W91YTZ-18-T-0015.pdf

SEE ADDENDUM

(No Collect Calls)

W91YTZ-18-T-0015 21-Nov-2017

b. TELEPHONE NUMBER

301-319-5600

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 30 Nov 2017

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.

W91YTZ9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

GWENDOLYN P. BRIDGES

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

0011072078-0002

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

W40M NORTHERN REGION CONTRACT OFC

NORTHERN REG CONTR OFC NRCO

6021 5TH ST BLDG 1467

FORT BELVOIR VA 22060-5580

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 W81AJE 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W2LM MEDDAC MED SUPPLY ACCT

W2LM USA MEDDAC FT LEE

ROOM B119 BLDG 8130

700 24TH STREET

FORT LEE VA 23801-1716

TEL: 210-221-7928 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$11,000,000

NAICS:

621111

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF91

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.

W91YTZ-18-T-0015

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 20 Each Stress Echo 93351

FFP

Base Period: Period of performance 11 December 2017 through 30 September 2018. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011072078-0002

NET AMT

0002 20 Each Echo 93306

FFP

Base Period: Period of performance 11 December 2017 through 30 September 2018. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

0003 20 Each Stress Test 93015

FFP

Base Period: Period of performance 11 December 2017 through 30 September 2018. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

0004 20 Each Nuclear Stress Test

FFP

Base Period: Period of performance 11 December 2017 through 30 September 2018.. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

0005 20 Each Myocardial Perfusion Scintigraphy 78452

FFP

Base Period: Period of performance 11 December 2017 through 30 September 2018. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

0006 20 Each New Patient Evaluation 99203

FFP

Base Period: Period of performance 11 December 2017 through 30 September 2018. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

0007 20 Each New Patient Evaluation 99204

FFP

Base Period: Period of performance 11 December 2017 through 30 September 2018. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA. Period of performance 13 November 2017 through 30 September 2018.

1001 10 Each OPTION Stress Echo 93351

FFP

Option 1: Period of performance 1 October 2018 through 30 September 2019. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

1002 10 Each OPTION Echo 93306

FFP

Option 1: Period of performance 1 October 2018 through 30 September 2019. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

1003 10 Each OPTION Stress Test 93015

FFP

Option 1: Period of performance 1 October 2018 through 30 September 2019. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

1004 10 Each OPTION Nuclear Stress Test

FFP

Option 1: Period of performance 1 October 2018 through 30 September 2019. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

1005 10 Each OPTION Myocardial Perfusion Scintigraphy 78452

FFP

Option 1: Period of performance 1 October 2018 through 30 September 2019. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

1006 10 Each OPTION New Patient Evaluation 99203

FFP

Option 1: Period of performance 1 October 2018 through 30 September 2019. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

1007 10 Each OPTION New Patient Evaluation 99204

FFP

Option 1: Period of performance 1 October 2018 through 30 September 2019. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

2001 10 Each OPTION Stress Echo 93351

FFP

Option 2: Period of performance 1 October 2019 through 30 September 2020. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

2002 10 Each OPTION Echo 93306

FFP

Option 2: Period of performance 1 October 2019 through 30 September 2020. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

2003 10 Each OPTION Stress Test 93015

FFP

Option 2: Period of performance 1 October 2019 through 30 September 2020. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

2004 10 Each OPTION Nuclear Stress Test

FFP

Option 2: Period of performance 1 October 2019 through 30 September 2020. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

2005 10 Each OPTION Myocardial Perfusion scintigraphy 78452

FFP

Option 2: Period of performance 1 October 2019 through 30 September 2020. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

2006 10 Each OPTION New Patient Evaluation 99203

FFP

Option 2: Period of performance 1 October 2019 through 30 September 2020. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

2007 10 Each OPTION New Patient Evaluation 99204

FFP

Option 2: Period of performance 1 October 2019 through 30 September 2020. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA. Period of performance 1 October 2019 through 30 September 2020.

3001 10 Each OPTION Stress Echo 93351

FFP

Option 3: Period of performance 1 October 2020 through 30 September 2021. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

3002 10 Each OPTION Echo 93306

FFP

Option 3: Period of performance 1 October 2020 through 30 September 2021. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

3003 10 Each OPTION Option 3 Stress Test 93015

FFP

Option 3: Period of performance 1 October 2020 through 30 September 2021. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

3004 10 Each OPTION Option 3 Nuclear Stress Test

FFP

Option 3: Period of performance 1 October 2020 through 30 September 2021. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

3005 10 Each OPTION Myocardial Perfusion Scintigraphy 78452

FFP

Option 3: Period of performance 1 October 2020 through 30 September 2021. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

3006 10 Each OPTION Option 3 New Patient Evaluation 99203

FFP

Option 3: Period of performance 1 October 2020 through 30 September 2021. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

3007 10 Each OPTION Option 3 New Patient Evaluation 99204

FFP

Option 3: Period of performance 1 October 2020 through 30 September 2021. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

4001 10 Each OPTION Option 4 Stress Echo 93351

FFP

Option 4: Period of performance 1 October 2021 through 30 September 2022. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

4002 10 Each OPTION Option 4 Echo 93306

FFP

Option 4: Period of performance 1 October 2021 through 30 September 2022. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

4003 10 Each OPTION Option 4 Stress Test 93015

FFP

Option 4: Period of performance 1 October 2021 through 30 September 2022. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for ooff-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

4004 10 Each OPTION Option 4 Nuclear Stress Test

FFP

Option 4: Period of performance 1 October 2021 through 30 September 2022. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

4005 10 Each OPTION Myocardial Perfusion scintigraphy 78452

FFP

Option 4: Period of performance 1 October 2021 through 30 September 2022. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

4006 10 Each OPTION Option 4 New Patient Evaluation 99203

FFP

Option 4: Period of performance 1 October 2021 through 30 September 2022. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA. Period of performance 1 October 2021 through 30 September 2022.

4007 10 Each OPTION Option 4 New Patient Evaluation 99204

FFP

Option 4: Period of performance 1 October 2021 through 30 September 2022. The contractor shall provide all necessary diagnostic testing, medical evaluation and analysis of test results for off-site Level B Cardiovascular Exams (cost per test) for Department of Army Civilian Police (DACP) and Security Guards (DASG) assigned to Fort Lee, Fort A.P. Hill, Rivanna Station, and Radford in support of the Occupational Health Clinic, Kenner Army Health Clinic, Fort Lee, VA.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government

1006 Destination Government Destination Government 1007 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 2007 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 3007 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government 4007 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 POP 11-DEC-2017 TO

30-SEP-2018

N/A W2LM MEDDAC MED SUPPLY ACCT

W2LM USA MEDDAC FT LEE

ROOM B119 BLDG 8130

700 24TH STREET

FORT LEE VA 23801-1716

210-221-7928

W81AJE

0002 POP 11-DEC-2017 TO

30-SEP-2018

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 11-DEC-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 11-DEC-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 11-DEC-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 11-DEC-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 11-DEC-2017 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-OCT-2018 TO

30-SEP-2019

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-OCT-2018 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-OCT-2019 TO

30-SEP-2020

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-OCT-2020 TO

30-SEP-2021

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-OCT-2021 TO

30-SEP-2022

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Items JAN 2017

ADDENDUM TO 52.212-4

(w) 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)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(Sep 2006) -- Alternate I

OCT 1995

52.203-12 Limitation On Payments To Influence Certain Federal Transactions

OCT 2010

52.203-17 Contractor Employee Whistleblower Rights and Requirement To Inform Employees of Whistleblower Rights

APR 2014

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

MAY 2011

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2016

52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for Debarment

OCT 2015

52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns

OCT 2014

52.219-8 Utilization of Small Business Concerns NOV 2016 52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.222-35 Equal Opportunity for Veterans OCT 2015 52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014 52.222-37 Employment Reports on Veterans FEB 2016 52.222-50 Combating Trafficking in Persons MAR 2015 52.222-54 Employment Eligibility Verification OCT 2015 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.224-1 Privacy Act Notification APR 1984 52.224-2 Privacy Act APR 1984 52.225-13 Restrictions on Certain Foreign Purchases JUN 2008

52.228-5 Insurance - Work On A Government Installation JAN 1997 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.242-13 Bankruptcy JUL 1995 252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7000 Disclosure Of Information OCT 2016 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of Terrorism

OCT 2015

252.225-7012 Preference For Certain Domestic Commodities DEC 2016 252.225-7048 Export-Controlled Items JUN 2013 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.243-7002 Requests for Equitable Adjustment DEC 2012

CLAUSES INCORPORATED BY FULL TEXT

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015)

(a) Definitions. As used in this clause--

Inverted domestic corporation means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Subsidiary means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

(b) If the contractor reorganizes as an inverted domestic corporation or becomes a subsidiary of an inverted domestic corporation at any time during the period of performance of this contract, the Government may be prohibited from paying for Contractor activities performed after the date when it becomes an inverted domestic corporation or subsidiary. The Government may seek any available remedies in the event the Contractor fails to perform in accordance with the terms and conditions of the contract as a result of Government action under this clause.

(c) Exceptions to this prohibition are located at 9.108-2.

(d) In the event the Contractor becomes either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation during contract performance, the Contractor shall give written notice to the Contracting Officer within five business days from the date of the inversion event.

(End of clause)

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days before the contract expires.

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days before the contract expires; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 58 months.

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JULY 2013)

(a) Definitions. As used in this clause--

Long-term contract means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, Option to Extend Services, or other appropriate authority.

Small business concern means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (c) of this clause. Such a concern is ``not dominant in its field of operation'' when it does not exercise a controlling or major influence on a national basis in a kind of business activity in which a number of business concerns are primarily engaged. In determining whether dominance exists, consideration shall be given to all appropriate factors, including volume of business, number of employees, financial resources, competitive status or position, ownership or control of materials, processes, patents, license agreements, facilities, sales territory, and nature of business activity.

(b) If the Contractor represented that it was a small business concern prior to award of this contract, the Contractor shall rerepresent its size status according to paragraph (e) of this clause or, if applicable, paragraph (g) of this clause, upon the occurrence of any of the following:

(1) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the novation agreement was executed prior to inclusion of this clause in the contract.

(2) Within 30 days after a merger or acquisition that does not require a novation or within 30 days after modification of the contract to include this clause, if the merger or acquisition occurred prior to inclusion of this clause in the contract.

(3) For long-term contracts--

(i) Within 60 to 120 days prior to the end of the fifth year of the contract; and

(ii) Within 60 to 120 days prior to the date specified in the contract for exercising any option thereafter.

(c) The Contractor shall rerepresent its size status in accordance with the size standard in effect at the time of this rerepresentation that corresponds to the North American Industry Classification System (NAICS) code assigned to this contract. The small business size standard corresponding to this NAICS code can be found at http://www.sba.gov/content/table-small-business-size-standards.

(d) The small business size standard for a Contractor providing a product which it does not manufacture itself, for a contract other than a construction or service contract, is 500 employees.

(e) Except as provided in paragraph (g) of this clause, the Contractor shall make the representation required by paragraph (b) of this clause by validating or updating all its representations in the Representations and Certifications section of the System for Award Management (SAM) and its other data in SAM, as necessary, to ensure that they reflect the Contractor's current status. The Contractor shall notify the contracting office in writing within the timeframes specified in paragraph (b) of this clause that the data have been validated or updated, and provide the date of the validation or update.

(f) If the Contractor represented that it was other than a small business concern prior to award of this contract, the Contractor may, but is not required to, take the actions required by paragraphs (e) or (g) of this clause.

(g) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

The Contractor represents that it ( ) is, ( ) is not a small business concern under NAICS Code 621111- assigned to contract number TBD.

(Contractor to sign and date and insert authorized signer's name and title).

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR RELATIONS ACT

(DEC 2010)

(a) During the term of this contract, the Contractor shall post an employee notice, of such size and in such form, and containing such content as prescribed by the Secretary of Labor, in conspicuous places in and about its plants and offices where employees covered by the National Labor Relations Act engage in activities relating to the performance of the contract, including all places where notices to employees are customarily posted both physically and electronically, in the languages employees speak, in accordance with 29 CFR 471.2(d) and (f).

(1) Physical posting of the employee notice shall be in conspicuous places in and about the Contractor's plants and offices so that the notice is prominent and readily seen by employees who are covered by the National Labor Relations Act and engage in activities related to the performance of the contract.

(2) If the Contractor customarily posts notices to employees electronically, then the Contractor shall also post the required notice electronically by displaying prominently, on any Web site that is maintained by the Contractor and is customarily used for notices to employees about terms and conditions of employment, a link to the Department of Labor's Web site that contains the full text of the poster. The link to the Department's Web site, as referenced in (b)(3) of this section, must read, ``Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers.''

(b) This required employee notice, printed by the Department of Labor, may be--

(1) Obtained from the Division of Interpretations and Standards, Office of Labor-Management Standards, U.S.

Department of Labor, 200 Constitution Avenue, NW., Room N-5609, Washington, DC 20210, (202) 693-0123, or from any field office of the Office of Labor-Management Standards or Office of Federal Contract Compliance Programs;

(2) Provided by the Federal contracting agency if requested;

(3) Downloaded from the Office of Labor-Management Standards Web site at http://www.dol.gov/olms/regs/compliance/EO13496.htm; or

(4) Reproduced and used as exact duplicate copies of the Department of Labor's official poster.

(c) The required text of the employee notice referred to in this clause is located at Appendix A, Subpart A, 29 CFR Part 471.

(d) The Contractor shall comply with all provisions of the employee notice and related rules, regulations, and orders of the Secretary of Labor.

(e) In the event that the Contractor does not comply with the requirements set forth in paragraphs (a) through (d) of this clause, this contract may be terminated or suspended in whole or in part, and the Contractor may be suspended or debarred in accordance with 29 CFR 471.14 and subpart 9.4. Such other sanctions or remedies may be imposed as are provided by 29 CFR part 471, which implements Executive Order 13496 or as otherwise provided by law.

(f) Subcontracts. (1) The Contractor shall include the substance of this clause, including this paragraph (f), in every subcontract that exceeds $10,000 and will be performed wholly or partially in the United States, unless exempted by the rules, regulations, or orders of the Secretary of Labor issued pursuant to section 3 of Executive Order 13496 of January 30, 2009, so that such provisions will be binding upon each subcontractor.

(2) The Contractor shall not procure supplies or services in a way designed to avoid the applicability of Executive Order 13496 or this clause.

(3) The Contractor shall take such action with respect to any such subcontract as may be directed by the Secretary of Labor as a means of enforcing such provisions, including the imposition of sanctions for noncompliance.

(4) However, if the Contractor becomes involved in litigation with a subcontractor, or is threatened with such involvement, as a result of such direction, the Contractor may request the United States, through the Secretary of Labor, to enter into such litigation to protect the interests of the United States.

52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 1997)

(a) It is expressly agreed and understood that this is 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 Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractor's professional medical judgment, diagnosis, or specific medical treatments. 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 of not less than the following amount(s) per specialty per occurrence:* 1,000,000.00.

(b) An apparently successful offeror, upon request by the Contracting Officer, shall furnish prior to contract award evidence of its insurability concerning the medical liability insurance required by paragraph (a) of this clause.

(c) Liability insurance may be on either an occurrences basis or on a claims-made basis. If the policy is on a claims-made basis, an extended reporting endorsement (tail) for a period of not less than 3 years after the end of the contract term must also be provided.

(d) Evidence of insurance documenting the required coverage for each health care provider who will perform under this contract shall be provided to the Contracting Officer prior to the commencement of services under this contract.

If the insurance is on a claims-made basis and evidence of an extended reporting endorsement is not provided prior to the commencement of services, evidence of such endorsement shall be provided to the Contracting Officer prior to the expiration of this contract. Final payment under this contract shall be withheld until evidence of the extended reporting endorsement is provided to the Contracting Officer.

(e) The policies evidencing required insurance shall also contain an endorsement to the effect that any cancellation or material change adversely affecting the Government's interest shall not be effective until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer. If, during the performance period of the contract the Contractor changes insurance providers, the Contractor must provide evidence that the Government will be indemnified to the limits specified in paragraph (a) of this clause, for the entire period of the contract, either under the new policy, or a combination of old and new policies.

(f) The Contractor shall insert the substance of this clause, including this paragraph (f), in all subcontracts under this contract for health care services and shall require such subcontractors to provide evidence of and maintain insurance in accordance with paragraph (a) of this clause. At least 5 days before the commencement of work by any subcontractor, the Contractor shall furnish to the Contracting Officer evidence of such insurance.

Contracting Officer insert the dollar value(s) of standard coverage(s) prevailing within the local community as to the specific medical specialty, or specialties, concerned, or such higher amount as the Contracting Officer deems necessary to protect the Government's interests.

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

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

http://farsite.hill.af.mil

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any DoD FAR Supplement (48 CFR Chapter 2) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

252.204-7012 SAFEGUARDING COVERED DEFENSE INFORMATION AND CYBER INCIDENT

REPORTING (OCT 2016)

(a) Definitions. As used in this clause--

Adequate security means protective measures that are commensurate with the consequences and probability of loss, misuse, or unauthorized access to, or modification of information.

Compromise means disclosure of information to unauthorized persons, or a violation of the security policy of a system, in which unauthorized intentional or unintentional disclosure, modification, destruction, or loss of an object, or the copying of information to unauthorized media may have occurred.

Contractor attributional/proprietary information means information that identifies the contractor(s), whether directly or indirectly, by the grouping of information that can be traced back to the contractor(s) (e.g., program description, facility locations), personally identifiable information, as well as trade secrets, commercial or financial information, or other commercially sensitive information that is not customarily shared outside of the company.

Controlled technical information means technical information with military or space application that is subject to controls on the access, use, reproduction, modification, performance, display, release, disclosure, or dissemination.

Controlled technical information would meet the criteria, if disseminated, for distribution statements B through F using the criteria set forth in DoD Instruction 5230.24, Distribution Statements on Technical Documents. The term does not include information that is lawfully publicly available without restrictions.

Covered contractor information system means an unclassified information system that is owned, or operated by or for, a contractor and that processes, stores, or transmits covered defense information.

Covered defense information means unclassified controlled technical information or other information, as described in the Controlled Unclassified Information (CUI) Registry at http://www.archives.gov/cui/registry/category-list.html, that requires safeguarding or dissemination controls pursuant to and consistent with law, regulations, and Governmentwide policies, and is--

(1) Marked or otherwise identified in the contract, task order, or delivery order and provided to the contractor by or on behalf of DoD in support of the performance of the contract; or

(2) Collected, developed, received, transmitted, used, or stored by or on behalf of the contractor in support of the performance of the contract.

Cyber incident means actions taken through the use of computer networks that result in a compromise or an actual or potentially adverse effect on an information system and/or the information residing therein.

Forensic analysis means the practice of gathering, retaining, and analyzing computer-related data for investigative purposes in a manner that maintains the integrity of the data.

Information system means a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information.

Malicious software means computer software or firmware intended to perform an unauthorized process that will have adverse impact on the confidentiality, integrity, or availability of an information system. This definition includes a virus, worm, Trojan horse, or other code-based entity that infects a host, as well as spyware and some forms of adware.

Media means physical devices or writing surfaces including, but is not limited to, magnetic tapes, optical disks, magnetic disks, large-scale integration memory chips, and printouts onto which covered defense information is recorded, stored, or printed within a covered contractor information system.

Operationally critical support means supplies or services designated by the Government as critical for airlift, sealift, intermodal transportation services, or logistical support that is essential to the mobilization, deployment, or sustainment of the Armed Forces in a contingency operation.

Rapidly report means within 72 hours of discovery of any cyber incident.

Technical information means technical data or computer software, as those terms are defined in the clause at DFARS 252.227-7013, Rights in Technical Data--Noncommercial Items, regardless of whether or not the clause is incorporated in this solicitation or contract. Examples of technical information include research and engineering data, engineering drawings, and associated lists, specifications, standards, process sheets, manuals, technical reports, technical orders, catalog-item identifications, data sets, studies and analyses and related information, and computer software executable code and source code.

(b) Adequate security. The Contractor shall provide adequate security on all covered contractor information systems.

To provide adequate security, the Contractor shall implement, at a minimum, the following information security protections:

(1) For covered contractor information systems that are part of an…