to such exercise is in accordance with the terms and conditions of the contract.

(x) See FAR Clause 52.228-5. Before commencing work under the contract, the contractor shall certify to the Contracting Officer in writing that the required insurance has been obtained by the contractor and their subcontractors.

The following insurance as referenced in FAR 28.306(b)(1), is the minimum insurance required:

General Liability—Bodily injury liability insurance coverage written on the comprehensive form of policy of at least $500,000 per occurrence.

Automobile Liability—Automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing the contract. Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

Workers’ Compensation and Employer’s Liability—Contractors are required to comply with applicable Federal and State worker’ compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer’s liability section of the insurance policy, except where contract operations are so commingled with a contractor’s commercial operations that it would not be practical to require this coverage. Employer’s liability coverage of at least $100,000 shall be required, except in States with exclusive or monopolistic funds that do not permit worker’s compensation to be written by private carriers.

(y) The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

(End of Clause)

ADDENDUM TO 52.212-1

FAR 52.212-1 is hereby amended to reflect changes shown below as to the specific paragraph revised.

Para (b) Submission of Offers. The following amends this paragraph with respect to the information and documents required for submission in response to this solicitation and requirements for oral presentation of those proposals determined to be in the competitive range.

(1) COMPETITIVE ACQUISITION. The contracting officer may limit the number proposals in the competitive range to the greatest number that will permit an efficient competition among the most highly rated proposals in accordance with FAR 52.215-1 (f) (4).

(2) ELECTRONIC OFFERS. Offerors shall submit electronic offers in response to this solicitation identifying your company DUNS number or Cage Code. One (1) complete electronic copy to include Part 1 Technical, Part II Past Performance and Part III Price. All elements must arrive by the time specified in the solicitation to the following email address: donna.l.blossom.civ@mail.mil

(3) ELECTRONIC SUBMISSION OF SANITIZED PART 1 TECHNICAL ELEMENT ONLY: Offerors shall submit via EMAIL one (1) sanitized copy of their offeror and the compensation plan having no company information, i.e., no company names, logos, Cage Codes, pictures of employees, etc.,), in response to this solicitation, these offers must arrive by the time specified in the solicitation.

(4) ELECTRONIC OFFERS of the proposal must arrive by the time specified in the solicitation.

(5) Any questions with respect to the solicitation shall be submitted in writing via email to Ms. Blossom at donna.l.blossom.civ@mail.mil no later than 11:00 AM EST, 18 May 2016. Telephone calls will not be accepted nor responded to. Responses will be posted as an amendment to the solicitation through the Federal Business Opportunities website: FBO.Gov, for all interested bidders.

(6) The Government intends to award a firm fixed-price personal services requirements contract under the authority of Section 1091 and 1089 of Title 10, U.S.C. Accordingly, offerors are instructed to insure that their offered rates DO NOT include costs associated with medical malpractice liability insurance. Offerors must quote a firm-fixed price for each Contract Line Item (CLIN).

(7) SUBMISSION OF OFFERS. The solicitation should be completed, signed and received at this office not later than the date/time specified in Block 8 of the solicitation (Standard Form [SF] 1449). Please note that your offer must include all of the following information. Submit proposal in three separate parts as follows:

Part I: Technical

Sub-factor 1: Recruitment Plan

Sub-factor 2: Compensation and Retention Plan

Sub-factor 3: Describe training procedures, and your plan to maintain required certifications and immunizations.

Sub-factor 4: Small Business Disabled Veteran Owned Small Business (SDVOSB) - The Contractor shall Self-Certify SDVOSB status at time of proposal by providing self-certification letter that is a service disabled veteran owned small business and that it is a small business under NAICS code assigned to the procurement. 52.212-3 Offerors Representations and Certifications shall be submitted certifying SDVOSB Status.

illness, vacations or departures.

5. The offer shall also include the methods for assessing and evaluating employee performance and assuring quality services.

Subfactor 6 - Mission Essential Plan

Offeror shall discuss its essential contractor service and mission essential plan in accordance with the Department of Defense Supplement 252.237-7023 and 252.237-7024.

All technical subfactors are equal. If any technical subfactor receives an unacceptable ratings the combined technical rating will be unacceptable. If any subfactors are not submitted at time of proposal, the technical subfactor will be deemed unacceptable. Technical and past performance when combined are more important than price. However, price could become the determining selection factor if the quality of the proposals are determined essentially equal. The Contracting Officer may establish a competitive range in order to ensure an efficient source selection. Contract personnel are required to meet the standards of the PWS and perform all duties on the PWS. The contractor shall provide the plans requested as sub-factors. The information provided by the offeror will be a significant factor in the government's determination of technical acceptability.

Part II. Past Performance

Information provided by the contractor shall state:

a) Type of service provided.

b) Name, telephone numbers of a point of contact in the administering contracting office, award/contract number, term of the contract, number, the total amount, and number and types of personnel furnished.

c) Questionnaire to be sent to respective references. References shall forward questions to this offices.

Part III. Price: The Contracting Officer may establish a competitive range in order to ensure an efficient source selection.

PART I TECHNICAL INFORMATION. The contract personnel are required to meet the Performance Work Statement (PWS). The contractor shall provide the plans requested as sub-factors. The information provided by the offeror will be a significant factor in the Government’s determination of technical acceptability. All subfactors are equal. If any subfactor receives unacceptable ratings the combined technical rating will be unacceptable. Technical and past performance when combined are more important than price.

If any subfactor receives an unacceptable rating, the combined technical rating will be unacceptable.

Subfactor 1-- Recruitment Plan will be evaluated based upon the ability effectiveness of the approach to recruit and retain qualified personnel. Describe how you plan to recruit and retain qualified personnel to fill these positions for the geographic area of service, (Raleigh/Durham, NC). The Government will not award to any offeror offering employee compensation below those prevailing in the geographic area of service.

Subfactor 2 – The Compensation and Retention plan is based on the breakdown of the contractor’s compensation plan demonstrating employee salary amount, employee fringe benefits, as well as company profit overhead and G&A. Describe an effective retention plan for the geographic area of service, e.g. ( Raleigh/Durham, NC). The Government will not award to any offeror offering employee compensation below those prevailing in the geographic area of service.

Subfactor 3- Describe training procedures, and your plan to maintain required certifications and immunizations.

Subfactor 4 - The Contractor shall self-certification SDVOSB status at time of proposal.

Subfactor 5 - Transition Plan

Subfactor 6 - Mission Essential Plan

Offeror shall discuss its essential contractor service and mission essential plan in accordance with the Department of Defense Supplement 252.237-7023 and 252.237-7024.

PART II: PAST PERFORMANCE: Offeror is required to submit information on a single page, identifying federal, state and local government and private contracts performed within the past three years, which are similar in scope and complexity to the effort described in this solicitation. If none, offeror should so state and provide information on references.

Information provided by the contractor shall state:

a). The type of service provided, b). Name, telephone and fax numbers of a point of contact in the administering contracting office, -award/contract number, the term of the contract, number, the total amount, and number and types of personnel furnished.

c). Questionnaire to be sent to respective references. References shall forward questions to this office.

PART III: PRICE. If the prices are the same for each contract period, provide one schedule and state that the schedule applies to all contract periods. The information provided in this schedule will be used to assist in the price analysis described in EVALUATION OF THE PROPOSED PRICES, in ADDENDUM TO FAR 52.212-2, EVALUATION – COMMERCIAL ITEMS.

The following must also be submitted as part of the proposal package:

(v) Compensation Plan must be completed for all specialties.

Note: Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 90 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(8) Offerors must request verification by email to Mrs. Donna Blossom to confirm that their proposal was received by the closing date of the solicitation.

(9) PROCESS FOR AWARD. Award will be made on a best value basis (trade-offs). The Contracting Officer intends to award without discussions, but reserves the right to do so at his or her sole discretion.

(10) The Government may reserve the right to reject a proposal if the offeror misrepresents or withholds past performance information or information regarding its certifications or business condition, or its capability to perform the requirements of this contract.

(11) BASIS FOR AWARD. The Government will make a best value award consistent with the evaluation criteria discussed in the FAR 52.212-2 and the Addendum to FAR 52.212-2.

(12) SUBMISSION OF OFFERS. The solicitation should be completed, signed and received at this office not later than the date/time specified in Block 8 of the solicitation (Standard Form [SF] 1449).

(13) ELECTRONIC SUBMISSION OF DOCUMENTS: The contractor is also required to provide one each (1) sanitized copies (without company logo, names, individual's names, CAGE Code, etc) of the Part I Technical volume (only) of the proposal and Compensation Plan, and one (1) unsantized copy of each emailed no later than the solicitation date and time.

1. Introduction. The offeror’s electronic proposal shall be submitted as set forth below.

The proposal shall consist of three (3) volumes. The Part I – Technical, Part II –Past Performance, and Price III – Price.

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

2. PROPOSAL SUBMISSION REQUIREMENTS

a. Each volume shall be submitted in an electronic format to donna.l.blossom.civ@mail.mil. Any revisions will be clearly marked (as a result of negotiations or proposal revisions). Each file shall be clearly identified i.e. Part 1 Technical, Part II Past Performance, Part III Price. In addition to the above, one "sanitized" copy of the Part I Technical volume ONLY of the proposal and the Compensation Plan shall be submitted via email to the contract specialist prior to the closing date and time of the solicitation.

b. Paragraph shall be separated by at least one blank line. A standard, 12-point minimum font size applies. Arial or New Times Roman fonts are required. Tables and illustrations may use a reduced font size no less than 8-point and may be landscape.

c. The following volumes of material shall be submitted:

VOLUME TITLE COPIES PAGES

Compensation Plan (Attachment 9) Original electronically+1 sanitized email CRNA type

* Not to exceed 30 pages including subfactors.

Para (g) Contract Award: This is amended to state that the Government may conduct discussions prior to contract award.

Para (m): Bid Preparation Costs: This solicitation does not commit the Government to pay any costs incurred in the submission of an offer, in making any necessary studies for the preparation thereof, or for any visit(s) the Contracting Officer may request for the purpose of clarification of the offer.

Para (n): The offeror is responsible for ensuring that its proposal is complete. The proposal shall be clear, concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of any stated claims. The proposal shall not simply rephrase or restate the Government's requirements, but rather shall provide convincing rationale to address how the offeror intends to perform the requirement. Offerors shall assume that the government has no prior knowledge of their experience and will base its evaluation solely on the information presented in the offeror's proposal.

Para (o): Protests received at a level higher than the contracting officer will be referred to the contracting officer. Protestor may request a review by the contracting officer or an independent review at a level higher than the contracting officer. Requests for appeals or independent review will be addressed to the contracting officer for referral to the review authority. Questions on this process will be referred to the cognizant contracting officer identified in the solicitation.

Para (p): The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 herein for locations where full text can be found.

Para (q): Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 90 calendar days from the date specified for receipt of offers.

(End of Provision)

HCAA Local Clause 5005 (Best Value)

ADDENDUM TO 52.212-2

Paragraph (a) is hereby supplemented with the following:

Impartial consideration will be given to all offers received in response to this solicitation. Offers will be evaluated to determine compliance with all requirements of the solicitation, including any attachments and exhibits. The evaluation criteria will be applied to all offers in the same manner. Each proposal will be evaluated strictly in accordance with its content and the Government will not assume that performance will include areas not specified in the offeror's proposal.

The award will be made based on the best overall (i.e., best value trade-off) proposal that is determined to be the most beneficial to the Government, with appropriate consideration given to the three (3) evaluation factors: Technical, Past Performance and Price. The Technical and Past Performance factors when combined are more important than price. To receive consideration for award, a rating of no less than “Acceptable” must be achieved for the Technical factor (to include all subfactors) and the Price factor. Offerors will be cautioned that the award may not necessarily be made to the lowest cost offered.

FACTORS AND SUB-FACTORS TO BE EVALUATED

COMPETITIVE ACQUISITION. The Contracting Officer may limit the number of proposals in the competitive range to the greatest number that will permit a sufficient competition among the most highly rated proposals in accordance with FAR 52.21-1 (f) (4).

Award will be made to the offeror whose proposal is most advantageous to the Government based upon an integrated assessment of the evaluation factors and subfactors described below.

The following evaluation factors and subfactors will be used to evaluate each proposal:

Factor I: The Technical factor is further divided into the following subfactors:

Subfactor 1 – Recruitment Plan

Subfactor 2 – Compensation and Retention Plan

Subfactor 3 -- Describe training procedures to maintain required certifications and immunizations.

Sub-factor 4: Small Business Disabled Veteran Owned Small Business (SDVOSB) - The Contractor shall Self-Certify SDVOSB status at time of proposal by providing self-certification letter that is a service disabled veteran owned small business and that it is a small business under NAICS code assigned to the procurement. 52.212-3 Offerors Representations and Certifications shall be submitted certifying SDVOSB Status.

illness, vacations or departures.

5. The offer shall also include the methods for assessing and evaluating employee performance and assuring quality services.

Subfactor 6 - Mission Essential Plan

Offeror shall discuss its essential contractor service and mission essential plan in accordance with the Department of Defense Supplement 252.237-7023 and 252.237-7024.

All technical subfactors are equal. If any technical subfactor receives an unacceptable rating the combined rating will be unacceptable.

Evaluation of the offeror’s proposal shall address each subfactor as it applies to the Performance Work Statement (PWS). A detailed explanation of the criteria for the evaluation is set forth in the “Evaluation Approach” of this section. During evaluations of each proposal, the Government will assign each subfactor an adjectival rating and write a narrative evaluation reflecting the identified findings.

Factor II: Past Performance: Each offeror’s past performance will be reviewed to determine relevancy and confidence assessment.

Factor III: Price: The resulting award will be a Firm- Fixed Price (FFP). Price reasonableness will be utilized in the evaluation of the Firm-Fixed Price effort.

EVALUATION APPROACH

All proposals shall be subject to evaluation by the Source Selection Team (SST).

1. The overarching evaluation approach for all factors and subfactors is as follows:

a. Adequacy of Response. The proposal will be evaluated to determine whether the offeror’s methods and approach have adequately and completely considered, defined, and satisfied the requirements specified in the RFP. The proposal will be evaluated to determine the extent to which each requirement has been addressed in the proposal in accordance with the proposal submission section of the RFP.

b. Feasibility of Approach. The proposal will be evaluated to determine the extent to which the proposed approach is workable and the end results achievable. The proposal will be evaluated to determine the extent to which successful performance is contingent upon proven devices and techniques. The proposal will be evaluated to determine the extent to which the offeror is expected to be able to successfully complete the proposed tasks and technical requirements within the required schedule.

2. The Technical factor is divided into the following subfactors:

Subfactor 1: This subfactor evaluates the offeror’s proposed Recruitment Plan for the basic contract period and all option years. Recruitment Plan will be evaluated based upon the ability and effectiveness of the approach to recruit and retain qualified personnel. Describe in this plan how you plan to recruit and train qualified personnel to fill these positions. In addition, the government will use the compensation plan to determine if the offeror rate is below the prevailing geographical area. The Government will not award to any offeror offering employee compensation rates below those prevailing in the geographic area of service.

Subfactor 2: This subfactor evaluates the offeror’s Compensation and Retention Plan. The retention plan is based on the breakdown of the contractor’s compensation plan demonstrating employee salary amount, employee fringe benefits, as well as company profit overhead and G&A. Describe an effective and realistic retention plan for the geographic area of service, e.g. (Raleigh/Durham, NC).

Subfactor 3: This subfactor evaluates the Training Certifications and Immunizations. The offeror shall submit a plan to describe training procedures to maintain required certifications and immunizations

Subfactor 4: This subfactor evaluates the SDVOSB: The offeror shall submit Self-Certification letter showing. Small Disabled Veteran Owned Small Business Status at the time of the proposal. The proposal will not be in compliance with the solicitation and not eligible for the award unless self-certified.

Subfactor 5: Transition Plan Offeror shall discuss and identify transition plans preparing for services on 1 October 2016; For incoming transition, the plan shall include its methods to provide services on day one (1) 24 hours a day of the performance period 1 October 2016; The plan shall identify the risks involved to achieve continuity of services and efforts to mitigate the risks; The offeror shall explain their plans to provide continuous coverage in case of employee illness, vacations or departures; The offer shall also include the methods for assessing and evaluating employee performance and assuring quality services.

Subfactor 6: Mission Essential Plan Offeror shall discuss its essential contractor service and mission essential plan in accordance with the Department of Defense Supplement 252.237-7023 and 252.237-7024.

The Technical Factor Ratings, excerpted below focus on the strengths, deficiencies, weaknesses, risks and uncertainties of the offeror's proposal. The color rating depicts how well the offeror’s proposal meets the Technical subfactor requirements.

TABLE 1 – COMBINED TECHNICAL/RISK RATINGS

more deficiencies. Proposal is unawardable.

2. Past Performance Factor. The Government will evaluate the Offerors’ and, if appropriate, it’s proposed major subcontractors’ and/or team members present and past performance information to making a performance confidence assessment. The evaluation may also take into account past performance information regarding predecessor companies and key personnel who have recent and relevant past performance.

Offerors are cautioned that in conducting present and past performance evaluations, the Government may use data provided in the offeror's proposal, the Contractor Performance Assessment Reporting Systems (CPARS) http://www.cpars.csd.disa.mil/cparsmain.htm and data obtained from any other sources available to the Government to include, but not limited, to questionnaires and data independently obtained from other Government and commercial sources. Evaluation of past performance shall be in accordance with this plan utilizing the forms and questionnaires set forth in Appendix D.

Offerors are also cautioned that the award of an indefinite delivery, multiple award, or schedule contract does not constitute, in itself, evidence of past performance. Past performance will be evaluated based upon the performance of delivery or other orders placed against such contracts.

After the Government has evaluated Offeror’s past performance for recency and relevancy, the Government will evaluate Quality of Performance and will assign an overall Past Performance rating. The rating table for the overall Past Performance Rating is below. The Government will assign an Unknown Confidence/Neutral rating, meaning the rating is treated neither favorably nor unfavorably, to Offerors with no recent/relevant past performance record or the offeror’s performance record is not available or the information is inadequate such that no meaningful confidence assessment rating can be reasonably assigned.

In this context:

“Offeror” refers to the proposed prime contractor and all proposed major subcontractors or team members. A major subcontractor or team member is defined as one who will be providing at least 25 percent of the contract effort. In either case, the contract or delivery order of the proposed prime contractor and proposed major subcontractors will be assessed individually and the results will then be assessed in their totality to derive the prime offeror’s past performance rating. The Government may consider the offeror’s past performance as an entire team including subcontractors, joint ventures and/or teaming partners, aggregately, rather than an individual contractor basis.

“Recency” - Past performance efforts will first be evaluated for recency. To be recent, some portion of the performance effort must have occurred within the last three years prior to the issue date of the solicitation. Among those performance efforts qualifying as recent more weight will be given to those efforts occurring later in the period than those occurring earlier in the period. More recent efforts will be given greater weight than less recent efforts. Performance not qualifying as recent will not receive further evaluation or consideration.

Relevancy” – The government will next evaluate the relevancy of performance that qualified as recent. Relevant performance involves CRNA Services and will be categorized as Very Relevant, Relevant, or Somewhat Relevant. More relevant performance will be given more weight than less relevant performance. Performance that is not relevant will not be further evaluated or considered.

The following ratings shall be used in assessing an offeror’s Past Performance Relevancy:

Very Relevant

Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires. To qualify as very relevant, the past/present performance effort must have involved providing - CRNA's on multiple contracts or task order for 15 - 18 FTEs within the recent period specified to provide support at multiple locations. For IDIQ contracts, there must be evidence provided of all awarded task orders including pertinent information such as CRNA's.