Invoice Dental Hygienist - DOC

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					                                                                                                                                                 1. CONTRACT ID CODE               P AGE OF P AGES
      AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT                                                                                                      J                         1       47
2. AMENDMENT/MODIFICATION NO.                                3. EFFECTIVE DATE           4. REQUISITION/P URCHASE REQ. NO.                                         5. P ROJECT NO.(If applicable)

0001                                                             16-Mar-2010
6. ISSUED BY                                    CODE         N62645                      7. ADMINISTERED BY (If other than item 6)                           CODE

  NAVAL MEDICAL LOGISTICS COMMAND
  693 NEIMAN STREET                                                                                           See Item 6
  FORT DETRICK MD 21702




8. NAME AND ADDRESS OF CONT RACT OR (No., Street, County, State and Zip Code)                                                             X 9A. AMENDMENT OF SOLICIT AT ION NO.
                                                                                                                                            N62645-09-R-0012

                                                                                                                                          X 9B. DAT ED (SEE IT EM 11)
                                                                                                                                            16-Feb-2010
                                                                                                                                              10A. MOD. OF CONT RACT /ORDER NO.

                                                                                                                                              10B. DAT ED (SEE IT EM 13)
CODE                                                               FACILIT Y CODE
                                                          11. T HIS IT EM ONLY APPLIES T O AMENDMENT S OF SOLICIT AT IONS
 X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer                   X   is extended,           is not extended.

     Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:
     (a) By completing Items 8 and 15, and returning       1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;
     or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE
     RECEIVED AT THE P LACE DESIGNATED FOR THE RECEIP T OF OFFERS P RIOR TO THE HOUR AND DATE SP ECIFIED MAY RESULT IN
     REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter,
     provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNT ING AND APPROPRIAT ION DAT A (If required)


                                           13. T HIS IT EM APPLIES ONLY T O MODIFICAT IONS OF CONT RACT S/ORDERS.
                                               IT MODIFIES T HE CONT RACT /ORDER NO. AS DESCRIBED IN IT EM 14.
   A. T HIS CHANGE ORDER IS ISSUED PURSUANT T O: (Specify authority) T HE CHANGES SET FORT H IN IT EM 14 ARE MADE IN T HE
      CONT RACT ORDER NO. IN IT EM 10A.

   B. T HE ABOVE NUMBERED CONT RACT /ORDER IS MODIFIED T O REFLECT T HE ADMINIST RAT IVE CHANGES (such as changes in paying
      office, appropriation date, etc.) SET FORT H IN IT EM 14, PURSUANT T O T HE AUT HORIT Y OF FAR 43.103(B).
   C. T HIS SUPPLEMENT AL AGREEMENT IS ENT ERED INT O PURSUANT T O AUT HORIT Y OF:

   D. OT HER (Specify type of modification and authority)

E. IMPORT ANT : Contractor                      is not,            is required to sign this document and return                           copies to the issuing office.

14. DESCRIPT ION OF AMENDMENT /MODIFICAT ION (Organized by UCF section headings, including solicitation/contract subject matter
    where feasible.)

 The purpose of this amendment is to answ er questions, change the closing date from 17 March 2010 to 24 March 2010, change the ordering
  period to 01 December 2010 through 30 November 2015, and revise Section C, Section I and Attachment AI of Section J.




Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND T IT LE OF SIGNER (T ype or print)                                              16A. NAME AND T IT LE OF CONT RACT ING OFFICER (T ype or print)

                                                                                              TEL:                                             EMAIL:

15B. CONT RACT OR/OFFEROR                                     15C. DAT E SIGNED               16B. UNIT ED ST AT ES OF AMERICA                                              16C. DAT E SIGNED

                                                                                              BY                                                                              15-Mar-2010
   (Signature of person authorized to sign)                                                          (Signature of Contracting Officer)
EXCEPT ION T O SF 30                                                                  30-105-04                                                              ST ANDARD FORM 30 (Rev. 10-83)
APPROVED BY OIRM 11-84                                                                                                                                       Prescribed by GSA
                                                                                                                                                             FAR (48 CFR) 53.243
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                                                                                                       Page 2 of 47

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:
     SUMMARY OF CHANGES

Solicitation Questions:

Question 1: On the contract 0012, it list the following potential locations:
District of Columbia; the states of the Connecticut, Illinois, Maine, Maryland, Massachusetts, New Hampshire, New
Jersey, New York, North Carolina, Pennsylvania, Rhode Island, Virginia and West Virginia

However, we were only provided wage determinations for these locations:

Attachment AJ Wage Determination – Bethesda, MD, Washington D.C., Quantico, VA,
Patuxent River, MD, Andrews AFB, MD
Attachment AK Wage Determination – Groton, CT
Attachment AL Wage Determination – Baltimore, MD
Attachment AM Wage Determination – Newport, RI
Attachment AN Wage Determination – Earle, NJ
Attachment AO Wage Determination – Willow Grove, PA
Attachment AP Wage Determination – Portsmouth, NH

Will the wage determinations for the following be provided?
Illinois
Maine
Massachusetts
New York
North Carolina
Virginia
West Virginia

        Answer 1: Only Wage Determinations (WDs) for current requirements are in this solicitation (except for
         Great Lakes, which is added in this amendment to the solicitation). If requirements arise out of the other
         states or locations, a modification will be done to the basic contracts awarded from this solicitation to
         include that WD.

Question 2: I have a few questions concerning the Location of services, Performance of HCW services at any DOD
or Coast Guard Military MTFs:

         a.) Question 2.a: Regarding Solicitation 0012, for DTFs and MTFs, does "DOD" also consist of Army,
             Air Force, Marine Corps, as well as Navy and Coast Guard?

             Answer 2.a: Per Section B.6.a of the solicitation, ―Performance of Healthcare Worker (HCW) services
             at any Department of Defense or Coast Guard Military Treatment Facilities (MTFs), Dental Treatment
             Facilities (DTFs) or other dental activities specified within the District of Columbia; the states of the
             Connecticut, Illinois, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York,
             North Carolina, Pennsylvania, Rhode Island, Virginia and West Virginia who have been granted
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                                                                                                        Page 3 of 47

             authority under 10 U.S.C. 1091, are considered within the scope of the contract.‖ The term ―DoD‖
             encompasses all branches classified under ―The Department of Defense‖.

         b.) Question 2.b: Where it states, "Other dental activities specified within the states of performance", does
             other dental activities mean MTFs and DTFs within those states?

             Answer 2.b: Per Section B.6.a referenced above, ―other dental activities‖ would be considered other
             MTFs and DTFs within the states of performance, ―who have been granted authority under 10 U.S.C.
             1091‖.

         c.) Question 2.c: If possible, could you please direct me to a website listing of all MTFs and DTFs?

             Answer 2.c: Military Treatment Facilities may be found at:

             http://www.tricare.mil/MTF/

             Please note that this website is provided as reference only and includes military treatment facilities not
             covered under this solicitation.

Question 3: Concerning the pricing under this Solicitation, will the pricing that we provide with our proposal be
upheld as ―not-to-exceed‖ pricing under any resulting task orders? Or is this pricing simply representative and
hypothetical in nature?

        Answer 3: Per Section B.12 of the solicitation, ―The services listed under the Representative CLINs are
         for evaluation purposes only and are not reflective of initial task order requirements. All task order
         requirements will be competed after contract awards are made.‖ Therefore, pricing will not be used as a
         ―not to exceed‖ price cap.

Question 4: Current contract pricing - Attachment AG, did not include pricing for; Quantico dental hygienist,
Bethesda dental lab tech or Patuxent River oral surgeon. Did any of these fall under another location and/or if there
is not current pricing for these CLINs?

        Answer 4: These contract prices were provided as general reference points for the current market in a
         variety of areas throughout the northeast. Contracts are not currently in place for all services at all
         facilities.

Question 5: The instructions (page 135) state that the proposal should be developed in Word format (.doc). Is Word
2007 (.docx) acceptable?

        Answer 5: Yes, Word 2007 (.docx) is an acceptable word format to submit proposals.

Question 6: Can tables be developed in font size 8 or 9 so that they fit more reading in the required margins?

        Answer 6: Per Section L 2.5.3.3, ―Each Proposal (Volume I and II) file shall be in…Times New Roman
         font of not less than 10 point font size.‖

Question 7: Are the maximum quantities provided in the CLIN’s the maximum for the entire contract period or per
task order year?

        Answer 7: Maximum quantities provided are for the entire contract period of performance.

Question 8: Should any proposal material, such as signed SF33 and signed amendments be submitted in hard copy,
or should we submit just .pdf files for the signature pages on the CD? If some material should be sent in hard copy,
please specify which ones are required.
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                                                                                                          Page 4 of 47

        Answer 8: Proposal material shall be submitted in accordance with Section L. Signed copies of
         amendments may be sent as hard copies, or .pdf files on the CD-ROM.

Question 9: Are we required to send out past performance questionnaires this time? Or will a brief narrative as
directed by the solicitation (on VOL I) suffice?
      Answer 9: Questionnaires are not required, please submit your past performance proposal in accordance
         with section L.

Question 10: Can you please tell me who the incumbent(s) is/are?

        Answer 10:
         DPS Inc.—N62645-06-D-0003, awarded January 2006
         RLM Services—N62645-06-D-0004, awarded January 2006
         Aurora Group Inc.—N62645-06-D-0005, awarded January 2006
         Saratoga Medical Center Inc.—N62645-06-D-0006, awarded January 2006
         OMO Group Inc.—N62645-06-D-0007, awarded January 2006

Question 11: Are all positions currently filled?

        Answer 11: At this moment in time, there are incumbent health care providers performing services for a
         majority of the current requirements.

Question 12: Can you please clarify which states should be included in the market research requirement? Are we
only to include those in the ―Representative CLINs‖ (pages 5-12) or on the states listed on page 4 of the RFP? Also,
we need clarification on which labor categories should be included in the market research. Should the only labor
categories included in the ―Representative CLINs‖ (pages 5-12) be included or all of the labor categories in the
SOW?

        Answer 12: Per Section L.2.3.1 of this solicitation, ―The offeror shall discuss their knowledge of the
         marketplaces represented in the solicitation and discuss how marketplace conditions (such as, but not
         limited to scarce labor categories or remote locations) will impact their ability to recruit and retain required
         health care workers.‖ ―Marketplaces represented in the solicitation‖ not only consists of places and
         services listed in Representative CLINs but also all services at MTFs and DTFs specified in Section B.6.a.
         This market research shall be submitted in accordance with Section L.

Question 13: Section c.3.11. In the event that a task order allows a leave accrual position to be staffed by part-time
individuals, no leave will be accrued by any individual who works less than 40 hours during a two week invoice
period. This clause does not apply to labor categories covered by the Service Contract Act. (Dental Hygienist/Asst
are SCA) Does this clause allow us to bill for the leave accrual payout we do quarterly for our PT SCA employees?
If so how will this be identified in the CLINs?

        Answer 13: Per Attachment AI, ―Fringe Benefits - Health and Welfare: This includes cash and non-
         cash compensation provided to the employee necessary to comply with Department of Labor’s Wage
         Determination requirements.‖ Therefore, this will be added into your total cost that you will be billing the
         Government.

Question 14: The RFP contains CLIN for overtime but only after 80 hours in a two week period. Some states
require payment of overtime after 40 hours in a one week work period. We will not be able to invoice under the
Overtime CLIN if the end of the two week period is 80 hours. Do we need to pad the pricing so we do not eat the ½
as we can invoice for the hour worked, or do we write our employee contract agreements to reflect overtime is only
applicable after 80 hours in a pay period?

        Answer 14: The Government cannot direct the contractor on how to price or write their HCW contracts,
         and the contractor must abide by all state regulations.
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                                                                                                      Page 5 of 47

Question 15: Concerning 3.11, pg 15 of 137: No leave will accrue for individuals working less than 40
hrs/pp. This does not apply to SCA eligible employees. Under SCA guidelines, eligible categories must receive
leave benefits. What timeframe (i.e., monthly) should be used when invoicing for this prorated leave benefit?

        Answer 15: All invoicing shall be done in accordance with Section G of this solicitation. Also see
         Answer 13.

Question 16: Concerning 3.15.1, pg 16 of 137: Unusual and compelling circumstances (i.e., weather emergencies)
CO is authorized to grant administrative leave to HCW. Want to confirm that in instances where the Federal
Government has closed offices, we will be able to invoice for employees affected by closure?

        Answer 16: In most cases, the contractor may be able to invoice for administrative leave granted by the
         CO. The position specific statements of work contained in the task order may vary and will provide greater
         detail.

Question 17: Concerning 3.21.1 pg 16-17 of 137: It is understood that the Government compensates for periods of
authorized absences for continuing education up to a maximum of 40 hours. Are there any other instances in which
the Government will close facilities for Government provided training (i.e. Training Holidays) for which we may
invoice?

        Answer 17: Per Section C 3.21.1, ―The Commanding Officer may also grant authorization for planned
         absences to allow the HCW to attend continuing education courses. The Government may compensate the
         HCW for these periods of authorized absence if the continuing education course(s) are determined to be a
         necessary expense by the Government. This determination will be made on a case by case basis, weighing
         the costs associated with the training of contractor personnel against the benefit gained by the Government
         in support of the appropriation that will incur the expense.‖ Training Holidays do not fall under this
         guidance.

Question 18: Concerning 4.2, pg 17 of 137: No-reimbursement during suspension/abeyance of Clinical
Privileges: If the issue has a favorable outcome for the employee, will we be able to allow the employee to use
accrued time and thus invoice for it?

        Answer 18: Should the employee be allowed to return, accrued leave may be used for the period of
         suspension/abeyance with concurrence from the supervisor.

Question 19: In the market research portion of our technical proposal, is the government seeking market research
for CLINs 0001-0005 ONLY, or are you looking for market research for all specialties and all locations that are
anticipated under this solicitation? We would like to clarify this so that we can be sure to stay under the 10 page
limit.

        Answer 19: See Answer 12. The 10 page limit still applies.

Question 20: Are there incumbents for any of the representative clins?

        Answer 20: See Answer 3 and Answer 4.

Question 21: Are they incumbents in place already under this RFQ, if so how many and what are the hire dates of
them?

        Answer 21: See Answer 10.

Question 22: Can you please clarify the number of holidays described in the body of the contract verses the number
of holiday described under SCA and Wage Determinations that are also included in the RFP, the numbers of days
off are different.
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                                                                                                       Page 6 of 47

        Answer 22: Per the Wage Determination, there are ―A minimum of eleven paid holidays per year‖.
         However, only ten of them are recognized as Federal Holidays.

Question 23: In Section L 2.2.1. If past performance references will be submitted for both the prime contractor and
the proposed subcontractor, is the total limit of references still 5?

        Answer 23: Yes, per Section L.2.2.1., the offeror shall submit ―Information pertaining to not more than 5
         of the offeror’s previous/current contracts that are relevant to the requirements of the solicitation.‖

Question 24: Under Section 52.222-42-―Statement of Equivalent Rates for Federal Hires,‖ is it accurate that the GS
levels for Dental Hygienists are so much higher at Bethesda and Patuxent River compared to the other listed
locations?

        Answer 24: This information is accurate.

Question 25: Section J, Attachment AI states in part, in explaining the Supplemental Pricing Worksheet:

“Fringe Benefits - Health and Welfare: This includes cash and non-cash compensation provided to the employee
necessary to comply with Department of Labor’s Wage Determination requirements. For the purposes of this
contract in accordance with 29 CFR 4.171, other fringe benefits required by law are not considered a part of health
and welfare rates for service contract act wage determination (SCA WD) positions. FICA, FUTA, SUTA, and
workers’ compensation amounts should not be reported.

Fringe Benefits - Other: These include but are not limited to non-cash compensation provided to employees such
as 401(k), Insurance (Medical/Dental/Life), Continuing Education Expenses, Bonuses, Incentives, and Uniform
Allowances. If fringe benefits will be paid in cash, note which fringe benefits, if any, will be paid in cash in the
―Fringe Benefits Notes.” FICA, FUTA, SUTA, and workers’ compensation amounts should not be reported.
Leave benefit earned and holidays in accordance with the contract should not be reported. Any employee
contributions to insurance, retirement, etc. are not considered fringe benefits. The fringe benefits amounts must
reflect employer contributions only.‖

         a.) Question 25.a: Would paying a cash Health and Welfare (H&W) allowance for a SCA WD position
             then be a ―Fringe Benefit-Health and Welfare?‖

             Answer 25.a: Cash in lieu of fringe benefits should be entered on the “Fringe Benefit-Health and
             Welfare‖ line and noted on the corresponding ―Notes‖ line.

         b.) Question 25.b: But if the employee chooses insurance and is provided insurance rather than the cash
             allotment, would the cash value of such insurance then be a ―Fringe Benefit-Other‖ since it is
             ―Insurance (Medical/Dental)‖ or is it a ―Fringe Benefit-Health and Welfare‖ since it is applies to a
             SCA WD position?

             Answer 25.b: If it is being provided for a SCA WD position, it should be under ―Fringe Benefit-
             Health and Welfare‖.

         c.) Question 25.c: If it is a non-SCA WD position, do the same rules apply?

             Answer 25.c: If the position is a non-SCA WD position, ―Fringe Benefit-Health and Welfare‖ is not
             required.

         d.) Question 25.d: If FICA, FUTA, SUTA and Workers’ Compensation should not be reported as either
             ―Fringe Benefit –Health and Welfare‖ or as ―Fringe Benefit-Other,‖ should FICA, FUTA, SUTA and
             Workers’ Compensation also be excluded from the calculation of the ―Total Hourly Rate?‖
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             Answer 25.d: FICA, FUTA, SUTA and Workers’ Compensation should be excluded from the total
             hourly rate.

Question 26: I noticed that the POP for this solicitation is 27 Sep10, is this solicitation replacing the previous NE
Dental MATO (contracts N62645-06-D-0005,0003,0007,0006,0004) because the 4 th option year for that would not
have been exercised yet?

        Answer 26: This new requirement will be replacing the previous requirement because the Government is
         reaching its maximum quantities on the current NE Dental MATO.

Question 27: For the Business Proposal, would it be alright to send a statement verifying that our ORCA is current
or would you like all of our representations and certifications printed from the website?

        Answer 27: Per Section L 2.5.4.3,―Section K - Representations, Certifications and Other Statements of
         Offerors of this Solicitation. The offeror shall complete the annual representations and certifications
         electronically through the Online Representations and Certifications Application (ORCA) at
         http://orca.bpn.gov. The offeror shall verify their ORCA is current, accurate, complete and applicable to
         this solicitation as of the date of this offer and are incorporated in this offer by reference, except for any
         applicable changes identified in Section K, FAR Clause 52.204-8 and DFARS 252.204-7007.‖ The offeror
         shall verify this information, but it is not necessary to submit any of the information with the proposals.

Question 28: What is the minimum number of hours the Navy intends to procure under this contract? Is the
intended minimum hours larger than the current contract's minimum?

        Answer 28: Per Section B.9. of this solicitation, ―All successful contract awardees are guaranteed a
         minimum award of a task order(s) totaling $25,000.‖ The answer is unknown at this time because services
         will be procured differently than the previous procurement.

Question 29: Since teaming and subcontracting is necessary, according to your statement on paragraph 4, page 3 of
137, must all teaming partners have experience in providing dental services? If a company is newly certified in the
8a program - without relevant experience - but have mentor/protégé relationship with another company (within the
team), with significant experience in dental services, would such teaming relationship be acceptable?.

        Answer 29: This is acceptable. Your proposal should take into consideration paragraphs L.2.2.1., L.2.2.2.
         and L.2.2.3.

Question 30: You stated in the solicitation, paragraph 4, page 3 of 137 "Market research confirmed that
subcontracting and teaming arrangements are necessary …." But if a company is an incumbent and possesses
extensive experience in MATO dental services and has managed significant number of dental workers (of various
categories), is it still necessary for the company to team in order to be considered for an award?

        Answer 30: Per the last note in Section A of the solicitation, ―such arrangements are encouraged to ensure
         mission success.‖ Subcontracting is encouraged, not required.

Question 31: On page 18 section 5 clause 5.2 it does not state reimbursement on uniform, or if the uniform/clothing
are provide by the government or contractor, please clarify, this is important for the employees that fall under the
SCA guidelines.

        Answer 31: Per the Wage Determination in this solicitation, for all WD positions, ―The contractor or
         subcontractor is required to furnish all employees with an adequate number of uniforms without cost or to
         reimburse employees for the actual cost of the uniforms.‖ The Government will not provide or reimburse
         for uniforms.

Question 32: We understand that as part of the evaluation factors for the Management and Market Research
proposal the Government is requesting that offerors to ―discuss their knowledge of the marketplaces represented in
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the solicitation and discuss how marketplace conditions (such as, but not limited to scarce labor categories or remote
locations) will impact their ability to recruit and retain required health care workers.‖ We are concerned that given
the 10 page limit, we will be unable to supply a sufficient depth of market research given the variety of labor
categories (9 according to the PWS) and potential service locations (any Department of Defense or Coast Guard
Military Treatment Facilities (MTFs), Dental Treatment Facilities (DTFs) or other dental activities specified within
the District of Columbia; the states of the Connecticut, Illinois, Maine, Maryland, Massachusetts, New Hampshire,
New Jersey, New York, North Carolina, Pennsylvania, Rhode Island, Virginia and West Virginia). Does the
Government want offerors to provide market research for all geographic locations and labor categories, or just for
the 5 representative CLINs in section B of the proposal?

        Answer 32: See Answer 12 and Answer 19.

Question 33: Does the Oral/Maxillofacial Surgeon for Pax River need to be Board Eligible or Board Certified?

      Answer 33: The surgeon must meet the requirements of section C.8.8. of the
solicitation.

Question 34: Page 5 of the solicitation shows representative CLINs to be priced with the following language:

REPRESENTATIVE CLINS
      12. Provided below are Representative CLINs for this requirement which shall be priced by the offeror
          and included in their business proposal. The services listed under the Representative CLINs are for
          evaluation purposes only and are not reflective of initial task order requirements. All task order
          requirements will be competed after contract awards are made.

However, there is also a Pricing Sheet Excel Worksheet which includes a pricing sheet along with supplemental
worksheets. Is it the governments intention for the contractor to fill in both the representative CLINs and the excel
pricing worksheet?

        Answer 34: Per Section L 2.5.4.5. ―Section B. An electronic file will be posted to the NMLC web site
         (http://www.nmlc.med.navy.mil/DBU-RFP.html) along with the solicitation and any amendments for
         downloading. The file will be named ―Pricing Sheet for N62645-09-R-0012.xls‖. The offeror shall
         complete all pricing and supplemental pricing information required on the various tabs included in the
         electronic file. Blue boxes designate those fields into which the offeror can enter data. The completed file
         shall be submitted on a Business Proposal CD-ROM. The files shall be renamed: [name of offeror]
         business proposal.xls. (Please note that any reformatting of the pricing worksheet may cause serious delay
         in the evaluation process and may result in rejection of the offeror's entire proposal.)‖ Only the excel
         pricing sheet needs to be submitted as described above.

Question 35: Does the contractor need to fill in the travel CLIN or will that only be filled in once this solicitation is
awarded and the travel funds are needed?

        Answer 35: Pertaining to the submission of Section B, the contractor needs to complete only the
         information contained in the pricing sheet. Travel, overtime and training CLINs will be used after contract
         award, as needed on individual task orders.

Question 36: C.3.3. Are these guidelines written? Where can they be accessed?

        Answer 36: Federal service guidelines can be found on the OPM website, http://opm.gov/

Question 37: C.3.7 & 3.8. Can the CO disapprove Family or Medical Leave if the terms of the FMLA are met but
the leave is not requested in advance?

        Answer 37: Depending on the situation, the time frames specified in C.3.7. and C.3.8. may not apply to
         FMLA.
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Question 38: C.3.10. Should a HCW be required to serve jury duty in excess of 15 days, will the facility approve
LWOP for that individual.

       Answer 38: LWOP status would be approved at the discretion of the Commanding Officer. Per Section
        C.3.10, ―No individual HCW will be granted more than 15 days of administrative leave for jury duty per
        year; in those instances where a contract HCW who accrues leave is anticipated to be in jury duty status in
        excess of 15 days, the contractor shall provide a replacement worker.‖
.
Question 39: C.3.14.2. Who within the Government is authorized to approve and schedule Compensatory Time?
What procedures should be followed if earned Compensatory Time is approved by an immediate supervisor, taken
by the employee, then subsequently disapproved by the COR?

       Answer 39: Per Section C.3.14.2, ―Compensatory time will be scheduled at the mutual agreement of the
        Government and the HCW.‖ The supervisor, COR and HCW should mutually agree to the scheduling of
        compensatory time. Compensatory time should not be used without the knowledge of the COR.

Question 40: C.7.10. Occupational Health. Experience finds that some MTFs require additional information in
addition to a completed HEALTH EXAMINATION AND IMMUNIZATION/SCREENING REQUIREMENT
FORM. This additional information is often dependent on the information submitted on the form. A complete list
of required information/documentation to fulfill MTF/DTF Occupational Health requirements, to specifically
include the form and format in which the requested additional information should be submitted would expedite the
approval process. For example, complete guidance on PPD reactor requirements, TD, and TDAP validity specific to
the MTF.

Can this information be provided via the task order or COR upon Task Order Award?

       Answer 40: This additional information may be obtained from the COR at the time of task order award.

Question 41: C.7.10.1. Is the statement from the HCW's licensed medical practitioner or report of physical exam
and statement that "the HCW is free from mental or physical impairments" in addition to the Health Examination
and Screening form or is that requirement met by the statement at the foot of the form?

       Answer 41: All requirements under C.7.10.1 are met by submitting the HEALTH EXAMINATION AND
        IMMUNIZATION/SCREENING REQUIREMENT FORM. The statements at the foot of the form
        satisfies the requirements for the statement from the HCW's licensed medical practitioner or report of
        physical exam and the statement that "the HCW is free from mental or physical impairments".

Question 42: C.10. Periodic evaluations are specified for RDH and DA HCW but not included in the DDS and
DLT sections. Will periodic evaluations be conducted on DDS and DLT? Will the results of evaluations conducted
on all HCW be made available to the contractor?

       Answer 42: Please see revisions to Sections C.10.2.1.3, C.10.3.1.3, and C.9.23. An overall evaluation of
        contractor performance will be provided on an annual basis.

Question 43: C.13. Is the term ―Cross Coverage‖ used to entail coverage between specialty departments, or is it
more comprehensive to include multiple MTF/DTF facilities governed by a medical center?

       Answer 43: Please see the addition of C.14.

Question 44: C.13.1., C13.2., & B.6.c addresses reassignment within the medical treatment facility. Does this
reassignment refer to duty assignments within the same building or complex, i.e. reassignment from the Endodontics
Department to the Periodontal Department?
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Does this include reassignment to a different physical location such as an off-site clinic governed by the same
medical treatment facility? If the answer is yes, what amount of notice will the employee receive before being
required to move locations?

        Answer 44: See Answer 43.

Question 45: C. 13.2. If the government is not able to reassign the HCW and the HCW opts to use Personal Leave
will they be able to use 8 hours Personal Leave or would they only be able to be paid for 2 hours?

        Answer 45: Sections C.13.2 and C.13.3. have been deleted.

Question 46: C.13.2 Will this apply to occasions when the assigned clinic is closed for military functions, e.g.,
Change of Command or Command sports day/picnic?

        Answer 46: Section C.13.2. has been deleted.


SUMMARY OF CHANGES
SECTION C

Add: 9.23. Be officially evaluated at least semi-annually on performance and adherence to requirements of the
contract.

From: 10.2.1.3. Be officially evaluated at least semi-annually on performance and adherence to requirements of the
contract.

To: 10.2.1.3. "RESERVED"

Removed: 10.3.1.3. Be officially evaluated at least semi-annually on performance and adherence to requirements of
the contract.

Removed: C.13.2. If the Government cannot reassign the HCW, the Government will release the HCW from duty,
compensating the Contractor for 4 hours of compensated services (for 12 hour shifts) or 2 hours of compensated
service (for 8 or 10 hour shifts).

Removed: C. 13.3. If the HCW declines a reassignment there will be no reimbursement to the Contractor.

Add: 14. REASSIGNMENT OF HEALTH CARE WORKERS

14.1. Each HCW will be assigned to a primary location; however, the Government retains the right to assign the
HCW to another location within a 50 mile commuting radius of the MTF/DTF. HCWs shall receive notification 2
weeks prior to reassignment to locations within a 50 mile radius. The Government will consider the use of CLIN
0006 to reimburse HCWs for reassignments within a 50 mile limit on a case-by-case basis.

Add: 15. PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL.

15.1. The Homeland Security Presidential Directive dated 27 August 2004 requires a mandatory government-wide
standard for secure and reliable forms of identification for Federal employees, contractors and HCWs who access
federally controlled facilities or have access to Federally controlled IT systems.

15.2. Personnel background investigations must be initiated and an advance fingerprint and NAC results received
by the MTF/DTF before a Common Access Card (CAC) is issued to the HCW.

15.3. See Section I, FAR 52.204-9 for additional information.
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SECTION J

ATTACHMENT AI

From: Fringe Benefits - Other: These include but are not limited to non-cash compensation provided to
employees such as 401(k), Insurance (Medical/Dental/Life), Continuing Education Expenses, Bonuses, Incentives,
and Uniform Allowances. If fringe benefits will be paid in cash, note which fringe benefits, if any, will be paid in
cash in the ―Fringe Benefits Notes.” FICA, FUTA, SUTA, and workers’ compensation amounts should not be
reported. Leave benefit earned and holidays in accordance with the contract should not be reported. Any employee
contributions to insurance, retirement, etc. are not considered fringe benefits. The fringe benefits amounts must
reflect employer contributions only.‖

To: Fringe Benefits - Other: These include but are not limited to cash and non-cash compensation provided to
employees such as 401(k), Insurance (Medical/Dental/Life), Continuing Education Expenses, Bonuses, Incentives,
and Uniform Allowances. If fringe benefits will be paid in cash, note which fringe benefits, if any, will be paid in
cash in the ―Fringe Benefits Notes.” FICA, FUTA, SUTA, and workers’ compensation amounts should not be
reported. Leave benefit earned and holidays in accordance with the contract should not be reported. Any employee
contributions to insurance, retirement, etc. are not considered fringe benefits. The fringe benefits amounts must
reflect employer contributions only.‖



SECTION A - SOLICITATION/CONTRACT FORM

         The required response date/time has changed from 17-Mar-2010 02:00 PM to 24-Mar-
2010 02:00 PM.


SECTION B - SUPPLIES OR SERVICES AND PRICES



The following have been modified:
     SECTION B
PRICING INFORMATION
1. The Contractor shall furnish qualified Health Care Workers (HCWs) in accordance with Section C (Statement of
Work), individual Task Orders for these services, and all other terms and conditions set forth herein. Government
requirements for contracted health care personnel shall be filled in response to Task Orders issued by the
Government against the contract.

2. This solicitation will result in multiple indefinite-delivery indefinite-quantity (IDIQ) contract awards, as
identified under FAR 16.504. Task Orders will be priced on a firm fixed price basis.

3. The following activity is the sole authority to issue Task Orders:

Naval Medical Logistics Command
Code 02
Attn. Code 022B
693 Neiman Street
Fort Detrick MD 21702-9203
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4. The Contracting Officer will order services against the contract through issuance of Task Orders via a DD Form
1155 signed by the Contracting Officer. Task Orders will be executed in writing by the Contracting Officer and
transmitted either via facsimile, electronically via e-mail, or Medical Acquisition Portal ("MAP"). MAP is a secure,
automated web-based application that facilitates the acquisition and management of services.

5. Each Task Order will contain at a minimum the following information:

a. The date of order
b. Contract number and order number
c. Description of services (labor category, position qualifications, place of performance, hours of operation, and
quantity required)
d. The unit price
e. The period of performance
f. Accounting and appropriation data
g. Payment office address
h. Invoicing and acceptance instructions
i. Name of the Contracting Officer’s Representative (COR)
j. Any other pertinent data

6. Location of services. Services shall be performed at locations as follows:

a. Performance of Healthcare Worker (HCW) services at any Department of Defense or Coast Guard Military
Treatment Facilities (MTFs), Dental Treatment Facilities (DTFs) or other dental activities specified within the
District of Columbia; the states of the Connecticut, Illinois, Maine, Maryland, Massachusetts, New Hampshire, New
Jersey, New York, North Carolina, Pennsylvania, Rhode Island, Virginia and West Virginia who have been granted
authority under 10 U.S.C. 1091, are considered within the scope of the contract.

b. In the event that performance requirements at a particular facility differ slightly from that expressed in Section C,
those differences shall be defined in the task order statement of work.

c. The Government reserves the right to reassign health care workers within a MTF or DTF to meet patient demand.

7. Maximum Quantities. All available quantities for this contract are given in Contract Line Item Numbers (CLINs)
0001 through 0007.

8. The estimated ordering period is for 60 months, beginning with the initial start of contract services, or until the
time the Government has issued Task Orders totaling the sum of the maximum quantities.

9. Instructions and procedures for Task Order preparation and award are contained in Section H of this solicitation.
It is necessary to place an order to satisfy a minimum guarantee. All successful contract awardees are guaranteed a
minimum award of a task order(s) totaling $25,000.

10. The period of performance of any Task Order shall be of one year or less in duration.

11. Provided below are the Representative CLINs for this requirement. The Maximum Order Quantities shall not be
priced. Pricing shall be provided at the time of Task Order Proposal Requests issued under the contract.

REPRESENTATIVE CLINS
12. Provided below are Representative CLINs for this requirement which shall be priced by the offeror and included
in their business proposal. The services listed under the Representative CLINs are for evaluation purposes only and
are not reflective of initial task order requirements. All task order requirements will be competed after contract
awards are made.

12.1 Period of Performance 1 December 2010 through 30 November 2011:
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Line Item   Description                                                                Quantity    Units
0001        Dental Hygienist                                                           2088        Hours
            Site of Service. The contractor shall provide a Dental Hygienist for
            service in support of the Naval Health Clinic, Quantico, VA, and
            associated clinics.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, paragraphs C.7 and C.8.2 of
            the basic contract.
            Staffing and Scheduling. Services shall be required Monday through
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            Section C, Paragraphs C.9. and C.10.2, of the basic contract.
            Productivity is expected to be comparable with that of other individuals
            performing similar services.
0002        Dental Assistant                                                           2088        Hours
            Site of Service. The contractor shall provide a Dental Assistant for
            service in support of the Naval Ambulatory Care Center, Groton, CT.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, paragraphs C.7 and C.8.3 of
            the basic contract.
            Staffing and Scheduling. Services shall be required Monday through
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            Section C, Paragraphs C.9. and C.10.3, of the basic contract.
            Productivity is expected to be comparable with that of other individuals
            performing similar services.
0003        General Dentist                                                            2088        Hours
            Site of Service. The contractor shall provide a General Dentist for the
            Naval Health Clinic, Annapolis, MD.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, Paragraphs C.7 and C.8.1 of
            the basic contract.
            Staffing and Scheduling. Services shall be required Monday through
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            Section C, Paragraphs C.9. and C.10.1 of the basic contract to include a
            full range of General Dentistry services including the procedures
            identified in BUMEDINST 6320.66E or its latest revision. Productivity
            is expected to be comparable with that of other individuals performing
            similar services.
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Line Item   Description                                                                 Quantity    Units


0004        Dental Laboratory Technician                                                2088        Hours
            Site of Service. The contractor shall provide a Dental Laboratory
            Technician for the National Naval Medical Center, Bethesda, MD.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, Paragraphs C.7 and C.8.4 of
            the basic contract.
            Staffing and Scheduling. Services shall be required Monday through
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            section C, Paragraphs C.9. and C.10.4. of the basic contract. The
            healthcare worker is not required to provide obstetrical services.
            Productivity is expected to be comparable with that of other individuals
            performing similar services.

0005        Oral and Maxillofacial Surgeon                                              2088        Hours
            Site of Service. The contractor shall provide an Oral and Maxillofacial
            Surgeon for the Naval Health Clinic, Patuxent River, MD.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, Paragraphs C.7 and C.8.8 of
            the basic contract.
            Staffing and Scheduling. Services shall be required Monday through
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            Section C, Paragraphs C.9, C.10.5 and C.10.5.8 of the basic contract to
            include a full range of Oral and Maxillofacial Surgery services including
            the procedures identified in BUMEDINST 6320.66E or its latest
            revision. Productivity is expected to be comparable with that of other
            individuals performing similar services.



12.2 Logical Follow-on Period of Performance 1 December 2011 through 30 November 2012:

Line Item   Description                                                                 Quantity    Units
1001        Dental Hygienist                                                            2088        Hours
            Site of Service. The contractor shall provide a Dental Hygienist for
            service in support of the Naval Health Clinic, Quantico, VA, and
            associated clinics.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, paragraphs C.7 and C.8.2 of
            the basic contract.
            Staffing and Scheduling. Services shall be required Monday through
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Line Item   Description                                                                Quantity    Units
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            Section C, Paragraphs C.9. and C.10.2, of the basic contract.
            Productivity is expected to be comparable with that of other individuals
            performing similar services.
1002        Dental Assistant                                                           2088        Hours
            Site of Service. The contractor shall provide a Dental Assistant for
            service in support of the Naval Ambulatory Care Center, Groton, CT.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, paragraphs C.7 and C.8.3 of
            the basic contract.
            Staffing and Scheduling. Services shall be required Monday through
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            Section C, Paragraphs C.9. and C.10.3, of the basic contract.
            Productivity is expected to be comparable with that of other individuals
            performing similar services.
1003        General Dentist                                                            2088        Hours
            Site of Service. The contractor shall provide a General Dentist for the
            Naval Health Clinic, Annapolis, MD.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, Paragraphs C.7 and C.8.1 of
            the basic contract.
            Staffing and Scheduling. Services shall be required Monday through
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            Section C, Paragraphs C.9. and C.10.1 of the basic contract to include a
            full range of General Dentistry services including the procedures
            identified in BUMEDINST 6320.66E or its latest revision. Productivity
            is expected to be comparable with that of other individuals performing
            similar services.


1004        Dental Laboratory Technician                                               2088        Hours
            Site of Service. The contractor shall provide a Dental Laboratory
            Technician for the National Naval Medical Center, Bethesda, MD.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, Paragraphs C.7 and C.8.4 of
            the basic contract.
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Line Item   Description                                                                  Quantity      Units
            Staffing and Scheduling. Services shall be required Monday through
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            section C, Paragraphs C.9. and C.10.4. of the basic contract. The
            healthcare worker is not required to provide obstetrical services.
            Productivity is expected to be comparable with that of other individuals
            performing similar services.

1005        Oral and Maxillofacial Surgeon                                               2088          Hours
            Site of Service. The contractor shall provide an Oral and Maxillofacial
            Surgeon for the Naval Health Clinic, Patuxent River, MD.
            Qualifications. The healthcare worker shall possess and maintain the
            minimum qualifications stated in Section C, Paragraphs C.7 and C.8.8 of
            the basic contract.
            Staffing and Scheduling. Services shall be required Monday through
            Friday for 8.5 hours (including an uncompensated 30-minute meal
            break), except on the day of observance of Federal holidays, between the
            hours of 0730 and 1600 hours. The healthcare worker will accrue 8
            hours of personal leave (annual plus sick) for each 80 hours worked and
            shall be subject to leave approval in accordance with Section C,
            Paragraph C.3.1 of the basic contract.
            Duties. The healthcare worker shall provide those services specified in
            Section C, Paragraphs C.9, C.10.5 and C.10.5.8 of the basic contract to
            include a full range of Oral and Maxillofacial Surgery services including
            the procedures identified in BUMEDINST 6320.66E or its latest
            revision. Productivity is expected to be comparable with that of other
            individuals performing similar services.




SECTION C - DESCRIPTIONS AND SPECIFICATIONS



The following have been modified:
     SECTION C
NOTE 1: The use of Commanding Officer means: Commanding Officer or other activity head, or a designated
representative, e.g., Contracting Officer’s Representative (COR) or Department Head, of the activity designated in a
particular task order.

NOTE 2: The term contractor means the offeror identified in block 15A of Standard Form 33 or block 7 of the
Standard Form 26 and its HCWs who are providing services under task orders placed under the contract.

NOTE 3: The term health care worker (HCW) refers to the individual(s) providing services under the contract.

NOTE 4: The term Dental/Military Treatment Facility (DTF/MTF) or other Federal medical treatment facility at
which services are performed.
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NOTE 5: The term COR refers to the Contracting Officer’s Representative, a government employee appointed in
writing by the Contracting Officer to serve as technical liaison between the government and the contractor.

STATEMENT OF WORK

1. This Statement of Work (SOW) applies to all positions encompassed within the contract. Specific Statements of
Work for the Government’s requirements ordered from the maximum order quantities in Section B, CLINs 0001-
0007 will be included with subsequently issued Task Order Proposal Requests.

1.1. The contractor shall provide the health care personnel in accordance with the terms and conditions of the
contract and each task order issued under the contract.

1.2. Contractor services shall be provided for the treatment of active duty military personnel, their dependents,
eligible DoD civilian employees, and other eligible beneficiaries, designated by the Government.

2. SUITS ARISING OUT OF MEDICAL MALPRACTICE

2.1. The HCWs are serving at the DTF/MTF under a personal services contract entered into under the authority of
section 1091 of Title 10, United States Code. Accordingly, section 1089 of Title 10, United States Code shall apply
to personal injury lawsuits filed against the HCW(s) based on negligent or wrongful acts or omissions incident to
performance within the scope of the contract.

2.2. The HCWs are not required to maintain medical malpractice liability insurance. In the event of a claim or
lawsuit relating to the HCW's performance of duties under the contract, the parties shall follow the procedures
established in SECNAVINST 6300.3A, a copy of which can be viewed at http://doni.daps.dla.mil/.

2.3. HCWs providing services under the contract shall be rendering personal services to the Government and shall
be subject to day-to-day supervision and control by Government personnel. Supervision and control is the process
by which the individual HCW receives technical guidance, direction, and approval with regard to a task(s) within the
requirements of the contract.

3.   SCHEDULES, ABSENCES, AND LEAVE. Each task order will specify the work schedule of each HCW.
The Government will administer the leave provisions in this Section.

3.1. Eight hours of personal leave are accrued by each HCW at the end of every 80 hour period worked, unless
conditions specified in Section C.3.11, below, apply. The HCW shall be compensated by the government for these
periods of authorized planned absence. This leave shall be used for both planned (vacation) and unplanned
(sickness) absences. The specific work schedule for an individual HCW who accrues leave will be scheduled in
advance by the supervisor (or designee) specified in the task order. Any changes in the schedule shall be
coordinated between the individual HCW and the Government.

3.2. Each HCW shall adhere to DTF/MTF/supervisor policies and procedures for requesting leave, including
requirements for advance notice. Requests by HCWs for taking accrued leave are subject to approval by the
supervisor (or designee).

3.3. Unless otherwise negotiated between the Contracting Officer, the DTF/MTF and the contractor as specified in
the contract or applicable task order, the DTF/MTF shall administer leave in accordance with the guidelines for
Federal civil service employees. These guidelines relate to, among other topics, annual leave, administrative leave,
Leave Without Pay (LWOP), and holidays.

3.4. Contractors and HCWs shall ensure that leave requests are submitted with sufficient time in advance to allow
the supervisor to adequately plan for adequate staffing levels. Unless otherwise specified in a Task Order, all
accrued leave shall be used within 90 days following the completion of a Task Order if a Logical Follow-on Task
Order has been issued. If a Logical Follow-on Task Order is not issued, all unused leave shall be either used by the
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end of the Task Order period or forfeited. If personal leave is carried over beyond the completion date of the Task
Order (i.e. to be used in the subsequent 90 days), the Government reserves the right to require the HCW to provide
the supervisor and COR with a schedule for the use of that leave not later than the first workday of the Logical
Follow-on Task Order. Healthcare workers shall not presume that their leave schedule has been approved unless
notified, in writing, by the supervisor. The Government will make every effort to accommodate all leave requests;
however, the Commanding Officer reserves the right to unilaterally deny these leave requests to meet the demand
for patient care.

3.5. The Government will compensate the Contractor for periods of authorized absence. The Contractor shall, in
turn, compensate the HCWs for periods of authorized absence.

3.6. If the HCW is absent for three or more consecutive unplanned days, the Commanding Officer may require
written documentation from a qualified health care provider that the HCW is free from communicable disease. The
Government reserves the right to examine and/or re-examine any HCW who meets this criterion.

3.7. At the discretion of the Commanding Officer and subject to the advance approval by the supervisor, COR, and
the contractor, a HCW shall enter a leave without pay (LWOP) status upon exhaustion of any leave balance. Unless
waived by the Contracting Officer, the Contractor shall replace any HCW who has been on LWOP status for a total
of 40 hours per task order. At the discretion of the Commanding Officer, LWOP taken in conjunction with family
or medical leave is not subject to this limitation, but must be approved in advance by the Commanding Officer or
designee.

3.8. Upon request, up to 12 weeks of family or medical leave, accrued leave plus LWOP, may be granted to the
HCW if the circumstances specified in the Family and Medical Leave Act (FMLA), Sec. 102, apply.

3.9. During DTF/MTF check-in processing, HCWs shall report their reserve status to the DTF/MTF COR.
Documented military leave for military reservists may be allowed, not to exceed 15 days per fiscal year, in
accordance with 5 U.S.C. 6323(a). This leave may be taken intermittently, i.e., 1 day at a time, and may be carried
over into the next fiscal year provided a follow on task order in place. Military reservists who perform full-time
military service as a result of a call or order to active duty in support of a contingency operation may take up to 22
days per calendar year of military leave, in accordance with 5 U.S.C. 6323(b). Documented military leave taken in
accordance with 5 U.S.C. 6323(a) and (b) is compensated leave. HCWs shall follow the policy of the DTF/MTF
with respect to notification of scheduled military duties to the Commanding Officer.

3.10. Administrative leave may be granted for HCWs selected to serve jury duty. Requests for administrative jury
duty leave shall be submitted to the Commanding Officer in the same manner as personal leave is requested. The
HCW is required to provide the Commanding Officer with as much written notice as possible prior to reporting for
jury duty, and is responsible for supplying documentation regarding the necessity for and length of absence for jury
duty. A HCW whose position is deemed critical by the Commanding Officer may be issued a written request for the
court to excuse the HCW from jury duty. The HCW shall be compensated by the contractor for these periods of
authorized administrative leave. No individual HCW will be granted more than 15 days of administrative leave for
jury duty per year; in those instances where a contract HCW who accrues leave is anticipated to be in jury duty
status in excess of 15 days, the contractor shall provide a replacement worker.

3.11. In the event that a task order allows a leave accrual position to be staffed by part-time individuals, no leave
will be accrued by any individual who works less than 40 hours during a two week invoice period. This clause does
not apply to labor categories covered by the Service Contract Act.

3.12. All accrued leave shall be forfeited without compensation or reimbursement at the expiration or termination of
a task order or the contract or at the voluntary or involuntary separation of a contract HCW. The only exception to
this is in the case of a logical follow-on task order, which includes a provision for carry over from the expiring task
order of a specified maximum leave balance for a defined period.
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3.12.1. In the event that the HCW gives notice of employment termination, all accrued personal leave must be used
within that notice period, or forfeited. The Government will not extend the HCW’s termination date to
accommodate unused leave balances.

3.13. Federal Holidays. Requirements for holiday work are defined in each task order. Compensation for holidays
will be managed as follows:

3.13.1. Full-time and Part-time HCWs. Each full-time or part-time individual HCW who accrues personal leave will
also receive a paid holiday benefit. If additional Federal holidays are created as a result of an Executive Order, the
benefit will also be extended to the HCW. The Government will compensate the Contractor for the number of hours
the HCW is normally scheduled to work on the day on which holiday is observed. The Contractor shall fully
compensate the HCW for the number of hours the HCW is normally scheduled to work on the holiday observance.

3.13.2. A HCW who is not normally scheduled for duty on the day a holiday is observed will not be compensated
for the holiday. For example, a HCW who works 10 hours per day, Tuesday through Friday, will not receive
compensation for a Monday holiday, since the HCW is not normally scheduled to work on Mondays.

3.13.2.1. The Government supervisor will review, and approve on a case-by-case basis, HCW requests for schedule
changes which remove the HCW from a holiday schedule. The Government supervisor will approve the requests as
appropriate to the circumstance.

3.13.3. If the Government requires the services of a HCW who is not normally scheduled to work on a day of a
holiday observance, the Government will compensate the Contractor for the hours worked, and the HCW will
receive compensatory time equal to the number of hours worked on the holiday.

3.13.4. Part-time HCWs who do not accrue leave also do not accrue a holiday benefit or a holiday created by
Executive Order. The Government will compensate the Contractor only for the number of hours the HCW actually
works.

3.13.5. In no instance will the Government provide holiday compensation or compensatory time in excess of 12
hours for each holiday observance.

3.14. Compensatory Time.

3.14.1. Compensatory time earned as part of an incentive plan shall be used in accordance with that incentive plan
and may or may not be subject to this section. Such incentive plans will be part of the Task Order.

3.14.2. Compensatory Time must be approved prior to use. If compensatory time is either approved by the
Government or specifically permitted in individual task orders, compensatory time shall be used within the same
invoice period that it is earned unless the Commanding Officer prospectively approves leave carry over.
Compensatory time will be scheduled at the mutual agreement of the Government and the HCW.

3.14.3. In all cases, compensatory time earned in one Task Order period cannot be carried over to another Task
Order period. Upon (a) termination of the employment of an HCW or, (b) an HCW changing their employer from
one Contractor to another Contractor or, (c) the loss of employment as a result of the Government’s decision to
discontinue services provided under the Task Order, all unused compensatory time will be lost.

3.15. Administrative Leave.

3.15.1. For unusual and compelling circumstances (e.g., weather emergencies) in which the Commanding Officer
either excuses all facility personnel from reporting to work or dismisses all personnel early, the Commanding
Officer is authorized to grant administrative leave to the HCW. This administrative leave may be compensated
leave. Personnel who occupy ―critical‖ positions may be required to remain on duty or return to the DTF/MTF in
order to maintain continuity of patient care services.
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3.15.2. Furlough. Unless otherwise authorized by a defense appropriations bill, contractors shall not be reimbursed
by the Government for services not rendered during a Government furlough. In the event of a Government
furlough, the Commanding Officer will determine which contract employees are considered critical and therefore
must report to work. Contract employees deemed critical shall be compensated for services rendered during a
furlough. All other contract employees shall be furloughed until the Government shutdown ends or they are notified
by the Contracting Officer’s Representative that they have become critical employees.

3.16. A HCW with a bona fide medical emergency occurring while on duty, or with an on-the-job injury, will be
provided stabilizing medical care according to the procedures of the DTF/MTF. The contractor shall reimburse the
Government for all medical services provided unless the HCW is otherwise entitled to Government medical
services.

3.17. In the instance where the Government directs the HCW to remain on duty in excess of their scheduled shift
due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise
jeopardize patient health, the HCW shall remain on duty. The HCW will be given an equal amount of compensatory
time to be scheduled upon mutual agreement of the HCW and the Commanding Officer. This provision is not
intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine
administrative tasks at the end of a shift) which are to be completed as part of the shift.

3.18. HCWs providing services will generally (as specified in the task order) receive uncompensated meal breaks of
30 minutes when assigned an 8-hour shift and 45 minutes when assigned a 12-hour shift. The HCW’s shift will be
extended 30 minutes or 45 minutes, respectively, to constitute a full 8 or 12 hours of on-site service. This includes
extending the work shift beyond the scheduled clinic closing time to complete patient care and administrative duties.
No contractor employee shall work beyond 12 ¾ hours per shift.

3.19. Unless otherwise specified in the task order, HCWs may receive one compensated work break in the morning
and one in the afternoon, work load permitting, at the discretion of the Government. Neither break shall exceed 15
minutes or be taken with the intention of extending the lunch break.

3.20. Overtime shall be authorized in advance and scheduled by the government. If approved, the amount of
overtime will be defined in the specific task order and the contractor shall be compensated in accordance with
Section B. The contractor shall only be compensated for overtime when the authorized HCW provides services in
excess of their regularly scheduled 80 hours per pay period. Overtime shall not be worked prior to the appropriate
funding being applied to the task order.

3.21. Continuing Education.

3.21.1. The Commanding Officer may also grant authorization for planned absences to allow the HCW to attend
continuing education courses. This is in addition to the planned and unplanned absences specified above. The
Government may compensate the HCW for these periods of authorized absence if the continuing education course(s)
are determined to be a necessary expense by the government. This determination will be made on a case by case
basis, weighing the costs associated with the training of contractor personnel against the benefit gained by the
Government in support of the appropriation that will incur the expense. This compensation will not exceed 40 hours
per 12 month Task Order, equivalently apportioned for part-time employees and/or partial year Task Orders. The
Commanding Officer may also advance leave for continuing education.

3.21.2. Unless authorized in advance, the Government will not reimburse the HCW for the cost of any training
and/or other related expenses (travel). If authorized, the contractor shall be compensated for those expenses deemed
reasonable using the Travel/Training CLIN in Section B, CLIN 0006. The HCW shall provide proof of attendance
and successful completion of continuing education to the Commanding Officer upon request.

3.21.3. The contractor shall submit an invoice in accordance with Wide Area Work Flow instructions itemizing
expenses in amounts allowable by the COR.
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3.21.4. All reimbursements will be retrospective, payable only upon presentation of a properly prepared invoice (as
specified by the facility) to the COR. The government shall reimburse the contractor only for actual training costs
incurred, and any authorized travel expenses deemed reasonable. See Section C.11.

3.21.5. The Government reserves the right to require additional documentation, including memoranda from the
HCW obtaining the training.

3.21.6. Such training shall not be conducted prior to the appropriate funding being applied to CLIN 0006 through a
task order.

3.21.7. Training necessary to maintain the professional qualifications required by the contract (e.g. Basic Life
Support (BLS), Advanced Cardiac Life Support (ACLS), etc.) may be available at the DTF/MTF on a space
available basis. HCWs participating in such training shall not be in a contract duty status, i.e. training hours are not
paid hours of service. Failure of the HCW to obtain training on a space available basis does not release the
Contractor from the contract requirement.

3.22. Due to the nature of medical personal services which require Government supervision, the need for HCW
access to CHCS/AHLTA, and patients that present only at the DTF/MTF, the contract does not lend itself to allow
HCWs to telecommute.

4. FAILURE AND/OR INABILITY TO PERFORM

4.1. Should a HCW who accrues leave in accordance with section C.3.1 be unable to perform duties under any Task
Order due to medical or physical disability for more than 13 consecutive days, that individual’s performance under
the Task Order may be suspended by the Contracting Officer until such medical or physical disability is resolved. If
performance under the Task Order is so suspended, no reimbursement shall be made to the contractor for the
affected HCW so long as performance is suspended.

4.2. If clinical privileges of a HCW have been summarily suspended or are being held in abeyance (per
BUMEDINST 6320.66E (or latest version)), pending an investigation into questions of professional ethics or
conduct, performance under the Task Order may be suspended until clinical privileges are reinstated. No
reimbursement shall be made and no other compensation shall accrue to the contractor for the affected HCW so long
as performance is suspended or clinical privileges are held in abeyance. The denial, suspension, limitation, or
revocation of clinical privileges based upon practitioner impairment or misconduct will be reported to the
appropriate licensing authorities of the state in which the license is held IAW BUMEDINST 6320.66E (or latest
version) and BUMEDINST 6320.67A CH01.

4.3. Any HCW demonstrating impaired judgment will be removed from providing health care services. The
Government reserves the right to remove any employee who, in the judgment of a licensed physician, is impaired by
drugs or alcohol.

4.4. Any HCW with alcohol or drug abuse problems may be allowed to return to work under the terms of the
contract only with prior approval from the Commanding Officer.

5. GENERAL PROVISIONS FOR HCWS.

5.1. HCWs shall comply with Executive Order 12731, October 17, 1990, (55 Fed. Reg. 42547), Principles of Ethical
Conduct for Government Officers and Employees, and shall also comply with Department of Defense (DOD) and
other government regulations implementing this Executive Order.

5.2. HCWs shall be neat, clean, well groomed, and in appropriate clothing when in patient care and public areas. All
clothing shall be free of visible dirt and stains and shall fit correctly. Fingernails shall be clean and free from dirt,
and hair shall be neatly trimmed and combed. HCWs shall display an identification badge, which includes the
HCW’s full name and professional status (furnished by the Government) on the right breast of the outer clothing.
Security badges provided by the Government shall be worn when on duty.
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5.3. HCWs shall become acquainted with and obey all station regulations, shall perform in a manner to preclude the
waste of utilities, and shall not use Government resources (i.e. copiers, telephone, and computers, etc.) for personal
business. All motor vehicles operated on these installations by HCWs shall be registered with the base security
service according to applicable directives. Eating by HCWs is prohibited in patient care areas/clinics and is
restricted to designated areas. Smoking is prohibited in all clinic facilities.

5.4. The contractor and all HCWs shall comply with all DTF/MTF checkout processes. These processes include
returning government property, i.e., identification badges, pagers, cellular phones, etc., to the DTF/MTF upon a
HCW’s last day of service. Failure to do so promptly may result in delay of payment to the contractor.

5.5. Except as provided in this clause and in section H, HCWs are not prohibited from conducting a private practice
of their professions or from engaging in other employment. However, the HCWs shall not, simultaneously with
performance under the contract, engage in other employment that creates a conflict of interest, violates federal law
(see Section H), or potentially compromises the quality of their work under the contract. Further, such private
practice or other employment shall not be conducted during those hours in which the HCW is required to render
services under the contract. HCWs shall make no use of the Government facilities or property provided under the
contract in connection with other employment. (NAVMED P-117, Chapter 1, Article 1-22 applies
(<http://navymedicine.med.navy.mil/default.cfm?selTab=Directives>)).

5.6. While on duty, HCWs shall not advise, recommend, or suggest to individuals authorized to receive services at
Government expense that such individuals should receive services from the HCW when they are not on duty, or
from a partner or group associated in practice with the contractor, except with the express written consent of the
Commanding Officer. The contractor shall not bill individuals entitled to those services rendered pursuant to the
contract.

5.7. The Secretary of the Navy has determined that the illegal possession or use of drugs and paraphernalia in a
military setting contributes directly to military drug abuse and undermines Command efforts to eliminate drug abuse
among military personnel. The policy of the Department of the Navy (including the Marine Corps) is to deter and
detect drug offenses on military installations. Measures to be taken to identify drug offenses on military
installations, and to prevent introduction of illegal drugs and paraphernalia, include routine random inspection of
vehicles while entering or leaving, with drug detection dogs when available, and random inspection of personal
possessions on entry or exit. If there is probable cause to believe that a HCW has been engaged in use, possession,
or trafficking of drugs, the HCW may be detained for a limited period of time until he/she can be removed from the
installation or turned over to local law enforcement personnel having jurisdiction. When illegal drugs are
discovered in the course of an inspection or search of a vehicle operated by a HCW, the HCW and vehicle may be
detained for a reasonable period of time necessary to surrender the individual and vehicle to appropriate civil law
enforcement personnel. Action may be taken to suspend, revoke, or deny clinical privileges as well as installation
driving privileges. Implicit with the acceptance of the contract is the agreement by the HCW to comply with all
Federal and State laws as well as regulations issued by the Commanding Officer of the military installation
concerning illegal drugs and paraphernalia.

5.8. All financial, statistical, personnel, and technical data which are furnished, produced, or otherwise available to
the contractor during the performance of the contract are considered confidential business information and shall not
be used for purposes other than performance of work under the contract. Such data shall not be released by the
contractor without prior written consent of the COR. Any presentation of any statistical or analytical materials, or
any reports based on information obtained from studies covered by the contract, will be subject to review and
approval by the COR before publication or dissemination.

5.9. The Contractor shall comply with all applicable Federal, State, and local laws and DTF/MTF instructions and
policies.

5.10. Contract staff shall participate in executing the Emergency Preparedness Plan (drills and actual emergencies)
as scheduled by the DTF/MTF (typically semiannually). A DTF/MTF personnel re-call list with personal contact
information for all military, civil service, and contractor staff is required to prepare in advance for an actual
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emergency. Upon commencement of performance, the contractor shall provide the COR with a list of personal
contact information for a designated contractor representative as well as all contractor staff performing services.
The contractor shall provide an updated list to the COR bimonthly. Should an emergency occur that will affect the
HCWs’ shifts, the designated contractor representative and the HCWs will be contacted. In the event of an actual
emergency, essential contractor personnel may be required to remain on duty or to return to duty in order to
maintain continuity of patient care services.

5.11. HCWs providing services under the contract shall arrive for each scheduled shift in a well-rested condition and
shall have had at least 6 hours of rest from all other duties as a HCW immediately prior to reporting for the shift.

5.12. Incentive Awards. The Government reserves the right to make incentive awards on behalf of the HCWs in a
form of compensation outlined in a specific task order. These awards will be site or position specific based upon the
Government’s best business practice plans to minimize turnover, maximize the mission of the command and/or
reward exemplary work. Incentive plans may be contained in individual task orders. If the task order provides for a
non-cash incentive award (such as but not limited to a time off award) and one is actually made the contractor is
under no obligation to provide a replacement healthcare worker during the absence.

6. PERSONNEL QUALIFICATIONS. The contractor shall provide personnel having certain minimum levels of
training and experience. General qualifications that apply to all HCWs are given in Section C.7. Specific
qualifications for various labor categories are given in Section C.8. Additional and/or supplemental qualifications
specific to a particular Task Order are contained in the applicable Task Order. Additional/supplemental
qualifications may include, but are not limited to, experience, board certification, or other professional certifications
appropriate to the particular labor category.

7. GENERAL QUALIFICATIONS THAT APPLY TO ALL HCWS.

7.1. HCWs shall read, write, speak, and understand the English language fluently and maintain good communication
skills with patients and other health care personnel.

7.2. HCWs shall be physically capable of standing and/or sitting for extended periods of time and capable of normal
ambulation.

7.3. HCWs shall be in good standing and under no sanction or suspension by the Federal Government.

7.4. In order to carry out the duties required by the contract, all HCWs will be required to access Navy information
technology networks/systems containing sensitive information. Only HCWs who are U.S. citizens can be granted
access to Department of Navy (DON) Information Technology networks/systems and sensitive information (see
Section H, Information Technology/Sensitive Information Security Requirements and Section J, Attachment AA
Citizenship Requirements).

7.5. HCWs shall represent an acceptable malpractice risk to the Government.

7.6. HCWs shall be in good standing, and under no restrictions, with the state licensure board in any state in which a
license is held or has been held within the last 10 years.

7.7. HCWs shall be current with and have completed all continuing education requirements specified by their
professional licensure or certification.

7.8. Possess and maintain current certification in American Heart Association Basic Life Support (BLS) for Health
Care Providers; American Heart Association Health Care Provider course; American Red Cross CPR (Cardio
Pulmonary Resuscitation) for the Professional Rescuer; or an equivalent DTF/MTF course. Practitioners, not
currently in possession of current certification, must acquire certification prior to initiating contract performance.
Web based classes do not meet these standards. A copy of the BLS instruction may be obtained from the World
Wide Web at: http://navymedicine.med.navy.mil/Files/Media/directives/1500-15a.pdf.
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7.9. Possess basic computer skills. The contractor shall provide a completed Computer Skills Competency form for
each HCW (Attachment AF).

7.10 Occupational Health

7.10.1. Within 60 days prior to performance of services by the HCW, the HCW shall obtain, at contractor expense,
documentation of required immunizations and physical testing, and a statement from the HCW's licensed medical
practitioner or a report of a physical examination. The physical examination and immunization documentation shall
indicate that the HCW is free from mental or physical impairments that would restrict the HCW from providing the
services described herein. The requirements are provided on the HEALTH EXAMINATION AND
IMMUNIZATION/SCREENING REQUIREMENT FORM, the current version of which is available at:
http://www2.nmlc.med.navy.mil/handbooks/Physical%20Exam%20and%20Immunization%20Form.pdf. The
contractor shall always obtain the current version from the web page and shall have the form completed in its
entirety in accordance with its instructions. The facility shall identify any incumbent HCWs who are not required to
complete this documentation after contract award. Declinations shall only be permitted based on either the HCW’s
religious convictions or medical contraindications (as documented by a qualified health care provider). The
Hepatitis B vaccine declination can be found on the World Wide Web at
http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html.

7.10.1.1. Except for those workers who decline Hepatitis B vaccine as given above, the Hepatitis B requirements
provide that a HCW must either show a positive titer or demonstrate persistent non-response to the vaccine. A
HCW may be approved for service at the DTF/MTF prior to achieving a Hepatitis B positive titer or demonstrating a
persistent non-response according to the following provisions:

7.10.1.1.1. A HCW must receive the first vaccination of his/her initial vaccination series prior to commencing
service under the contract and must complete the series not later than 6 months after commencing service and, if a
negative titer is obtained, must complete the second series within another 6 months; or

7.10.1.1.2. A HCW who has completed his/her initial series and obtained a negative titer must commence his/her
second vaccine series prior to commencing service and must complete the second series not later than 6 months after
commencing service.

7.10.1.2. Workers approved according to the provisions above will be considered persistent non-responders until
there is evidence to the contrary and will be counseled by a licensed practitioner regarding the implications of non-
response.

7.10.1.3. If a HCW fails to comply with the applicable schedule above, the contractor shall replace the HCW if so
directed by the contracting officer.

7.10.2. Except as provided in paragraph C.7.10.3, below, no medical tests or procedures required by the contract
may be performed in the DTF/MTF. Expenses for all required tests and/or procedures shall be borne by the
contractor at no additional expense to the Government.

7.10.3. HCWs shall agree to undergo personal health examinations and such other medical and dental examinations
at any time during the term of the contract, as the Commanding Officer may deem necessary for preventive
medicine, medical surveillance, performance improvement, or privileging purposes. These examinations will be
provided by the Government. If the contractor chooses, these examinations may be provided by private physician or
dentist, at no expense to the Government.

7.10.4. It is essential that HCWs be vaccinated annually against influenza according to BUMED and CDC
guidelines aimed at reducing the impact of influenza disease in health care settings. The Government will provide
the influenza vaccine free of charge. If the HCW chooses to be immunized by the Government, the HCW shall sign
a waiver releasing the Government from legal liability in accordance with local procedures and policies.
Alternately, the HCW may obtain the vaccine at another facility, with the HCW bearing the total cost, and provide
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proof of vaccination to the Government. If the HCW declines vaccination, a signed declination form shall be
provided to the Government in accordance with CDC recommendations and DTF/MTF policies.

7.10.5. HCWs who do not show a positive antibody titer after immunization and appear to have a "non-immune"
status must report varicella exposure to the COR. In accordance with CDC Recommendations, such HCWs may be
removed from patient care duties beginning on the tenth day following exposure and remain away from work for the
maximum incubation period of varicella (21 days). In this instance, personnel under the contract who accrue leave
will be considered to be in a leave status; all other personnel will be in a LWOP status.

7.10.6. On an annual basis, HCWs must provide a current Purified Protein Derivative (PPD) reading or an
evaluation if they are a known PPD reactor. The Contractor is responsible for any expenses incurred for required
testing.

7.10.7. BLOODBORNE PATHOGEN ORIENTATION PROGRAM. HCWs shall participate in the Command’s
Bloodborne Pathogen Orientation Program. The HCW shall also participate in all required annual training and in
periodic training for all procedures that have the potential for occupational exposure to bloodborne pathogens.

7.10.8. MANAGEMENT OF HIV POSITIVE HCWs. HIV positive HCWs will be managed in accordance with the
current CDC guidelines and Section 503 of the Rehabilitation Act (29 U.S.C. 793) and its implementing regulations
(41 CFR Part 60-741).

7.10.9. PREVENTION OF THE TRANSMISSION OF THE HIV VIRUS. HCWs shall comply with the CDC’s
―Universal Precautions‖ for the prevention of the transmission of the HIV virus.

7.10.10. MANAGING THE CLINICAL RISK IN THE WORK ENVIRONMENT. The work environment
inherently involves risks typically associated with the performance of clinical procedures. The HCW may be
exposed to contagious disease, infections and flying debris, requiring the wearing of personal protection equipment
such as scrub attire, gloves, masks, and eye protection.

7.11. CREDENTIALING REQUIREMENTS

7.11.1 Following award of a task order, the contractor shall submit to the Medical Staff Services Office, via the
COR, a completed Individual Credentials File (ICF) for each required HCW. The ICF, which will be maintained at
the DTF/MTF, contains specific information with regard to qualifying degrees and licenses, past professional
experience and performance, education and training, health status, and competency as identified in Appendix R of
BUMEDINST 6320.66E of 29 August 2006 and subsequent revisions. ICFs for health care practitioners who do not
currently have an ICF on file at the facility shall be submitted at least 30 days prior to commencement of services.
For those health care providers who currently have an ICF on file, an updated Personal and Professional Information
Sheet (PPIS) for Privileged Providers, with notation that a complete up-to-date ICF is on file, shall be submitted no
less than 15 days prior to commencement of services.

7.11.2 Following award of a task order, the contractor shall submit to the Medical Staff Services Office, via the
COR, a completed Individual Professional File (IPF) for each licensed staff member not included in the
requirements for ICFs. The IPF, which will be maintained at the DTF/MTF, contains specific information with
regard to qualifying degrees and licenses, past professional experience and performance, education and training,
health status, and competency as identified in Appendix S of BUMEDINST 6320.66E of 29 August 2006 and
subsequent revisions. IPFs for personnel who do not currently have an IPF on file at the facility shall be submitted
at least 30 days prior to commencement of services. For those personnel who currently have an IPF on file, an
updated Personal and Professional Information Sheet (PPIS) for Nonprivileged Providers, with notation that a
complete up-to-date IPF is on file, shall be submitted no less than 15 days prior to commencement of services.

7.11.3 Upon receipt of a complete ICF or IPF, the COR will forward it to the Medical Staff Services Office for
approval and credentialing of the individual health care provider/worker. The Medical Staff Services Office will
ensure the ICF or IPF is complete in accordance with BUMEDINST 6320.66E of 29 August 2006 and subsequent
revisions. The contractor shall not assign an individual to work at the DTF/MTF until the HCW’s ICF or IPF has
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been approved and shall discontinue the service of an individual who fails to maintain compliance with qualification
and credentialing requirements.

7.11.4 BUMEDINST 6320.66E is available at http://navymedicine.med.navy.mil/default.cfm?selTab=Directives.
Click BUMED Directives, select page 4 of the directives, and scroll down to the instruction number. The instruction
is now contained in several separate files.

7.11.5 The Contractor shall submit a qualifications package to the COR for each HCW who is not required to submit
either an Individual Credentials File (ICF) or an Individual Professional File (IPF), e.g., dental hygienists. Prior to
Contractor employees providing services under the contract, the COR will verify the compliance of each HCW with
the qualification requirements appropriate to their employment category.

7.11.6 Unless otherwise specified in an individual Task Order Proposal Request, the Government reserves the right
to transfer to the gaining Contractor the credentials of a HCW who has been granted delineated clinical privileges on
a predecessor contract/task order without a new or additional credentialing action. This extension may only occur:
a) within the same command; b) when there is no increased clinical competency requirement of the HCW; c) when
there is no significant change in the scope of clinical practice of the HCW; d) when there is no gap in performance
between the contracts; and e) when the HCW has had acceptable performance evaluations.

7.11.7 Notwithstanding licensure and certification requirements given below in Section C.8, each HCW is
responsible for complying with all applicable licensure and certification regulations.

7.11.8 The contractor shall continuously maintain a current list of all individuals who have been privileged,
credentialed, or approved for service under each task order. The contractor shall provide a copy of the list to the
COR monthly, or more often as requested by the COR.

7.12. ORIENTATION

7.12.1. Each HCW providing service under the contract or resultant Task Orders shall undergo an orientation.
Orientation may be waived for personnel who have previously provided service at the treatment facility.

7.12.2. Orientation shall consist of Command Orientation and Information Systems Orientation. Command
orientation of up to 40 hours includes annual training requirements for topics such as but not limited to fire, safety,
infection control, family advocacy, Chemical, Biological, Radiological, Nuclear, and Explosive Events (CBRNE)
Basic Awareness, and various Navy required on-line trainings. Additional Command Orientation for nurses (local
certifications) will comprise an estimated additional 28 hours. Information Systems Orientation of approximately 24
hours includes the Composite Health Care System (CHCS), Armed Forces Health Longitudinal Technology
Application (AHLTA), and the Ambulatory Data System (ADS). In addition, HCWs identified as CHCS and/or
AHLTA Super-users shall undergo an additional 8 hours of information systems orientation. Any additional or
specific requirements for orientation will be provided in the applicable Task Order.

7.12.3. Orientation will be provided to contractor employees, as required, during initial regularly scheduled shifts
under the task order or as specified in the task order.

7.12.4. Those contractor employees who are required to be oriented during initial regularly scheduled work shifts
shall be scheduled by the contractor for shifts occurring at times when orientation classes are available. The COR
will provide a list of training times up to 30 days in advance.

7.12.5. For each task order requiring services of an individual the contractor shall not invoice for orientation, and the
government will not reimburse the contractor for orientation, until such time as the individual has provided an
amount of clinical services equal to the amount of orientation received. The contractor shall complete all orientation
within 60 days after commencement of services by the HCW.

7.13. Turnover of HCWs. The contractor shall recognize the potentially negative impact on continuity of care
created by staff turnover and the expense incurred by the Government for orientation and privileging of new
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workers. Therefore, the contractor shall make every effort to minimize turnover and, notwithstanding contractor
employee probation policies, shall recruit only individuals who indicate interest in a long-term commitment under
the task order.

8. SPECIFIC QUALIFICATIONS LABOR CATEGORIES. Each HCW shall meet and maintain the qualifications
specified below for their labor category. The following specific labor category qualifications are additional to the
general qualifications given in Section C.7 and may be further supplemented by specific qualifications contained in
the task order. Notwithstanding the experience requirements listed below for each labor category, each HCW
proposed for a credentialed position must have pertinent clinical experience within the past 2 years sufficient to
demonstrate current clinical competency for the setting and procedures required by the contract and individual task
order.

8.1.   GENERAL DENTISTS

8.1.1. Possess doctorate in dentistry from an accredited dental school approved by the Council on Dental Education
of the American Dental Association (ADA) within the preceding 12 months, OR b) a doctorate from an accredited
dental school approved by the Council on Dental Education of the ADA and have experience as a General Dentist of
at least 12 months within the preceding 36 months.

8.1.2. Successfully completed at least 12 classroom hours of continuing dental education, which maintain skills and
knowledge as a General Dentist within the preceding 24 months. This requirement is not applicable to new
graduates per C.8.1.1. above.

8.1.3. Possess current, unrestricted license to practice dentistry in any one of the fifty States, the District of
Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands and maintenance of same. The
HCW is responsible for complying with all applicable state licensing regulations. All state dental/medical licenses
held by each contractor must be submitted as part of the credentialing package.

8.1.4. Provide letters of recommendation from two practicing dentists and/or professors attesting to the HCW’s
clinical skills, patient rapport, etc. Recommendation letters must include name, title, phone number, date of
reference, address and signature of individual providing the letter. Letters must have been written within the
preceding three years.

8.2. DENTAL HYGIENISTS

8.2.1. Possess a degree or certificate in dental hygiene from a school of dental hygiene approved by the Council on
Dental Education of the ADA.

8.2.2. Hold a current, unrestricted license to practice dental hygiene in any one of the fifty States, the District of
Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands and maintenance of same.

8.2.3. Have experience as a dental hygienist for at least 12 months within the preceding 24 months, OR have
graduated from an ADA approved dental hygiene program within the preceding 12 months.

8.2.4. Have either (a) successfully complete at least 12 classroom hours of continuing dental hygiene education
within the preceding 18 months which maintain skills and knowledge in dental hygiene and preventive dentistry OR
(b) graduated from an ADA approved dental hygiene program within the preceding 12 months.

8.2.5. Provide letters of recommendation from two practicing dentists attesting to the HCW’s clinical skills. If a
recent graduate per C.8.2.3. above, the letters of recommendation may be either from practicing dentists or from
faculty members where the HCW’s dental hygiene degree was received. Letters must have been written within the
preceding three years and must include name, title, phone number, date of reference, address and signature of the
individual providing the letter.

8.3. DENTAL ASSISTANTS
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8.3.1 Possess at least one of the following:

- Certificate or Associate Degree as a dental assistant/technician from a state accredited program and 12 months
experience within the preceding 36 months.

- Certification from a military dental technician or dental assistant "A" school and 12 months experience within the
preceding 36 months.

- Certification from a Red Cross Dental Assistant course and 12 months experience within the preceding 36 months.

- Certification from a Military Red Cross Dental Assistant course within the preceding 6 months.

- 18 months experience within the preceding 36 months as a dental assistant in a private practice or a military Clinic.

- Membership in good standing with the American Association of Dental Assistants with required continuing
education and 12 months experience within the preceding 36 months.

- Graduation from a state accredited program for dental assistants or dental technology within the preceding 12
months.

8.3.2. Provide two letters of recommendation from either practicing dentists or faculty members where the HCW
received his/her dental assistant training. The letters must attest to the HCW’s clinical skills, patient rapport, etc.
Recommendation letters must include name, title, phone number, date of reference, address and signature of the
individual providing the letter. Letters must have been written within the preceding three years.

8.4. DENTAL LABORATORY TECHNICIANS- Candidates must qualify under Route 1, or Route 2, as specified
below:

8.4.1. Route 1.

8.4.1.1. Graduation from an approved program in dental laboratory technology accredited by the Commission on
Dental Accreditation in conjunction with the ADA,

Possess one of the following:
- Certification as a Dental Technician in removable partial denture with 24 months experience within the preceding
36 months as a Dental Laboratory Technician,

- Certification as a Dental Technician in Crown and Bridge with 24 months experience within the preceding 36
months as a Dental Laboratory Technician,

- Certification as a Dental Technician in Porcelain/Ceramic with 24 months experience within the preceding 36
months as a Dental Laboratory Technician,

- Certification as a Dental Technician in Acrylic Resin with 24 months experience within the preceding 36 months
as a Dental Laboratory Technician.

8.4.1.2. Letters of recommendation: Provide letters of recommendation from two practicing prosthodontists or
laboratory managers familiar with the HCW’s work. The letters must attest to laboratory skills, competencies,
timeliness of work produced, and other related issues concerning their dental laboratory expertise. Recommendation
letters must include name, title, phone number, date of reference, address and signature of the individual providing
the letter. Letters must have been written within the preceding three years. The HCW is responsible for the
completeness, accuracy and content of any letters of recommendation.
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Please note: Experience gained while teaching or with dental suppliers in such areas as product development,
marketing, and sales shall NOT count toward the basic experience requirement.

8.4.2. Route 2.

8.4.2.1. Graduation from a military (DoD) Military Dental Laboratory ―C‖ School, (87528753 or Army/Air Force
equivalent) AND 24 months experience within the preceding 36 months as a Dental Laboratory Technician.

8.4.2.2. Letters of recommendation: Provide letters of recommendation from two practicing prosthodontists or
laboratory managers familiar with the HCW’s work. The letters must attest to laboratory skills, competencies,
timeliness of work produced, and other related issues concerning their dental laboratory expertise. Recommendation
letters must include name, title, phone number, date of reference, address and signature of the individual providing
the letter. Letters must have been written within the preceding three years. The HCW is responsible for the
completeness, accuracy and content of any letters of recommendation.

Please note: Experience gained while teaching or with dental suppliers in such areas as product development,
marketing, and sales shall NOT count toward the basic experience requirement.

8.5. ENDODONTISTS

8.5.1. Possess a doctorate in dentistry from an accredited dental school approved by the Council on Dental
Education of the ADA.

8.5.2. Possess a current, unrestricted license to practice dentistry in any one of the fifty States, the District of
Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands and maintenance of same.

8.5.3. Have completed a post-doctoral program in endodontics approved by the ADA.

8.5.4. Have a minimum of 2 years clinical post-residency experience as an Endodontist, at least 6 months of which
must have occurred within the preceding 24 months of receipt of the credentials package.

8.5.5. Provide letters of recommendation from two practicing dentists and/or professors attesting to the HCW’s
clinical skills, patient rapport, etc. Recommendation letters must include name, title, phone number, date of
reference, address and signature of the individual providing the letter. Letters must have been written within the
preceding three years.

8.6. PROSTHODONTISTS

8.6.1. Possess a doctorate in dentistry from an accredited dental school approved by the Council on Dental
Education of the ADA.

8.6.2. Have a current, active, unrestricted license to practice as a General Dentist in any one of the 50
States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

8.6.3. Have completed a post-doctoral program in prosthodontics approved by the ADA.

8.6.4. Have a minimum of 2 years clinical post-residency experience as a prosthodontist, at least 6 months of which
must have occurred within the preceding 24 months of receipt of the credentials package.

8.6.5. Provide letters of recommendation from two practicing dentists and/or professors attesting to the HCW’s
clinical skills, patient rapport, etc. Recommendation letters must include name, title, phone number, date of
reference, address and signature of the individual providing the letter. Letters must have been written within the
preceding three years.

8.7. ORTHODONTISTS
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8.7.1. Possess a doctorate in dentistry from an accredited dental school approved by the Council on Dental
Education of the ADA.

8.7.2. Have a current, active, unrestricted license to practice as a General Dentist in any one of the 50
States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

8.7.3. Have completed a post-doctoral program in orthodontics approved by the ADA.

8.7.4. Have a minimum of 2 years clinical post-residency experience as an Orthodontist, at least 6 months of which
must have occurred within the preceding 24 months of receipt of the credentials package.

8.7.5. Provide letters of recommendation from two practicing dentists and/or professors attesting to the HCW’s
clinical skills, patient rapport, etc. Recommendation letters must include name, title, phone number, date of
reference, address and signature of the individual providing the letter. Letters must have been written within the
preceding three years.

8.8. ORAL/MAXILLOFACIAL SURGEONS

8.8.1. Possess a doctorate in dentistry from an accredited dental school approved by the Council on Dental
Education of the ADA.

8.8.2. Have a current, active, unrestricted license to practice as a General Dentist in any one of the 50
States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

8.8.3. Have completed a post-doctoral program in Oral/Maxillofacial Surgery approved by the ADA.

8.8.4. Have a minimum of 2 years clinical post-residency experience as an Oral/Maxillofacial Surgeon, at least 6
months of which must have occurred within the preceding 24 months of receipt of the credentials package.

8.8.5. Provide letters of recommendation from two practicing dentists and/or professors attesting to the HCW’s
clinical skills, patient rapport, etc. Recommendation letters must include name, title, phone number, date of
reference, address and signature of the individual providing the letter. Letters must have been written within the
preceding three years.

8.9.   PERIODONTISTS

8.9.1. Possess a doctorate in dentistry from an accredited dental school approved by the Council on Dental
Education of the ADA.

8.9.2. Have a current, active, unrestricted license to practice as a General Dentist in any one of the 50
States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

8.9.3. Have completed a post-doctoral program in periodontics approved by the ADA.

8.9.4. Have a minimum of 2 years clinical post-residency experience as a Periodontist, at least 6 months of which
must have occurred within the preceding 24 months of receipt of the credentials package.

8.9.5. Provide letters of recommendation from two practicing dentists and/or professors attesting to the HCW’s
clinical skills, patient rapport, etc. Recommendation letters must include name, title, phone number, date of
reference, address and signature of the individual providing the letter. Letters must have been written within the
preceding three years.

9. GENERAL DUTIES. Contractor personnel shall perform a full range of duties consistent with their labor
category, education, training, experience, clinical privileges (as applicable), and assigned position. General duties
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that apply to all personnel or across certain labor categories are given below. Additional and/or supplemental duties
which are labor category specific, service area specific, or facility specific, including duties such as on-call or
hospital admissions, are contained in Section C.10 and in the specific Task Order. Duties that apply to all contractor
personnel are as follows:

9.1. Maintain a level of productivity comparable with that of other individuals performing similar services.

9.2. Comply with the standards of the Joint Commission, applicable provisions of law, and the rules and regulations
of any and all governmental authorities pertaining to licensure and regulation of health care personnel and medical
treatment facilities, the regulations and standards of medical practice of the DTF/MTF and the bylaws of the
DTF/MTF’s medical staff. Adhere to and comply with all Department of the Navy, Bureau of Medicine and
Surgery and local instructions and notices which may be in effect during the term of the contract.

9.3. Participate in peer review and performance improvement activities.

9.4. Participate in the Command's Bloodborne Pathogen Program, including orientation, annual training, and
exposure procedures.

9.5. Comply with the CDC's "Universal Precautions" for prevention of the transmission of HIV.

9.6. Practice aseptic techniques as necessary. Comply with infection control guidelines to include the proper
handling, storage, and disposal of infectious wastes, the use of universal precautions to prevent the spread of
infections.

9.7. Function with an awareness and application of safety procedures.

9.8. Perform efficiently in emergency patient situations following established protocols, remaining calm, informing
appropriate persons, and documenting events. Anticipate potential problems/emergencies and make appropriate
interventions. Notify supervisor, director, or other designated person regarding problems that the HCW is unable to
manage.

9.9. Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced
risk manner.

9.10. Participate in the implementation of the Family Advocacy Program as directed. Participation shall include,
but not be limited to, appropriate medical examination, documentation, and reporting.

9.11. Exercise awareness and sensitivity to patient/significant others' rights, as identified within the institution.

9.12. Maintain an awareness of responsibility and accountability for own professional practice.

9.13. Participate in continuing education to meet own professional growth.

9.14. Attend annual renewal of hospital provided annual training such as family advocacy, disaster training,
infection control, sexual harassment, and bloodborne pathogens.

9.15. Actively participate in the command’s performance improvement program. Participate in meetings to review
and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend
corrective action when problems exist.

9.16. Participate in the provision of in-service training to clinic staff members. Provide training and/or direction as
applicable to supporting Government employees (e.g., hospital corpsmen, students, etc.).

9.17. Attend and participate in various meetings as directed.
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9.18. Perform timely, accurate, and concise documentation of patient care.

9.19. Use, operate and manipulate computerized systems such as CHCS, AHLTA, Clinical Information System
(CIS) and other data systems.

9.20. Participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, as
prescribed by the Commanding Officer.

9.21. Exercise appropriate delegation of tasks and duties in the direction and coordination of health care team
members, patient care, and clinic activities.

9.22. HIPAA Compliance. The HCW shall comply with the HIPAA (Health Insurance Portability and
Accountability Act) privacy and security policies of the treatment facility. Providers shall obtain/maintain a
National Provider Identifier (NPI) in accordance with DOD and DTF/MTF policy/instruction as applicable.

9.23. Be officially evaluated at least semi-annually on performance and adherence to requirements of the contract.

10. SPECIFIC DUTIES. The following specific labor category duties are additional to the general duties given in
Section C.9 and may be further supplemented by specific duties contained in the applicable task order.

10.1. GENERAL DENTISTS - SPECIFIC DUTIES/RESPONSIBILITES OF GENERAL DENTISTS ARE AS
FOLLOWS:

10.1.1. Routine workload is scheduled by the treatment facility. Primary workload is a result of appointments
generated by patient activity through the Comprehensive General Dentistry Department or scheduled through the
DTF/MTF. The HCW has full responsibility for diagnostic examinations and development of comprehensive
treatment plans when indicated, delivery of treatment within the personnel, equipment, and supply capabilities of the
facility. In addition, the HCW has full responsibility for the quality and timeliness of preparation of dental records
and reports for procedures performed and care provided. Patients frequently have overlapping, multiple symptoms
and often require multidiscipline long-term treatment. The HCW shall refer patients to staff specialists for
consultative opinions and continuation of care and shall see the patients of other staff health care providers for
consultation and treatment.

10.1.2. The HCW shall perform a full range of clinical dentistry procedures, within the scope of clinical privileges
granted by the Commanding Officer, on-site using government furnished facilities, supplies, and equipment.
Caseload occurs as a result of either scheduled or unscheduled requirements for care.

10.1.3. The HCW shall provide comprehensive dental examination, consultation, and treatment planning including
the use of radiographs, photographs, diagnostic tests, impressions, jaw relation records, and diagnostic casts.
Specific procedures:

-   Preliminary diagnosis, initial treatment, or stabilization of oral manifestations of systemic disease
-   Management of odontogenic infections and diseases through pharmacologic means and incision and drainage
-   Post mortem dental exam for purposes of identification
-   Preventive dentistry services
-   Minimal sedation/Anxiolysis (oral only) (Single agent) (patients over 12 years old)
-   Restorative dentistry; inlays, onlays, amalgams, composites, bonding, veneers, pin or post retention
-   Pulp caps, pulpotomy, pulpectomy
-   Occlusal adjustment (limited)
-   Provisional splinting
-   Occlusal splint
-   Root planing
-   Apexification and apexogenesis
-   Gingivectomy and gingivoplasty
-   Gingival curettage
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-   Complete or partial dentures; new, reline, rebase, repair, immediate (uncomplicated)
-   Crown, retainer, and pontic (uncomplicated) services not increasing the vertical dimension of occlusion
-   Post and core procedures
-   Tooth extraction (routine) including vertical or mesioangular, high partially encapsulated third molars
-   Post trauma replantation
-   Alveoloplasty concurrent with extractions
-   Repair traumatic wounds (less than 2 cm and not crossing vermilion border)
-   Local anesthesia
-   Soft tissue excision/biopsy
-   Foreign body removal in the treatment of acute trauma
-   Osteitis and pericoronitis treatment
-   Complete uncomplicated, nonsurgical root canal therapy for permanent teeth
-   Bleaching of discolored teeth
-   Space maintenance
-   Removable orthodontic appliances to effect minor tooth movement or habit correction

Advanced procedures
- Tooth extraction (including fully-encapsulated third molars not requiring sectioning or bone removal)
- Extraction of partial bony impacted third molars
- Extraction of full bony impacted third molars
- Minor tooth movement (fixed appliances)
- Root-end resection and root-end filling (uncomplicated anterior)
- Resin-bonded fixed partial denture
- Nonsurgical management of temporomandibular disorders
- Maintenance of dental implants (to include removal and reinsertion of implant restorations)
- Prosthetic restoration of dental implants (limited to single tooth restorations)
- Minimal Sedation/Anxiolysis inhalation sedation with nitrous oxide/oxygen (single agent)

10.1.4. As a member of a professionally diverse team, the HCW contributes in a positive manner to team building
and morale.

10.2. DENTAL HYGIENISTS - SPECIFIC DUTIES/RESPONSIBILITES OF DENTAL HYGIENISTS ARE AS
FOLLOWS:

10.2.1. ADMINISTRATIVE AND TRAINING REQUIREMENTS. The HCW shall:

10.2.1.1. Become familiar with and follow standardized (Navy) concepts of Phased Dentistry and Managed Care.

10.2.1.3. "RESERVED"

10.2.1.4. Direct supporting Government employees assigned to him or her during the performance of clinical
procedures. Such direction and interaction will comply with government and professional clinical standards and
accepted protocols. The HCW will be subject to guidelines set forth in the Command's quality assurance and risk
management instructions. The HCW shall perform administrative duties that include maintaining statistical records
of his or her clinical workload, participating in dental education programs, preparing documentation for boards, and
participating in clinical staff quality assurance functions at the prerogative of the Commanding Officer.

10.2.2. CLINICAL DUTIES - DENTAL HYGIENISTS:

10.2.2.1. Routine workload is scheduled by the treatment facility. Primary workload is a result of appointments
scheduled through the DTF/MTF's central appointment system. Secondary workload is a result of consultation
requests submitted to the specialty clinic by staff dentists. The contractor is responsible for delivery of treatment
within the personnel and equipment capabilities of the DTF/MTF, provision of mandated surveillance and
preventive services, and the quality and timeliness of treatment records and reports required to document procedures
performed and care provided. The HCW shall refer patients to staff specialists for consultative opinions and
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continuation of care and shall see the patients of other staff health care providers who have been referred for
consultation and treatment.

10.2.2.2. Perform a full range of dental hygienist procedures, within the scope of this statement of work, on site
using Government furnished facilities, supplies, and equipment. Workload occurs as a result of scheduled and
unscheduled requirements for care. Actual HCW clinical activity will be a function of the overall demand for
hygienist services.

10.2.2.3. Review and complete preliminary dental examinations for new periodontal and recall patients. Oversee
and manage periodontal patient recall programs.

10.2.2.4. Review patient's medical and dental history for evidence of past and present conditions such as medical
illnesses and use of drugs which may complicate or modify dental hygiene treatment.

10.2.2.5. Examine teeth and surrounding tissues for evidence of caries, periodontal disease and then record
findings.

10.2.2.6. Inspect head and neck, examine mouth, throat and pharynx for evidence of disease such as oral cancer
and/or soft tissue pathosis.

10.2.2.7. Expose, develop and interpret radiographs to identify tooth structure, periodontal support and other
abnormalities such as periodontal bone loss, periapical pathosis, caries, defective restorations, improper tooth
contours and contact relationships.

10.2.2.8. Refer suspected medical conditions, hard and soft tissue abnormalities, caries, periapical and periodontal
pathosis and traumatic or suspicious lesions to the dental officer for evaluation.

10.2.2.9. Perform pit and fissure sealant applications.

10.2.2.10. Develop dental hygiene treatment plans for patients including assessment of the problem, type and extent
of treatment required and sequence of appointments to complete treatments.

10.2.2.11. Obtain blood pressure on patients presenting for treatment.

10.2.2.12. Perform complete oral prophylaxis and non-surgical periodontal treatment on ambulatory patients using
ultrasonic and hand instruments.

10.2.2.13. Perform subgingival scaling, root planing and curettage under local anesthesia administered by a dental
officer and perform topical fluoride applications.

10.2.2.14. Polish teeth and apply disclosing solutions, fluorides, desensitizing agents and other topical medications
to the teeth for the purpose of controlling caries and dentinal hypersensitivity.

10.2.2.15. Maintain patient records in accordance with Joint Commission and DTF/MTF requirements.

10.2.2.16. Comply with applicable quality assurance standards for preventive dentistry.

10.2.2.17. Instruct patients, individually and in group seminars, in proper oral hygiene using a variety of aids such
as models of teeth, slides, toothbrushes, floss, disclosing tablets, mirrors, interproximal brushes and rubber tips.

10.2.2.18. Plan and adapt oral home care techniques to the specific need of the individual patient.

10.2.2.19. Explain causes of caries and periodontal disease to patients and the importance of nutrition in
maintaining dental and systemic health.
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10.2.2.20. Monitor, provide technical direction and assist in training dental technicians involved in direct patient
care to perform scaling, prophylaxes, polishing procedures, fluoride applications and oral home care instructions.
This may include preparing and presenting scheduled lectures to staff.

10.2.2.21. Maintain a record of patient treatment and number of patients treated.

10.2.2.22. Record oral condition of teeth and supporting tissues, type of therapy provided and progress notes.

10.2.2.23. Clean and maintain instruments and insure their sterility.

10.2.2.24. Treat acute necrotizing ulcerative gingivitis.

10.2.2.25. Assist in Oral Diagnosis Sick call to include exposing and developing periapical, bitewing and panoral
radiographs.

10.2.2.26. Provide oral prophylaxis, preventive dentistry procedures and non-surgical periodontal therapy to active
duty military personnel and eligible beneficiaries.

10.2.2.27. Clean and maintain the work area to meet the clinic's standards, and may be assigned other duties as
directed by the Commanding Officer, consistent with the normal duties of a dental hygienist.

10.2.2.28. As a member of a professionally diverse team, the HCW contributes in a positive manner to team
building and morale.

10.2.2.29. May be assigned other duties consistent with the normal duties of a dental hygienist as directed by the
Commanding Officer to include, but not limited to, participating in command quality improvement and assurance
meetings, etc.

10.2.2.30. Administration of local anesthesia (infiltration and block anesthesia) is not a required qualification;
however, if the appropriate background training and credentials exist, clinical privileges may be granted.

10.3. DENTAL ASSISTANTS - SPECIFIC DUTIES/RESPONSIBILITES OF DENTAL ASSISTANTS ARE AS
FOLLOWS:

10.3.1. ADMINISTRATIVE AND TRAINING REQUIREMENTS. The HCW shall:

10.3.1.1. Provide for the examination, treatment, and disposition of patients compatible with the Dental Treatment
Facility's operating capacity and equipment;

10.3.1.2. Become familiar with and follow standardized (Navy) concepts of Phased Dentistry and Managed Care.

10.3.2. CLINICAL DUTIES –DENTAL ASSISTANTS - Be responsible for a full range of dental assisting
procedures in support of Dental Officer examinations and delivery of treatment under the "four handed dentistry"
format within the personnel and equipment capabilities and limitations of the Dental Treatment Facility. The HCW
shall aid in the provision of mandated dental surveillance and preventive services and assist in ensuring the quality
and timeliness of treatment records and reports required to document procedures performed and care provided. The
HCW shall also refer patients who present with a complaint to staff dentists for evaluation and continuation of care
and attend multidisciplinary treatment team meetings on behalf of the dental officers. The HCW shall:

10.3.2.1. Perform a full range of dental assistant duties, within the scope of this statement of work, on site using
government furnished supplies, facilities and equipment within the assigned unit of the Dental Treatment Facility.
Workload occurs as a result of scheduled and unscheduled requirements for care. The HCW’s actual clinical
performance will be a function of the overall demand for dental assisting services.
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10.3.2.2. Provide oral prophylaxis, preventive dentistry procedures and non-surgical periodontal therapy to active
duty military personnel and eligible beneficiaries.

10.3.2.3. Maintain patient records in accordance with Joint Commission and DTF/MTF requirements.

10.3.2.4. Select and arrange instruments and prepare set-ups for patient treatment.

10.3.2.5. Assist during patient examination and treatment.

10.3.2.6. Assist during administration of anesthesia.

10.3.2.7. Assist in placement and removal of sutures.

10.3.2.8. Prepare restorative and impression materials.

10.3.2.9. Dispose of contaminated waste in accordance with the standard procedures of the DTF/MTF.

10.3.2.10. Load and unload radiographic film cassettes. Place digital film sensors, expose digital radiographs and
execute computer processing of the digital x-ray image.

10.3.2.11. Expose bitewing, periapical and occlusal film utilizing bisecting angle or paralleling radiographic
techniques.

10.3.2.12. Perform radiographic darkroom procedures to include manual and automatic film processing.

10.3.2.13. Instruct on basic oral hygiene care.

10.3.2.14. Maintain operatory to meet the clinic's cleanliness and infection control standards.

10.3.3. The HCW may be assigned other duties consistent with the normal duties of a dental assistant as directed
by the Commanding Officer to include, but not limited to, working at the appointments desk, performing Central
Sterile Supply functions, and participating in command quality improvement and assurance meetings, etc.

10.3.4. As a member of a professionally diverse team, the HCW shall contribute in a positive manner to team
building and morale.

10.3.5. Under the supervision of a dentist, all dental assistants may be allowed to participate in Expanded
Functions training program and certification in accordance with BUMEDINST 6600.13 and local directives at the
CO’s discretion.

10.4. DENTAL LABORATORY TECHNICIANS - SPECIFIC DUTIES/RESPONSIBILITES OF DENTAL
LABORATORY TECHNICIANS ARE AS FOLLOWS:

10.4.1.   ADMINISTRATIVE AND TRAINING REQUIREMENTS. The HCW shall:

10.4.1.1. Become familiar with and follow standardized (Navy) concepts of Phased Dentistry and Managed Care.

10.4.1.2. Enhance technical skills through attendance of internal/external continuing education courses, and through
self study. All continuing education documentation shall be submitted to the Director, Area Dental Laboratory.

10.4.1.3. Direct supporting Government employees assigned to him or her during the performance of clinical
procedures. Such direction and interaction will comply with government and professional clinical standards and
accepted protocols. The HCW will be subject to guidelines set forth in the Command's quality assurance and risk
management instructions. The HCW shall perform administrative duties that include maintaining statistical records
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of his or her clinical workload, participating in dental education programs, preparing documentation for boards, and
participating in clinical staff quality assurance functions at the prerogative of the Commanding Officer.

10.4.1.4. Take initiative to make observations known to the appropriate individual in the chain of command if a
problem or deficiency is recognized in the productions, quality assurance, or operation of the organization.

10.4.1.5. Finish all ongoing work prior to any programmed absences, or make team members aware of uncompleted
projects prior to such absences so they can be finished in a timely manner.

10.4.1.6. Meet with the Director, Area Dental Laboratory or designee at least on a monthly basis to discuss
problems, quality, and work quantity levels as they affect the performance of the contract. The Director, Area
Dental Laboratory will be the final authority on decisions pertaining to performance and quality.

10.4.2. CLINICAL DUTIES –DENTAL LABORATORY TECHNICIANS - The HCW shall perform a full range
of dental laboratory technician duties, within the scope of this statement of work, on site using government furnished
facilities, supplies, and equipment within the assigned unit of the Dental Facility. Actual performance will be a
function of the overall demand for dental laboratory technician services.

10.4.3. Services provided under the contract shall be subject to guidelines including OSHA regulations, DOD
directives, Department of the Navy directives and instructions, current Prosthodontic and Dental Technology
literature, local Quality Assurance and Standard Operation Procedure standards and in-house Performance Quality
Standards requirements. The technical aspects of fabricating dental prostheses require judgment in the application
of current dental technology and prosthodontic standards. Instructions are specifically stated on the laboratory work
request, or given directly by the dental officer. In more complex cases, interpretation and adaptation of standards is
referred to the Director of the Area Dental Laboratory.

10.4.4. Exhibit a customer care attitude for both internal and external customers and interact with those customers
in a professional, courteous and service-oriented fashion. All customers' case related materials shall be handled with
utmost care in order to preserve their quality and integrity. The HCW shall:

10.4.4.1. Read, interpret, and apply requirements described in a dental prosthetic prescription (DD Form 2322).

10.4.4.2. Design and Fabricate full metal restorations and metal substructures; apply a knowledge of recognized
techniques and mastery of design requirements for all substructure fabrication; consult with the supervisor if any
questions in design should arise.

10.4.4.3. Fabricate by waxing, spruing, investing, fitting and finishing various metal components into the prescribed
prosthesis. Produce an average of ten finished units of crown and bridge per day consistent with workload. The
work performed shall be at the quality level described by quality control personnel.

10.4.4.4. Design and wax single unit and fixed partial denture substructure for full metal or porcelain application
and function.

10.4.4.5. Contour precious, semi-precious and non-precious alloys to esthetically replicate natural tooth structure.

10.4.4.6. Fabricate complex esthetic intraoral fixed dental prosthesis to include single units, multiple units and units
in combination with removable partial dentures, complete dentures or implant fixtures.

10.4.4.7. Utilize survey/milling instruments to fabricate customized surveyed crowns and fixed partial dentures.

10.4.4.8. Fabricate precision occlusal morphologies and occlusal schemes on individual and multiple fixed units in
porcelain.

10.4.4.9. Utilize applicable laboratory hardware, dental materials and techniques in the fabrication of precision
attachment cases and implant restorations.
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                                                                                                                 0001
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10.4.4.10. Invest, cast and solder single unit crowns and fixed partial dentures.

10.4.4.11. Utilize appropriate metal alloys and design as they apply to porcelain application and soldering
procedures.

10.4.4.12. Transfer maxillo-mandibular interocclusal records to articulators.

10.4.4.13. Utilize simple, semi-adjustable, and fully adjustable articulators in the fabrication of precision dental
prosthesis.

10.4.4.14. Disinfect casts and other dental materials used in the fabrication of dental prosthesis. Pour dies,
conventional impressions, and implant impressions.

10.4.4.15. Apply porcelain to metal substructures, contour, seat and finish porcelain crowns to produce an average
of ten finished units per day, consistent with workload. The work performed shall be at the quality level described
by quality control personnel.

10.4.4.16. Ensure that the porcelain fused to metal crowns and all ceramic crowns fabricated by the Area Dental
Laboratory (ADL) meet the quality standards and requirements of the Dental Officer's prescription and the ADL
standards for quality.

10.4.4.17. Fabricate ceramic crown and/or porcelain veneers as prescribed by dental providers.

10.4.4.18. Fabricate fixed dental prosthesis to include single units, multiple units and units in combination with
RPD, complete dentures or implant fixtures.

10.4.4.19. Contour porcelain to esthetically replicate natural tooth structure.

10.4.4.20. Design, wax and cast single unit and fixed partial substructures for porcelain application and function.

10.4.4.21. Assist in problem solving and trouble shooting in fixed partial denture fabrication and dental
material/product evaluation.

10.4.4.22. Clean and maintain their work area to meet the clinic's standards.

10.4.5. The HCWs may be assigned other duties consistent with the normal duties of a dental laboratory technician
as directed by the Commanding Officer to include, but not limited to, participating in command quality
improvement and assurance meetings, etc.

10.5. DENTAL SPECIALISTS - The specific dental specialty and associated duties shall be provided in the
position-specific task order.

10.5.1. Provide a full range of dental specialty services in accordance with privileges granted by the Commanding
Officer.

10.5.2. Technically direct, perform, or assist in the instruction of, other health care professionals seeing patients
within the scope of their clinical privileges or responsibilities.

10.5.3. Promote preventive and health maintenance care, including annual physicals, positive health behaviors, and
self-care skills through education and counseling.

10.5.4. Request consultation or referral with appropriate physicians, clinics, or other health resources as indicated.

10.5.5. Order diagnostic tests as applicable.
                                                                                                     N62645-09-R-0012
                                                                                                                 0001
                                                                                                         Page 39 of 47


10.5.6. Prescribe and dispense medications as delineated by the Pharmacy and Therapeutics Committee.

10.5.7. ENDODONTICS - Dentistry procedures as provided in Section C.10.1, C.10.5.1, and the following:

Basic procedures

-   Comprehensive endodontic examination, consultation, and treatment planning
-   Complicated nonsurgical root canal therapy for all permanent teeth
-   Root canal therapy for deciduous teeth
-   Surgical removal of dentoalveolar osseous lesions
-   Surgical root canal therapy including; root-end resection, root-end filling, decompression, root resection,
     bicuspidization, hemisection, perforation repair, trephination, and incision and drainage
-   Endodontic endosseous implants
-   Minor tooth movement
-   Intentional tooth replantation (extraction replantation) or transplantation
-   Nonsurgical management of temporomandibular disorders
-   Osseous grafts (intraoral allografts and alloplasts)
-   Guided tissue regeneration procedures (GTR)

Advanced procedures
- Minimal Sedation/Anxiolysis inhalation sedation with nitrous oxide/oxygen
(single agent)

10.5.8. ORAL AND MAXILLOFACIAL SURGERY - Dentistry procedures as provided in Section C.10.1,
C.10.5.1, and the following:

Basic procedures

- Comprehensive oral maxillofacial surgery examination, consultation, and treatment planning
- Dentoalveolar surgery; extraction of soft and hard tissue impaction, intentional tooth replantation or
  transplantation, root-end resection and root-end filling, sequestrectomy, stomatoplasty, ridge
  augmentation, alveoloplasty, osseo-integrated implants, and oral antral/oral nasal fistula repair
- Management of cervical-facial infections
- Comprehensive management of oral manifestations of chronic systemic diseases, e.g., lichen planus,
  pemphigoid and erythema multiforme
- Repair traumatic wounds: oral and facial
- Repair and management of facial fractures: alveolar, maxilla, mandible, nasoethmoidal, zygoma, frontal
- Tracheostomy
- Nasal antrostomy
- Maxillary sinusotomy
- Therapeutic medication by injection
- Craniofacial analysis
- Extracranial facial osteotomies
- Augmentation, contouring, reductions of hard and soft tissue
- Marsupialization
- Soft tissue grafts
- Vestibuloplasty, frenectomy, mucogingival surgery
- GTR
- Minimal Sedation/Anxiolysis inhalation sedation with nitrous oxide/oxygen
- Minimal sedation/axiolysis.
- Moderate Sedation/analgesia
- General anesthesia
- Nonsurgical management of temporomandibular joint disorders
- History and physical examination, hospital admission: adult and pediatric
                                                                                                    N62645-09-R-0012
                                                                                                                0001
                                                                                                        Page 40 of 47

-   Resection of maxilla, mandible
-   Major salivary gland surgery
-   Sialography
-   Minor tooth movement
-   Placement maxillofacial devices
-   Arthrogram
-   Arthroscopy
-   Temporomandibular joint surgery
-   Preprosthetic reconstructive surgery
-   Scar revision: oral and facial
-   Reconstruction of the facial skeleton
-   Excision of benign and malignant tumors and cysts of the hard and soft tissues
-   Harvest of hard and soft tissue grafts
-   Alveolar cleft repair

Advanced procerures:
- Cleft lip repair
- Cleft palate repair
- Craniofacial implants
- Liposuction
- Microneural repair
- Microvascular reconstruction
- Laser surgery
- Cranial bone graft
- Rhinoplasty
- Blepharoplasty
- Rhytidectomy
- Otoplasty
- Chemical peel
- Dermabrasion
- Hair Transplant

10.5.9. ORTHODONTICS - Dentistry procedures as provided in Section C.10.1, C.10.5.1, and the following:

Basic procedures
- Comprehensive orthodontic examination, consultation, and treatment retention program
- Fixed and removable retainers
- Positioners
- Comprehensive orthodontic treatment
- Fixed and removable appliances
- Intraoral and extraoral traction
- Orthopedic appliances
- Functional appliances
- Habit correction appliances
- Occlusal analysis and adjustment (complete)
- Nonsurgical management of temporomandibular disorders

10.5.10. PERIODONTICS - Dentistry procedures as provided in Section C.10.1, C.10.5.1, and the following:
Basic Procedures:

-   Comprehensive periodontal examination, consultation and treatment planning
-   Complete occlusal adjustment
-   Osseous grafts (intraoral autografts, allografts and alloplasts)
-   Soft tissue grafts (pedicle, free autogenous up to 2 mm thickness)
-   Thick (greater than 2 mm thickness) free soft tissue autogenous palatal and connective tissue grafts
                                                                                                    N62645-09-R-0012
                                                                                                                0001
                                                                                                        Page 41 of 47

- Root resective procedures (hemisection, amputation, and bicuspidization)
- Tooth extraction (including impactions) associated with periodontal surgery
- Vestibuloplasty
- Frenectomy
- Surgical tooth exposure
- Surgical perforation repair
- Nonsurgical management of temporomandibular disorders
- Alveoloplasty
- Osseous resective surgery
- Surgical removal of dentoalveolar osseous lesions
- Removal of exostoses
- Ridge augmentation and contouring (hard and soft tissue)
- Intentional tooth replantation or transplantation
- Surgical placement and maintenance (including removal and reinsertion) of osseointegrated dental
  implants
- Sinus augmentation procedures in conjunction with dental implant placement
- Guided tissue (including bone) regeneration procedures (GTR, GBR)
- Minor tooth movement (fixed appliances)

Advanced procedures:
- Fixed orthodontic appliances including full arch treatment
- Moderate sedation and analgesia
- Minimal Sedation/Anxiolysis inhalation sedation with nitrous oxide/oxygen (single agent)
- Single restoration of dental implants
- Surgical root canal therapy including root-end resection and filling

10.5.11. PROSTHODONTICS – Dentistry procedures as provided in Section C.10.1, C.10.5.1, and the following:

Basic procedures:

-   Comprehensive prosthodontic examination, consultation, overall restorative treatment planning
-   Complete and partial overdentures, the combination case syndrome
-   Fixed and removable prostheses involving precision attachments
-   Prosthodontic treatment of malposed teeth, occlusal plane discrepancies, changes to the existing vertical
    dimension of occlusion with or without concomitant restoration of anterior guidance
-   Full veneer ceramic restorations, as well as ceramic inlays and onlays
-   Oral reconstruction to include, but not limited to opposing quadrants restored with fixed prostheses,
    techniques involving functionally generated path or fully adjustable instruments
-   Complete dentures involving complicated occlusal schemes
-   Complete dentures involving a cast metal bases or cast metal occlusals
-   Single unit complete dentures opposing natural dentition (complicated)
-   Dentures on surgically augmented residual ridges
-   Rotational path removable partial dentures
-   Nonsurgical management of temporomandibular disorders
-   Resin bonded fixed partial dentures
-   Minor tooth movement (fixed appliances)
-   Intraoral maxillofacial prostheses and repairs
-   Prostheses fabrication and maintenance on intraoral Osseointegrated fixtures

11. TRAVEL. The Commanding Officer may request that the HCW travel to provide services, attend training or
attend Government specified conferences when in the best interest of the Government and patient care. The COR
will determine the reasonableness of all costs incurred. When questions arise, the Government's Joint Travel
Regulations (JTR) shall always be followed. The Contractor shall be compensated for approved travel per CLIN
0006 in Section B of the contract.
                                                                                                  N62645-09-R-0012
                                                                                                              0001
                                                                                                      Page 42 of 47

11.1. When using a personal vehicle for official duties, the HCWs will be compensated for mileage at the
prevailing rate. HCWs shall not transport the patient or the patient’s family in his/her personal or Government
vehicle without prior approval from the supervisor.

11.2. The Government will not issue Government Travel Orders to the HCWs.

11.3. Government contract air carriers and the Government's contract airfares are not available to the HCWs.
Airfare will be paid at the coach rate with 7 days advance purchase, non-refundable ticket price; unless the
Government grants prior written approval. The Government shall reimburse the fee charges to reschedule the non-
refundable ticket only if the Government directs the rescheduling of the trip.

11.4. The JTR shall serve as the basis for the cost limits for lodging, per diem, miscellaneous expenses and
mileage reimbursement if use of privately owned vehicle is authorized. The Contractor shall utilize discount
hotel/motel and car rental practices. Per diem rates can be found on the World Wide Web at:
http://perdiem.hqda.pentagon.mil/perdiem/.

11.5. Costs for transportation, lodging, meals and incidental expenses incurred by the HCW are allowable subject
to Federal Acquisition Regulations Federal 31-205-46 and Federal Travel Regulations prescribed by the General
Services Administration or deemed reasonable by the COR.

11.6. When possible, the HCWs shall use government-provided quarters and transportation. If not available, the
Government will provide the HCWs with an identification letter for presentation to transportation and lodging firms
(see Section J, Attachment AC). The Government retains the right to direct the mode of travel including the
availability and size of rental cars. It should be noted that vendors are not obligated to extend discounted
Government rates to contractors working on behalf of the Federal Government.

11.7. The Contractor shall submit an invoice in accordance with WAWF instructions (see Section G) itemizing
expenses in amounts allowable by the COR.

11.8. The COR will specify the MTF's procedure to document that the travel was completed and that the expenses
were actually incurred.

11.9. All reimbursements will be retrospective, payable only upon presentation of a properly prepared invoice to
the COR (as specified by the facility).

11.10. The Government reserves the right to require additional documentation, including memoranda from the
HCW performing the travel.

11.11. The travel shall not be conducted prior to the appropriate funding being added to CLIN 0006 in Section B
by a modification.

12. FILL RATE REPORTING

12.1 On a monthly basis, Naval Medical Logistics Command will distribute an excel spreadsheet electronically to
each contractor containing their respective active task orders. The contractor shall submit the completed fill rate
spreadsheet electronically to NMLC-fillrates@med.navy.mil.

12.2 The submission deadline will be specified in the distribution email and will be no earlier than the 5th and no
later than the 10th of each month. Submissions that do not follow the instructions will be rejected for correction and
resubmission.

12.3 The fill rate report is not a substitute for the Contractor Discrepancy Report, which must be prepared in
accordance with the Contract Administration Plan.
                                                                                                 N62645-09-R-0012
                                                                                                             0001
                                                                                                     Page 43 of 47

12.4 The Contracting Officer will no consider the monthly fill rate reports for contractor past performance unless
they have been verified by the Government.

13. CROSS COVERAGE

13.1. In the event that acuity and/or workload drops to a level that allows the Government to safely reduce staff
levels, the Government reserves the right to re-assign HCWs to other assignments commensurate with their skills,
certifications, experience and qualifications. The Government retains the right to assign the HCW to locations within
the medical treatment facility to which they are currently assigned.

14. REASSIGNMENT OF HEALTH CARE WORKERS

14.1. Each HCW will be assigned to a primary location; however, the Government retains the right to assign the
HCW to another location within a 50 mile commuting radius of the MTF/DTF. HCWs shall receive notification 2
weeks prior to reassignment to locations within a 50 mile radius. The Government will consider the use of CLIN
0006 to reimburse HCWs for reassignments within a 50 mile limit on a case-by-case basis.

15. PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL.

15.1. The Homeland Security Presidential Directive dated 27 August 2004 requires a mandatory government-wide
standard for secure and reliable forms of identification for Federal employees, contractors and HCWs who access
federally controlled facilities or have access to Federally controlled ITsystems.

15.2. Personnel background investigations must be initiated and an advance fingerprint and NAC results received
by the MTF/DTF before a Common Access Card (CAC) is issued to the HCW.

15.3. See Section I, FAR 52.204-9 for additional information.



SECTION F - DELIVERIES OR PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

         DELIVERY DATE                QUANTITY            SHIP TO ADDRESS                                 UIC

         POP 27-SEP-2010 TO           N/A                 SEE DELIVERY/TASK ORDERS                        N00000
         26-SEP-2015                                      SEE DO/TO
                                                          SEE DO/TO MD
                                                          FOB: Destination


To:

         DELIVERY DATE                QUANTITY            SHIP TO ADDRESS                                 UIC

         POP 01-DEC-2010 TO           N/A                 SEE DELIVERY/TASK ORDERS                        N00000
         30-NOV-2015                                      SEE DO/TO
                                                          SEE DO/TO MD
                                                          FOB: Destination


The following Delivery Schedule item for CLIN 0002 has been changed from:

         DELIVERY DATE                QUANTITY            SHIP TO ADDRESS                                 UIC
                                                                                 N62645-09-R-0012
                                                                                             0001
                                                                                     Page 44 of 47


        POP 27-SEP-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        26-SEP-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


To:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 01-DEC-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        30-NOV-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


The following Delivery Schedule item for CLIN 0003 has been changed from:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 27-SEP-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        26-SEP-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


To:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 01-DEC-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        30-NOV-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


The following Delivery Schedule item for CLIN 0004 has been changed from:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 27-SEP-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        26-SEP-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


To:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 01-DEC-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        30-NOV-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination
                                                                                 N62645-09-R-0012
                                                                                             0001
                                                                                     Page 45 of 47



The following Delivery Schedule item for CLIN 0005 has been changed from:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 27-SEP-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        26-SEP-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


To:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 01-DEC-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        30-NOV-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


The following Delivery Schedule item for CLIN 0006 has been changed from:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 27-SEP-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        26-SEP-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


To:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 01-DEC-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        30-NOV-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


The following Delivery Schedule item for CLIN 0007 has been changed from:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC

        POP 27-SEP-2010 TO         N/A                SEE DELIVERY/TASK ORDERS          N00000
        26-SEP-2015                                   SEE DO/TO
                                                      SEE DO/TO MD
                                                      FOB: Destination


To:

        DELIVERY DATE              QUANTITY           SHIP TO ADDRESS                   UIC
                                                                                                      N62645-09-R-0012
                                                                                                                  0001
                                                                                                          Page 46 of 47


         POP 01-DEC-2010 TO             N/A                  SEE DELIVERY/TASK ORDERS                           N00000
         30-NOV-2015                                         SEE DO/TO
                                                             SEE DO/TO MD
                                                             FOB: Destination




The following have been modified:
     PERFORMANCE
F.1 PERIOD OF PERFORMANCE

Periods of Performance shall be detailed in individual Task Orders written under the contract awarded as a result of
this solicitation.

The contract awarded as a result of this solicitation will have a period of performance starting on 1 DEC 2010. The
Contracting Officer reserves the right to adjust the start date of service based on the actual award date. No single
Task Order shall exceed 12 months in duration. The contract ordering period shall not exceed 60 months.

F.2 PLACE OF PERFORMANCE

Places of performance are shall be detailed in individual Task Orders written under the contract awarded as a result
of this solicitation.



SECTION I - CONTRACT CLAUSES



The following have been modified:

52.216-18     ORDERING. (OCT 1995)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or
task orders by the individuals or activities designated in the Schedule. Such orders may be issued from 01 December
2010 through 30 November 2015.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict
between a delivery order or task order and this contract, the contract shall control.

(c) If mailed, a delivery order or task order is considered "issued" when the Government deposits the order in the
mail. Orders may be issued orally, by facsimile, or by electronic commerce methods only if authorized in the
Schedule.

(End of clause)


52.216-22     INDEFINITE QUANTITY. (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated in
the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not
purchased by this contract.
                                                                                                    N62645-09-R-0012
                                                                                                                0001
                                                                                                        Page 47 of 47

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering
clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in
the Schedule up to and including the quantity designated in the Schedule as the "maximum". The Government shall
order at least the quantity of supplies or services designated in the Schedule as the "minimum".

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on
the number of orders that may be issued. The Government may issue orders requiring delivery to multiple
destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be
completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and
Government's rights and obligations with respect to that order to the same extent as if the order were completed
during the contract's effective period; provided that the Contractor shall not be required to make any deliveries under
this contract after 30 November 2015.

(End of clause)


(End of Summary of Changes)

				
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Description: Invoice Dental Hygienist document sample