52 by wuyunyi

VIEWS: 64 PAGES: 91

									                                                                                       1. REQUISITION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS                                                                                                    PAGE 1 OF         91
         OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30
2. CONTRACT NO.                    3. AWARD/EFFECTIVE DATE   4. ORDER NUMBER                       5. SOLICITATION NUMBER                          6. SOLICITATION ISSUE DATE
                                                                                                   W81K04-11-R-0023                                23-Jun-2011
7. FOR SOLICITATION                a. NAME                                                         b. TELEPHONE NUMBER      (No Collect Calls)     8. OFFER DUE DATE/LOCAL TIME
   INFORMATION CALL:               ANTHONY J. SMITH                                                210-295-4631                                    02:00 PM 08 Jul 2011
9. ISSUED BY                           CODE                          10. THIS ACQUISITION IS                    11. DELIVERY FOR FOB               12. DISCOUNT TERMS
                                                W81K04
                                                                        UNRESTRICTED                            DESTINATION UNLESS
CENTER FOR HEALTH CARE CONTRACTING
                                                                                                                BLOCK IS MARKED
CENTER FOR HEALTH CARE CONTRACTING                                   X SET ASIDE:           100 % FOR
ATTN MCAA C BLDG 4197                                                                                               SEE SCHEDULE
2199 STORAGE ST SUITE 68                                                 X SB
FORT SAM HOUSTON TX 78234-5074                                               HUBZONE SB                             13a. THIS CONTRACT IS A RATED ORDER
                                                                                                                    UNDER DPAS (15 CFR 700)
                                                                             8(A)
                                                                                                                13b. RATING
                                                                             SVC-DISABLED VET-OWNED SB
TEL:                                                                                                            14. METHOD OF SOLICITATION
                                                                             EMERGING SB
FAX:                                                                                                                RFQ                   IFB              X RFP
                                                                     SIZE STD:      $34.5    NAICS:   622110
15. DELIVER TO                         CODE    000002                16. ADMINISTERED BY                                                     CODE
SEE DELIVERY/TASK ORDERS
.
FOR PLACE OF PERFORMANCE OR DELIVERY
. TX
TEL:     FAX:




17a.CONTRACTOR/ OFFEROR                         CODE                 18a. PAY MENT WILL BE MADE BY                                               CODE




                                              FACILITY
TEL.                                          CODE

     17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT                   18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK
     SUCH ADDRESS IN OFFER                                           BELOW IS CHECKED         SEE ADDENDUM
  19. ITEM NO.                    20. SCHEDULE OF SUPPLIES/ SERVICES                          21. QUANTITY          22. UNIT       23. UNIT PRICE          24. AMOUNT



                                                SEE SCHEDULE


 25. ACCOUNTING AND APPROPRIATION DATA                                                                              26. TOTAL AWARD AMOUNT (For Gov t. Use Only )




 X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.
 1
                                                                                                                               ADDENDA           X ARE     ARE NOT ATTACHED

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN              2       COPIES      29. AWARD OF CONTRACT: REFERENCE
     TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS                       OFFER DATED               . Y OUR OFFER ON SOLICITATION
 X                                                                                               (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
     SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS
     SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.                                       SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:


30a. SIGNATURE OF OFFEROR/CONTRACTOR                                    31a.UNITED STATES OF AMERICA           (SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED




30b. NAME AND TITLE OF SIGNER                     30c. DATE SIGNED      31b. NAME OF CONTRACTING OFFICER               (TYPE OR PRINT)

(TYPE OR PRINT)


                                                                        TEL:                                         EMAIL:


AUTHORIZED FOR LOCAL REPRODUCTION                                                                                               STANDARD FORM 1449 (REV 3/2005)
PREVIOUS EDITION IS NOT USABLE                                                                                                  Prescribed by GSA
                                                                                                                                FAR (48 CFR) 53.212
   SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS                                                                                 PAGE 2 OF 91
                   (CONTINUED)
 19. ITEM NO.                      20. SCHEDULE OF SUPPLIES/ SERVICES                   21. QUANTITY    22. UNIT   23. UNIT PRICE      24. AMOUNT


                                          SEE SCHEDULE




32a. QUANTITY IN COLUMN 21 HAS BEEN
   RECEIVED       INSPECTED
                                 ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________
32b. SIGNATURE OF AUTHORIZED GOVERNMENT                  32c. DATE           32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
     REPRESENTATIVE                                                               REPRESENTATIVE




32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE                 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE



                                                                             32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE




33. SHIP NUMBER           34. VOUCHER NUMBER          35. AMOUNT VERIFIED           36. PAY MENT                            37. CHECK NUMBER
                                                           CORRECT FOR
                                                                                            COMPLETE   PARTIAL     FINAL
    PARTIAL       FINAL
38. S/R ACCOUNT NUMBER       39. S/R VOUCHER NUMBER   40. PAID BY



41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAY MENT 42a. RECEIVED BY (Print)
41b. SIGNATURE AND TITLE OF CERTIFY ING OFFICER    41c. DATE

                                                                     42b. RECEIVED AT (Location)


                                                                     42c. DATE REC'D (YY/MM/DD)    42d. TOTAL CONTAINERS



AUTHORIZED FOR LOCAL REPRODUCTION                                                                       STANDARD FORM 1449 (REV 3/2005) BACK
PREVIOUS EDITION IS NOT USABLE                                                                          Prescribed by GSA
                                                                                                        FAR (48 CFR) 53.212
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Section SF 1449 - CONTINUATION SHEET

ORDERING
Orders may be placed by any Health Care Acquisition Activity (HCAA) warranted Contracting Officers serving in
the Southern Regional Contracting Offices or the Center for Health Care Contracting.
Orders against this contract may be placed by mail, facsimile, or through electronic commerce including e-mail
IAW terms and conditions of the contract.



MINIMUMS AND MAXIMUMS
Minimum guaranteed amount for this contract is $1,000.00. The estimated maximum amount over the life of the
contract is $To Be Determined (TBD).



ECONOMIC PRICE ADJUSTMENT
The contract contains an Economic Price Adjustment (EPA) clause to allow for unanticipated changes in prices due
to unforecasted changes in the marketplace. The EPA may be used on task orders and, if used, will be implemented
consistent with FAR 52.216-4 procedures described herein.
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ITEM NO   SUPPLIES/SERVICES             MAX             UNIT            UNIT PRICE                   MAX AMOUNT
                                      QUANTITY
0001                                     1              Lump
                                                        Sum
          ANCILLARY MEDICAL SERVICES
          FFP
          The Ordering Period is 1 October 2012 through 30 September 2017. This is a
          personal services requirement for Direct Health Care Provider Medical Services
          for all Ancillary Medical Specialties as listed in the PWS and Attachment 2.
          Provide Ancillary Services in specialties as defined by the performance work
          statement for Military Treatment Facilities (MTFs) within the US Army Medical
          Command (MEDCOM) Southern Region. Contractor is to perform in accordance
          with the terms and condition of this contract and the included Performance Work
          Statement (PWS). See Attachment 2 for price matrix of Southern Regional
          Medical Command Medical Training Facility (MTF) locations and provider
          specialties.
          The total compensation for each health care provider (contractor employee)
          performing personal services shall not exceed $400,000 per year IAW Title 10
          USC Section 1091, DOD Instruction 6025.5. Overtime is not authorized unless
          specifically addressed in each task order. Lump Sum consists of the total of all
          prices provided in Attachment 2.
          FOB: Destination




                                                                          MAX
                                                                       NET AMT
                                                                                                 W81K04-11-R-0023



                                                                                                       Page 5 of 91



ITEM NO   SUPPLIES/SERVICES              MAX              UNIT             UNIT PRICE                    MAX AMOUNT
                                       QUANTITY
0002                                     50,000          Dollars,
                                                          U.S.
          TRAVEL
          FFP
          Ordering Period is 1 October 2012 through 30 September 2017. Travel incidental
          to services being performed will be reimbursed in accordance with the Joint
          Federal Travel Regulation (JFTR), and will not exceed the maximum per diem
          rate (meals and lodging), and transportation costs, in effect at the time of travel.
          Documentation to support actual costs incurred shall be in accordance with the
          contractor's established practices and meet JFTR standards. The contractor shall
          bill any travel reimbursement costs against this line item, submit appropriate
          documentation, and shall not exceed the ceiling amount of this line under any
          circumstances, without prior approval of the Contracting Officer.
          Note: Travel costs are an estimate only. Travel costs will only be authorized as
          specifically set forth in each task order, as applicable. The contractor is not
          authorized to incur any travel expenses except as authorized in a task order.
          FOB: Destination




                                                                             MAX
                                                                          NET AMT
                                                                                               W81K04-11-R-0023



                                                                                                     Page 6 of 91



ITEM NO   SUPPLIES/SERVICES                MAX            UNIT            UNIT PRICE                   MAX AMOUNT
                                        QUANTITY
0003                                         5             Each
          ACCOUNTING FOR CONTRACTOR SERVICES
          FFP
          Ordering Period is 1 October 2012 through 30 September 2017. Mandatory
          annual data reporting in accordance with (IAW) PWS Paragraph 3.10. Reporting
          shall be for the period of performance not to exceed twelve (12) months ending
          September 30 of each Government fiscal year and must be reported by October 31
          of each calendar year. (See Attachment 2 - Price Matrix CMR tab)
          FOB: Destination
          Note: The Government shall not be obligated to order, and the contractor shall not
          provide, the CMR report for each annual period of performance until the
          Contracting Officer shall order the CMR report and appropriated funds are
          available for such purposes. Only one CMR report will be ordered for each
          applicable period of performance, regardless of the number of task orders
          performed by the contractor.
          FOB: Destination




                                                                           MAX
                                                                        NET AMT
                                                                                                 W81K04-11-R-0023



                                                                                                       Page 7 of 91



ITEM NO       SUPPLIES/SERVICES            MAX              UNIT           UNIT PRICE                    MAX AMOUNT
                                         QUANTITY
0004                                       1,000           Dollars,
                                                            U.S.
              MINIMUM GUARANTEE
              FFP
              MINIMUM GUARANTEE The contractor shall deliver the initial Quality Control
              Plan and Transition Plan required by paragraphs 7.1 and 7.2 of the PWS. The
              minimum guarantee shall cover contractor attendance in person or by telephone of
              any post-award conferences which are scheduled within 30 days after contract
              award. Post-Award conference costs will not be separately billed to the
              Government.
              FOB: Destination




                                                                             MAX
                                                                          NET AMT




       INSPECTION AND ACCEPTANCE TERMS

       Supplies/services will be inspected/accepted at:

       CLIN     INSPECT AT                          INSPECT BY        ACCEPT AT                       ACCEPT BY
       0001     Destination                         Government        Destination                     Government
       0002     Destination                         Government        Destination                     Government
       0003     Destination                         Government        Destination                     Government
       0004     Destination                         Government        Destination                     Government




       DELIVERY INFORMATION

       CLIN     DELIVERY DATE              QUANTITY            SHIP TO ADDRESS                          UIC
                                                                                               W81K04-11-R-0023



                                                                                                       Page 8 of 91



0001       POP 01-OCT-2012 TO        N/A                 SEE DELIVERY/TASK ORDERS                        000002
           30-SEP-2017                                   .
                                                         FOR PLACE OF PERFORMANCE OR
                                                         DELIVERY
                                                         . TX
                                                         FOB: Destination

0002       POP 01-OCT-2012 TO        N/A                 (SAME AS PREVIOUS LOCATION)                     000002
           30-SEP-2017                                   FOB: Destination

0003       POP 01-OCT-2012 TO        N/A                 (SAME AS PREVIOUS LOCATION)                     000002
           30-SEP-2017                                   FOB: Destination

0004       POP 01-OCT-2012 TO        N/A                 (SAME AS PREVIOUS LOCATION)                     000002
           30-SEP-2017                                   FOB: Destination




CLAUSES INCORPORATED BY REFERENCE


52.212-4             Contract Terms and Conditions--Commercial Items               JUN 2010




CLAUSES INCORPORATED BY FULL TEXT


ADDENDUM TO 52.212-4

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

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

(v) See FAR Clause 52.228-5. Before commencing work under a contract, the contractor shall certify to the
Contracting Officer in writing that the required insurance has been obtained by the contractor and their
subcontractors. The following insurance as referenced in FAR 28.306(b)(1) and 28.307, is the minimum insurance
required:

                 General Liability—Bodily injury liability insurance coverage written on the comprehensive form
                 of policy of at least $500,000 per occurrence.
                 Automobile Liability—Automobile liability insurance written on the comprehensive form of
                 policy. The policy shall provide for bodily injury and property damage liability covering the
                 operation of all automobiles used in connection with performing the contract. Policies covering
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                  automobiles operated in the United States shall provide coverage of at least $200,000 per person
                  and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage.
                  The amount of liability coverage on other policies shall be commensurate with any legal
                  requirements of the locality and sufficient to meet normal and customary claims.
                  Workers’ Compensation and Employer’s Liability—Contractors are required to comply with
                  applicable Federal and State worker’ compensation and occupational disease statutes. If
                  occupational diseases are not compensable under those statutes, they shall be covered under the
                  employer’s liability section of the insurance policy, except where contract operations are so
                  commingled with a contractor’s commercial operations that it would not be practical to require
                  this coverage. Employer’s liability coverage of at least $100,000 shall be required, except in
                  States with exclusive or monopolistic funds that do not permit worker’s compensation to be
                  written by private carriers.

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

(x) Ordering Procedures.

1. A guaranteed minimum for each contract is stated in contract line item 0004. The minimum guarantee amount
applies to the entire ordering period.

2. All services will be acquired by issuance of task orders that will be placed in accordance with Federal
Acquisition Regulation 16.505 and supplemental agency regulations.

3. After the Center for Health Care Contracting awards the guaranteed minimums, the contracts will be transferred
to the Regional Contracting Office (RCO) at the applicable Regional Medical Command (RMC). Future ordering
and complete contract and task order administration will be at the RCO level. The Contracting Officer at each RCO
will be responsible for monitoring the overall contractor performance for contracts in their region. Each RCO will
compete, issue and administer task orders for requirements in their region. The RCOs may issue task orders under
this contract for other DoD agencies having similar requirements only after coordination with the Health Care
Acquisition Activity (HCAA).

4. In addition, task ordering authority may be delegated to other DoD agencies after coordination with the HCAA.
The contractor will be notified in writing if such authorization is approved. All such contracting offices must follow
administrative requirements imposed in the contract administration plan. Contracting offices failing to comply are
subject to having their ordering authority revoked. In such cases where revocation occurs and the contractor has
received a task order(s) from that office, the RCO in that geographical region will assume administration of all task
orders issued by the losing office. The contractor will be notified of such changes in writing.

5. Requirements will be competed among all awardees unless an exception at FAR 16.505(b)(2) applies. At a
minimum, price and past performance on earlier task orders under this contract, including quality, timeliness and
cost control, will be the determining factors for task order awards. The potential impact on other orders placed with
the contractor and the minimum order requirements will also be taken into consideration. Price will be evaluated in
accordance with the procedures at Federal Acquisition Regulation 15.4. Each Request for Quote (RFQ) will require
a copy of the compensation plan that was submitted with your original proposal for contract award. If the proposed
price in response to a task order RFQ is not reasonable or presents inappropriate risks, and agreement cannot be
reached through negotiations, the Government reserves the right to obtain services through other methods. If the
Contracting Officer determines the contractor cannot meet the requirements in their entirety, including but not
limited to price and availability, the Government reserves the right to obtain services through other methods.
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                                                                                                          Page 10 of 91



6. Contract holders are expected to participate in the competition for each task order RFQ under this contract. If an
awardee is unable to submit a quote, a brief written statement as to why the awardee is unable to submit a quote is
required. Lack of participation in the task order competition will be considered in the Government’s evaluation of
the contractor’s performance.

7. Task Order RFQs may be issued electronically, orally, or in writing. Responses will be in accordance with
instructions given by the Contracting Officer. Responses to RFQs are limited to 5 pages, exclusive of CLINS.

8. Startup time for performance under task orders will be designated on the task order RFQ. Unless the Contracting
Officer determines unusual conditions exist, performance shall not be less than 90 calendar days after task order
award for HCPs requiring privileging and not begin less than 60 calendar days for HCPs not requiring privileging.
Submission of complete credentialing/privileging packages shall be required not less than 30 days after task order
award. Performance must begin on the date stated in the task order unless a delay is approved by the KO. Failure to
begin performance as stated in the task order, or as authorized by the KO, will be reflected on performance
assessments.

9. Once a task order is issued to a specific contractor for a specific location, requirements for additional quantities
for the same labor category, at the same location, may first be offered to the contractor providing the current service
if performance is satisfactory and the price is fair and reasonable. However, the original requirement must have
been competed among contract awardees. (See exception to the fair opportunity process at FAR 16.505(b)(2)).

10. The task order ombudsman will review complaints from contractors and ensure they are afforded a fair
opportunity to be considered, consistent with the procedures in the contract. The task order ombudsman is:

 Ms. Joyce Nadeau
Center for Health Care Contracting
2107 17th Street, Suite 69
Fort Sam Houston, TX 78234-5069
Telephone number: 210-221-4093
Fax number: 210-221-4082
E-mail address: joyce.nadeau@amedd.army.mil

                                                   (End of Clause)




CLAUSES INCORPORATED BY REFERENCE


52.203-3             Gratuities                                                       APR 1984
52.203-6 Alt I       Restrictions On Subcontractor Sales To The Government            OCT 1995
                     (Sep 2006) -- Alternate I
52.203-12            Limitation On Payments To Influence Certain Federal              OCT 2010
                     Transactions
52.203-13            Contractor Code of Business Ethics and Conduct                   APR 2010
52.204-4             Printed or Copied Double-Sided on Recycled Paper                 AUG 2000
52.204-9             Personal Identity Verification of Contractor Personnel           JAN 2011
52.204-10            Reporting Executive Compensation and First-Tier                  JUL 2010
                     Subcontract Awards
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52.209-6       Protecting the Government's Interest When Subcontracting DEC 2010
               With Contractors Debarred, Suspended, or Proposed for
               Debarment
52.209-9       Updates of Publicly Available Information Regarding       JAN 2011
               Responsibility Matters
52.219-6       Notice Of Total Small Business Set-Aside                  JUN 2003
52.219-8       Utilization of Small Business Concerns                    JAN 2011
52.219-14      Limitations On Subcontracting                             DEC 1996
52.219-28      Post-Award Small Business Program Rerepresentation        APR 2009
52.222-3       Convict Labor                                             JUN 2003
52.222-21      Prohibition Of Segregated Facilities                      FEB 1999
52.222-26      Equal Opportunity                                         MAR 2007
52.222-35      Equal Opportunity for Veterans                            SEP 2010
52.222-36      Affirmative Action For Workers With Disabilities          OCT 2010
52.222-37      Employment Reports on Veterans                            SEP 2010
52.222-41      Service Contract Act Of 1965                              NOV 2007
52.222-43      Fair Labor Standards Act And Service Contract Act - Price SEP 2009
               Adjustment (Multiple Year And Option)
52.222-50      Combating Trafficking in Persons                          FEB 2009
52.222-54      Employment Eligibility Verification                       JAN 2009
52.223-5       Pollution Prevention and Right-to-Know Information        AUG 2003
52.223-18      Contractor Policy to Ban Text Messaging While Driving     SEP 2010
52.224-1       Privacy Act Notification                                  APR 1984
52.224-2       Privacy Act                                               APR 1984
52.225-13      Restrictions on Certain Foreign Purchases                 JUN 2008
52.228-5       Insurance - Work On A Government Installation             JAN 1997
52.232-18      Availability Of Funds                                     APR 1984
52.232-37      Multiple Payment Arrangements                             MAY 1999
52.233-3       Protest After Award                                       AUG 1996
52.233-4       Applicable Law for Breach of Contract Claim               OCT 2004
52.237-2       Protection Of Government Buildings, Equipment, And        APR 1984
               Vegetation
52.237-3       Continuity Of Services                                    JAN 1991
52.242-13      Bankruptcy                                                JUL 1995
52.242-15      Stop-Work Order                                           AUG 1989
52.242-17      Government Delay Of Work                                  APR 1984
52.252-2       Clauses Incorporated By Reference                         FEB 1998
252.201-7000   Contracting Officer's Representative                      DEC 1991
252.203-7000   Requirements Relating to Compensation of Former DoD       JAN 2009
               Officials
252.204-7000   Disclosure Of Information                                 DEC 1991
252.204-7003   Control Of Government Personnel Work Product              APR 1992
252.205-7000   Provision Of Information To Cooperative Agreement Holders DEC 1991
252.209-7004   Subcontracting With Firms That Are Owned or Controlled By DEC 2006
               The Government of a Terrorist Country
252.222-7002   Compliance With Local Labor Laws (Overseas)               JUN 1997
252.223-7006   Prohibition On Storage And Disposal Of Toxic And          APR 1993
               Hazardous Materials
252.232-7003   Electronic Submission of Payment Requests and Receiving MAR 2008
               Reports
252.232-7010   Levies on Contract Payments                               DEC 2006
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252.243-7001         Pricing Of Contract Modifications                               DEC 1991




52.216-4

52.216-4 ECONOMIC PRICE ADJUSTMENT (EPA) – LABOR JAN 1997

1. EPA terms will apply only to rates for performance during the third thru fifth years of the contract. The contractor
shall provide written notification to the Contracting Officer if the medical care services expenditure category of the
Consumer Price Index (CPI) has increased or decreased since contract award, and shall propose increases or
decreases in Attachment 2 rates and to the base labor (including fringe benefits) for its HCPs beginning in the third
year of contract period of performance. The Contractor shall furnish this notice not later than 90 calendar days prior
to the applicable year of performance. If a task order includes options, the notice must be filed no later than 90
calendar days prior to the beginning of the next applicable option period, and any adjustments shall only be
applicable in the next option period(s). The Contractor is limited to one adjustment in Attachment 2 rates per annual
performance period. The notice shall include the Contractor's proposal for an adjustment in the rates at Attachment
2, its revised compensation plan which shall include the Contractor’s initial proposed base labor and fringe benefits
for all affected HCPs and its proposed increases or decreases in labor and fringe benefits, a breakout of all cost
components (e.g., to include but not limited to general and administrative costs, overhead, and profit) of its original
and proposed Attachment 2 rates, and the applicable CPI rate and supporting underlying data. For proposed
increases, the Contractor's proposal shall also include an explanation of how the change in the CPI has affected its
ability to recruit and retain qualified HCPs to perform under the contract, using specific examples if available.

2. The Contracting Officer and Contractor shall negotiate a rate adjustment in the rates at Attachment 2 and its
effective date within 60 days after the Contracting Officer receives the notice and data under paragraph one (1) of
this clause. The Contracting Officer will verify the Contractor's underlying data and conduct separate market
research in sufficient depth to satisfy the Contracting Officer as to whether, and the extent to which, pricing
adjustments are appropriate. If the Contracting Officer determines that an EPA adjustment is justified, the
Contracting Officer shall modify the applicable rates and establish their effective date, subject to availability of
funding. The Contractor shall continue performance pending agreement on, or determination of, any adjustment and
its effective date. The Contracting Officer will make the final determination in the event of a disagreement between
the Contracting Officer and the Contractor over whether or not an EPA adjustment will be made, or over the amount
of such an adjustment.

3. Any price adjustment under this clause is subject to the following limitations:

a. The EPA adjustments will be based on Table 3A, medical care services expenditure category of the CPI from the
Department of Labor, Bureau of Labor Statistics (http://www.bls.gov/cpi/cpid10av.pdf).

b. When the Contractor requests an adjustment, the Contractor must submit a revised compensation plan for the year
in which the adjustment is effective and base wage rates and fringes for all remaining years. If the Contracting
Officer approves the adjustment amount, the Contractor shall submit revised figures reflecting the approved
amounts.

c. Adjustments shall be to rates of pay (including fringe benefits) only. Changes to any other elements of cost/price
will not be considered under this clause. General and administrative expenses, profit, and similar costs will remain
unchanged. The contractor shall be required to submit a detailed explanation (per rate in Attachment 2) that
identifies how the Contractor arrived at the adjustment/revision in the rate.
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                                                                                                            Page 13 of 91



d. No upward adjustment in rates shall apply to services that were performed before the effective date of the
adjustment.

e. There shall be no adjustment (increase or decrease) for any change in rates of pay for labor (including fringe
benefits) which would not result in a net change of at least three (3) percent above or below the applicable rates in
Attachment 2.

f. The total EPA increase made under this clause in any year of contract performance or option period shall not
exceed 10 percent of the fixed rates in Attachment 2. There is no percentage limitation on the amount of decreases
that may be made under this clause.

4. The Contracting Officer may unilaterally initiate a downward adjustment in applicable rates in Attachment 2 in
the event the CPI rate decreases, even in the absence of a contractor request for a decrease in rates in accordance
with the timelines stated in paragraph 1 above. If the Contracting Officer initiates such an action, the Contractor
shall submit a revised compensation plan and proposed reductions in Attachment 2 rates consistent with this
provision and shall provide such other information the Contracting Officer deems appropriate for purposes of
making a downward adjustment in rates.

5. The Contracting Officer may examine the Contractor's books, records, and other supporting data relevant to the
rate adjustment during the life of the contract and each task order. This right shall remain in effect until the end of
three years after the date of final payment of the last task order under the contract.

                                                       (End of Clause)




CLAUSES INCORPORATED BY FULL TEXT


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 1 October
2012 through 30 September 2017.

(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)




CLAUSES INCORPORATED BY FULL TEXT
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                                                                                                             Page 14 of 91



52.216-19     ORDER LIMITATIONS. (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of
less than $100,000.00, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those
supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor:

(1) Any order for a single item in excess of $1,300,000.00 (insert dollar figure or quantity);

(2) Any order for a combination of items in excess of $10,000,000.00 (insert dollar figure or quantity); or

(3) A series of orders from the same ordering office within 30 days that together call for quantities exceeding the
limitation in subparagraph (1) or (2) above.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal
Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the
Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) above.

(d) Notwithstanding paragraphs (b) and (c) above, the Contractor shall honor any order exceeding the maximum
order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 5days after
issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons.
Upon receiving this notice, the Government may acquire the supplies or services from another source.

(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.

(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 September 2018.

(End of clause)
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CLAUSES INCORPORATED BY FULL TEXT


52.217-8    OPTION TO EXTEND SERVICES (NOV 1999)

(APPLIES TO TASK ORDERS ONLY)

The Government may require continued performance of any services within the limits and at the rates specified in
the task order. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the
Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance
hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the
Contractor no later than 30 days prior to expiration of task order.

(End of clause)




CLAUSES INCORPORATED BY FULL TEXT


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

(APPLIES TO TASK ORDERS ONLY)

(a) The Government may extend the term of this contract by written notice to the Contractor within 15 calendar days
prior to expiration of the contract; provided that the Government gives the Contractor a preliminary written notice of
its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the
Government to an extension.

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

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 60
months.
(End of clause)




CLAUSES INCORPORATED BY FULL TEXT


52.222-40 Notification of Employee Rights Under the National Labor Relations Act (DEC 2010)
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(a) During the term of this contract, the Contractor shall post an employee notice, of such size and in such form, and
containing such content as prescribed by the Secretary of Labor, in conspicuous places in and about its plants and
offices where employees covered by the National Labor Relations Act engage in activities relating to
the performance of the contract, including all places where notices to employees are customarily posted both
physically and electronically, in the languages employees speak, in accordance with
29 CFR 471.2(d) and (f).

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

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

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

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

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

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

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

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

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

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

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

(2) The Contractor shall not procure supplies or services in a way designed to avoid the applicability of Executive
Order 13496 or this clause.
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(3) The Contractor shall take such action with respect to any such subcontract as may be directed by the Secretary of
Labor as a means of enforcing such provisions, including the imposition of sanctions for noncompliance.

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

(End of clause)



52.222-42     STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 1989)

In compliance with the Service Contract Act of 1965, as amended, and the regulations of the Secretary of Labor (29
CFR Part 4), this clause identifies the classes of service employees expected to be employed under the contract and
states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the
provisions of 5 U.S.C. 5341 or 5332.

THIS STATEMENT IS FOR INFORMATION ONLY: IT IS NOT A WAGE DETERMINATION
Employee Class Monetary Wage-Fringe Benefits

Wage determinations will be included in individual Task Order Request for Proposals when applicable. Wage
determinations for MTF locations are listed in Enclosure 7.

(End of clause)




CLAUSES INCORPORATED BY FULL TEXT


52.222-49     SERVICE CONTRACT ACT--PLACE OF PERFORMANCE UNKNOWN (MAY 1989)

(a) This contract is subject to the Service Contract Act, and the place of performance was unknown when the
solicitation was issued. In addition to places or areas identified in wage determinations, if any, attached to the
solicitation, wage determinations have also been requested for the following:

Wage determinations will be included in individual Task Order Request for Proposals when applicable.

(b) Offerors who intend to perform in a place or area of performance for which a wage determination has not been
attached or requested may nevertheless submit bids or proposals. However, a wage determination shall be requested
and incorporated in the resultant contract retroactive to the date of contract award, and there shall be no adjustment
in the contract price.

(End of clause)




CLAUSES INCORPORATED BY FULL TEXT
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52.237-7      INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 1997)

(a) It is expressly agreed and understood that this is a nonpersonal services contract, as defined in Federal
Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the Contractor are
rendered in its capacity as an independent contractor. The Government may evaluate the quality of professional and
administrative services provided, but retains no control over professional aspects of the services rendered, including
by example, the Contractor's professional medical judgment, diagnosis, or specific medical treatments. The
Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability
producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of
this contract liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per
specialty per occurrence:

           To be specified on individual Task Orders issued for non-personal services.

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

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

(d) Evidence of insurance documenting the required coverage for each health care provider who will perform under
this contract shall be provided to the Contracting Officer prior to the commencement of services under this contract.
If the insurance is on a claims-made basis and evidence of an extended reporting endorsement is not provided prior
to the commencement of services, evidence of such endorsement shall be provided to the Contracting Officer prior
to the expiration of this contract. Final payment under this contract shall be withheld until evidence of the extended
reporting endorsement is provided to the Contracting Officer.

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

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

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

(End of clause)



CLAUSES INCORPORATED BY FULL TEXT
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52.252-6    AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

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

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

(End of clause)




CLAUSES INCORPORATED BY FULL TEXT


252.204-7008      EXPORT-CONTROLLED ITEMS (APR 2010)

(a) Definition. Export-controlled items, as used in this clause, means items subject to the Export Administration
Regulations (EAR) (15 CFR parts 730-774) or the International Traffic in Arms Regulations (ITAR) (22 CFR parts
120-130). The term includes:

(1) Defense items, defined in the Arms Export Control Act, 22 U.S.C. 2778(j)(4)(A), as defense articles, defense
services, and related technical data, and further defined in the ITAR, 22 CFR part 120.

(2) Items, defined in the EAR as ``commodities, software, and technology,'' terms that are also defined in the EAR,
15 CFR 772.1.

(b) The Contractor shall comply with all applicable laws and regulations regarding export-controlled items,
including, but not limited to, the requirement for Contractors to register with the Department of State in accordance
with the ITAR. The Contractor shall consult with the Department of State regarding any questions relating to
compliance with the ITAR and shall consult with the Department of Commerce regarding any questions relating to
compliance with the EAR.

(c) The Contractor's responsibility to comply with all applicable laws and regulations regarding export-controlled
items exists independent of, and is not established or limited by, the information provided by this clause.

(d) Nothing in the terms of this contract adds to, changes, supersedes, or waives any of the requirements of
applicable Federal laws, Executive orders, and regulations, including but not limited to--

(1) The Export Administration Act of 1979, as amended (50 U.S.C. App. 2401, et seq.);

(2) The Arms Export Control Act (22 U.S.C. 2751, et seq.);

(3) The International Emergency Economic Powers Act (50 U.S.C. 1701, et seq.);

(4) The Export Administration Regulations (15 CFR parts 730-774);
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(5) The International Traffic in Arms Regulations (22 CFR parts 120-130); and

(6) Executive Order 13222, as extended.

(e) The Contractor shall include the substance of this clause, including this paragraph (e), in all subcontracts.

(End of clause)




CLAUSES INCORPORATED BY FULL TEXT


252.212-7000         OFFEROR REPRESENTATIONS AND CERTIFICATIONS- COMMERCIAL ITEMS. (JUN
2005)

(a) Definitions.

As used in this clause-

(1) Foreign person means any person other than a United States person as defined in Section 16(2) of the Export
Administration Act of 1979 (50 U.S.C. App. Sec. 2415).

(2) United States means the 50 States, the District of Columbia, outlying areas, and the outer Continental Shelf as
defined in 43 U.S.C. 1331.

(3) United States person is defined in Section 16(2) of the Export Administration Act of 1979 and means any
United States resident or national (other than an individual resident outside the United States and employed by other
than a United States person), any domestic concern (including any permanent domestic establishment of any foreign
concern), and any foreign subsidiary or affiliate (including any permanent foreign establishment) of any domestic
concern which is controlled in fact by such domestic concern, as determined under regulations of the President.

(b) Certification.

By submitting this offer, the Offeror, if a foreign person, company or entity, certifies that it -

(1) Does not comply with the Secondary Arab Boycott of Israel; and

(2) Is not taking or knowingly agreeing to take any action, with respect to the Secondary Boycott of Israel by Arab
countries, which 50 U.S.C. App. Sec. 2407(a) prohibits a United States person from taking.

(c) Representation of Extent of Transportation by Sea. (This representation does not apply to solicitations for the
direct purchase of ocean transportation services).

(1) The Offeror shall indicate by checking the appropriate blank in paragraph (c)(2) of this provision whether
transportation of supplies by sea is anticipated under the resultant contract. The term "supplies" is defined in the
Transportation of Supplies by Sea clause of this solicitation.
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(2) Representation.

The Offeror represents that it-

___Does anticipate that supplies will be transported by sea in the performance of any contract or subcontract
resulting from this solicitation.

___Does not anticipate that supplies will be transported by sea in the performance of any contract or subcontract
resulting from this solicitation.

(3) Any contract resulting from this solicitation will include the Transportation of Supplies by Sea Clause. If the
Offeror represents that it will not use ocean transportation, the resulting contract will also include the Defense
Federal Acquisition Regulation Supplement clause at 252.247-7024, Notification of Transportation of Supplies by
Sea.

(End of provision)



CLAUSES INCORPORATED BY FULL TEXT


252.212-7001 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR
EXECUTIVE ORDERS APPLICABLE TO DEFENSE ACQUISITIONS OF COMMERCIAL ITEMS (MAR
2011)

(a) The Contractor agrees to comply with the following Federal Acquisition Regulation (FAR) clause which, if
checked, is included in this contract by reference to implement a provision of law applicable to acquisitions of
commercial items or components.

 ___ 52.203-3, Gratuities (APR 1984) (10 U.S.C. 2207).

(b) The Contractor agrees to comply with any clause that is checked on the following list of Defense FAR
Supplement clauses which, if checked, is included in this contract by reference to implement provisions of law or
Executive orders applicable to acquisitions of commercial items or components.

 (1) ___252.203-7000, Requirements Relating to Compensation of Former DoD Officials (JAN 2009) (Section 847
of Pub. L. 110-181).

 (2) ___ 252.205-7000, Provision of Information to Cooperative Agreement Holders (DEC 1991) (10 U.S.C.
2416).

 (3) ___ 252.219-7003, Small Business Subcontracting Plan (DoD Contracts) (OCT 2010) (15 U.S.C. 637).

 (4) ___ 252.219-7004, Small Business Subcontracting Plan (Test Program) (JAN 2011) (15 U.S.C. 637 note).

 (5)(i) ___ 252.225-7001, Buy American Act and Balance of Payments Program (JAN 2009) (41 U.S.C. 10a-10d,
E.O. 10582).

(ii) ____ Alternate I (DEC 2010) of 252.225-7001.
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 (6) ____ 252.225-7008, Restriction on Acquisition of Specialty Metals (JUL 2009) (10 U.S.C. 2533b).

 (7) ____ 252.225-7009, Restriction on Acquisition of Certain Articles Containing Specialty Metals (JAN 2011) (10
U.S.C. 2533b).

 (8) ____ 252.225-7012, Preference for Certain Domestic Commodities (JUN 2010) (10 U.S.C. 2533a).

 (9) ____ 252.225-7015, Restriction on Acquisition of Hand or Measuring Tools (JUN 2005) (10 U.S.C.
2533a).

 (10) ____ 252.225-7016, Restriction on Acquisition of Ball and Roller Bearings (DEC 2010) (Section 8065 of
Public Law 107-117 and the same restriction in subsequent DoD appropriations acts).

 (11) )(i) ___ 252.225-7021, Trade Agreements (NOV 2009) (19 U.S.C. 2501-2518 and 19 U.S.C. 3301 note).

 (ii) ___ Alternate I (SEP 2008)

 (iii) ___ Alternate II (DEC 2010) of 252.225-7021.

 (12) ____ 252.225-7027, Restriction on Contingent Fees for Foreign Military Sales (APR 2003) (22 U.S.C.
2779).

 (13) ____ 252.225-7028, Exclusionary Policies and Practices of Foreign Governments (APR 2003) (22 U.S.C.
2755).

 (14)(i) ____ 252.225-7036, Buy American Act--Free Trade Agreements--Balance of Payments Program (DEC
2010) (41 U.S.C. 10a-10d and 19 U.S.C. 3301 note).

 (ii) ___ Alternate I (JUL 2009) of 252.225-7036.

(iii) ___ Alternate II (DEC 2010) of 252.225-7036.

 (iv) ___ Alternate III (DEC 2010) of 252.225-7036.

 (15) ____ 252.225-7038, Restriction on Acquisition of Air Circuit Breakers (JUN 2005) (10 U.S.C.
2534(a)(3)).

 (16) ____ 252.226-7001, Utilization of Indian Organizations, Indian-Owned Economic Enterprises, and Native
Hawaiian Small Business Concerns (SEP 2004) (Section 8021 of Public Law 107-248 and similar sections in
subsequent DoD appropriations acts).

 (17) ____ 252.227-7015, Technical Data--Commercial Items (MAR 2011) (10 U.S.C. 2320).

 (18) ____ 252.227-7037, Validation of Restrictive Markings on Technical Data (SEP 1999) (10 U.S.C. 2321).

 (19) ____ 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports (MAR 2008) (10
U.S.C. 2227).

 (20) __X__ 252.237-7019, Training for Contractor Personnel Interacting with Detainees (SEP 2006) (Section 1092
of Public Law 108-375).
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(21) ____252.237-7010, Prohibition on Interrogation of Detainees by Contractor Personnel (NOV 2010) (Section
1038 of Pub. L. 111-84).

 (22) ____ 252.243-7002, Requests for Equitable Adjustment (MAR 1998) (10 U.S.C. 2410).

  (23)____252.246-7004, Safety of Facilities, Infrastructure, and Equipment for Military Operations (OCT 2010)
(Section 807 of Public Law 111-84).

 (24)__X__ 252.247-7003, Pass-Through of Motor Carrier Fuel Surcharge Adjustment to the Cost Bearer (SEP
2010) (Section 884 of Public Law 110-417).

 (25)(i) __X__ 252.247-7023, Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631).

 (ii) ____ Alternate I (MAR 2000) of 252.247-7023.

 (iii) ____ Alternate II (MAR 2000) of 252.247-7023.

 (iv) ____ Alternate III (MAY 2002) of 252.247-7023.

 (26) __X__ 252.247-7024, Notification of Transportation of Supplies by Sea (MAR 2000) (10 U.S.C. 2631).

(c) In addition to the clauses listed in paragraph (e) of the Contract Terms and Conditions Required to Implement
Statutes or Executive Orders--Commercial Items clause of this contract (FAR 52.212-5), the Contractor shall
include the terms of the following clauses, if applicable, in subcontracts for commercial items or commercial
components, awarded at any tier under this contract:

(1) 252.237-7010, Prohibition on Interrogation of Detainees by Contractor Personnel (NOV 2010) (Section 1038 of
Pub. L. 111-84).

(2) 252.237-7019, Training for Contractor Personnel Interacting with Detainees (SEP 2006) (Section 1092 of Public
Law 108-375).

(3) 252.247-7003, Pass-Through of Motor Carrier Fuel Surcharge Adjustment to the Cost Bearer (SEP 2010)
(Section 884 of Public Law 110-417).

(4) 252.247-7023, Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631).

(5) 252.247-7024, Notification of Transportation of Supplies by Sea (MAR 2000) (10 U.S.C. 2631).

(End of clause)




252.237-7023      CONTINUATION OF ESSENTIAL CONTRACTOR SERVICES (OCT 2010)

(a) Definitions. As used in this clause-
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(1) Essential contractor service means a service provided by a firm or individual under contract to DoD to support
mission-essential functions, such as support of vital systems, including ships owned, leased, or operated in support
of military missions or roles at sea; associated support activities, including installation,
garrison, and base support services; and similar services provided to foreign military sales customers under the
Security Assistance Program. Services are essential if the effectiveness of defense systems or operations has the
potential to be seriously impaired by the interruption of these services, as determined by the appropriate functional
commander or civilian equivalent.

(2) Mission-essential functions means those organizational activities that must be performed under all circumstances
to achieve DoD component missions or responsibilities, as determined by the appropriate functional commander or
civilian equivalent. Failure to perform or sustain these functions would significantly affect DoD's ability to provide
vital services or exercise authority, direction, and control.

(b) The Government has identified all or a portion of the contractor services performed under this contract as
essential contractor services in support of mission-essential functions. These services are listed in attachment:

―All contractor-provided services are considered mission-essential functions for this effort.‖


(c)(1) The Mission-Essential Contractor Services Plan submitted by the Contractor, is incorporated in this contract.

(2) The Contractor shall maintain and update its plan as necessary. The Contractor shall provide all plan updates to
the Contracting Officer for approval.

(3) As directed by the Contracting Officer, the Contractor shall participate in training events, exercises, and drills
associated with Government efforts to test the effectiveness of continuity of operations procedures and practices.

(d)(1) Notwithstanding any other clause of this contract, the Contractor shall be responsible to perform those
services identified as essential contractor services during crisis situations (as directed by the Contracting Officer), in
accordance with its Mission-Essential Contractor Services Plan.

(2) In the event the Contractor anticipates not being able to perform any of the essential contractor services
identified in accordance with paragraph (b) of this clause during a crisis situation, the Contractor shall notify the
Contracting Officer or other designated representative as expeditiously as possible and use
its best efforts to cooperate with the Government in the Government's efforts to maintain the continuity of
operations.

(e) The Government reserves the right in such crisis situations to use Federal employees, military personnel, or
contract support from other contractors, or to enter into new contracts for essential contractor services.

(f) Changes. The Contractor shall segregate and separately identify all costs incurred in continuing performance of
essential services in a crisis situation. The Contractor shall notify the Contracting Officer of an increase or decrease
in costs within ninety days after continued performance has been directed by the Contracting Officer, or within any
additional period that the Contracting Officer approves in writing, but not later than the date of final payment under
the contract. The Contractor's notice shall include the Contractor's proposal for an equitable adjustment and any data
supporting the increase or decrease in the form prescribed by the Contracting Officer. The parties shall negotiate an
equitable price adjustment to the contract price, delivery schedule, or both as soon as is practicable after receipt of
the Contractor's proposal.

(g) The Contractor shall include the substance of this clause, including this paragraph (g), in subcontracts for the
essential services.
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(End of clause)




252.237-7024 NOTICE OF CONTINUATION OF ESSENTIAL CONTRACTOR SERVICES (OCT 2010)

(a) Definitions. Essential contractor service and mission-essential functions have the meanings given in the clause at
252.237-7023, Continuation of Essential Contractor Services, in this solicitation.

(b) The offeror shall provide with its offer a written plan describing how it will continue to perform essential
contractor services (All contractor-provided services are considered mission-essential functions for this effort)
during periods of crisis. The offeror shall--

(1) Identify provisions made for the acquisition of essential personnel and resources, if necessary, for continuity of
operations for up to 30 days or until normal operations can be resumed;

(2) Address in the plan, at a minimum--

(i) Challenges associated with maintaining essential contractor services during an extended event, such as a
pandemic that occurs in repeated waves;

(ii) The time lapse associated with the initiation of the acquisition of essential personnel and resources and their
actual availability on site;

(iii) The components, processes, and requirements for the identification, training, and preparedness of personnel
who are capable of relocating to alternate facilities or performing work from home;

(iv) Any established alert and notification procedures for mobilizing identified ``essential contractor service''
personnel; and

(v) The approach for communicating expectations to contractor employees regarding their roles and responsibilities
during a crisis.

(End of provision)



WIDE AREA WORKFLOW (WAWF) ARMY ELECTRONIC INVOICING INSTRUCTIONS


                            Electronic Submission of Payment Request


Contractor shall submit payment request using the following method as mutually agreed to by the Contractor, the
Contracting Officer, the contract administration office, and the payment office.

_X__ Wide Area Workflow –Receipt and Acceptance (WAWF-RA) (see instructions below)
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                                                                                                   Page 26 of 91



___ Web Invoicing System (WInS)

___ American National Standards Institute (ANSI) X.12 electronic data interchange (EDI) formats

___ Other (please specify)____________________________________

DFAS POC and Phone:_______________________________________________

WAWF-RA is the method to electronically process vendor request for payment. This application allows DOD
vendors to submit and track Invoices and Receipt/Acceptance documents electronically. Contractor electing to use
WAWF-RA shall (i) register to use WAWF-RA at https://wawf.eb.mil and (ii) ensure an electronic business point of
contract (POC) is designated in the Central Contractor Registration site at http://www.ccr.gov within ten (10)
calendar days after award of this contract/order.

WAWF- RA Instructions

Questions concerning payments should be directed to the Defense Finance and Accounting Service (DFAS)[fill in
DFAS location here](Block 18a of your purchase order/contract) at [fill in DFAS vendor pay phone number here] or
faxed to [fill in DFAS vendor pay fax phone number here]. Please have your purchase order/contract number ready
when calling about payments.

You can easily access payment and receipt information using the DFAS web site at
http://www.dfas.mil/money/vendor. Your purchase order/contract number or invoice number will be required to
inquire status of your payment.

The following codes and information will be required to assure successful flow of WAWF-RA documents.

TYPE OF DOCUMENT [X the appropriate block]

___ Commercial Item Financing

___ Construction Invoice (Contractor Only)

___ Invoice (Contractor Only)

___ Invoice and Receiving Report (COMBO)

_X__ Invoice as 2-in-1 (Services Only)

___ Performance Based Payment (Government Only)

___ Progress Payment (Government Only)

___ Cost Voucher (Government Only)


___ Receiving Report (Government Only)

___ Receiving Report With UID Data (Government Only)

___ Summary Cost Voucher (Government Only)
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         CAGE CODE:        SEE TASK ORDER

         ISSUE BY DODAAC: W81K04

         ADMIN BY DODAAC: W81K04

         INSPECT BY DODAAC: SEE TASK ORDER

         ACCEPT BY DODAAC: SEE TASK ORDER

         SHIP TO DODAAC: SEE TASK ORDER

         LOCAL PROCESSING OFFICE DODDAC: SEE TASK ORDER

         PAYMENT OFFICE FISCAL STATION CODE: SEE TASK ORDER

         EMAIL POINTS OF CONTACT LISTING: (Use Group e-mail accounts if applicable)

         INSPECTOR: SEE TASK ORDER

         ACCEPTOR: SEE TASK ORDER

         RECEIVING OFFICE POC: SEE TASK ORDER

         CONTRACT ADMINISTRATOR: SEE TASK ORDER

         CONTRACTING OFFICER: SEE TASK ORDER

         ADDITIONAL CONTACT: For more information contact:

         Anthony J. Smith, Contract Specialist: anthony.j.smith11@us.army.mil Comm.: 210-295-4631
         Johnie F. Johnson, Contracting Officer: Johnie.Johnson@us.army.mil Comm.: 210-221-4005



                                              (End of clause)




52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR
EXECUTIVE ORDERS--COMMERCIAL ITEMS (APR 2011) (DEVIATION)

(a) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph
(a) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and
does not contain the clause at 52.215-2, Audit and Records-Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall
have access to and right to examine any of the Contractor's directly pertinent records involving transactions related
to this contract.
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(2) The Contractor shall make available at its offices at all reasonable times, the records, materials, and other
evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any
shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If
this contract is completely or partially terminated, the records relating to the work terminated shall be made
available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes
clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available
until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data,
regardless regardless of type and regardless of form. This does not require the Contractor to create or maintain any
record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(b)(1) Notwithstanding the requirements of any other clause in this contract, the Contractor is not required to flow
down any FAR clause, other than those in this paragraph (b)(i) in a subcontract for commercial items. Unless
otherwise indicated below, the extent of the flow down shall be as required by the clause-

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (APR 2010) (Pub. L. 110-252, Title VI, Chapter 1
(41 U.S.C. 251 note).

(ii) 52.219-8, Utilization of Small Business Concerns (DEC 2010) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts
that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns)
exceeds $650,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in
lower tier subcontracts that offer subcontracting opportunities.

(iii) Reserved.

(iv) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).

(v) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible
Veterans (SEP 2006) (38 U.S.C. 4212).

(vi) 52.222-36, Affirmative Action for Workers with Disabilities (JUN 1998) (29 U.S.C. 793).

(vii) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O.
13496). Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(viii) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

(ix) 52.222-50, Combating Trafficking in Persons (FEB 2009) (22 U.S.C. 7104(g)).

___ Alternate I (AUG 2007) of 52.222-50 (22 U.S.C. 7104(g)).

(x) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration,
or Repair of Certain Equipment--Requirements (Nov 2007) (41 U.S.C. 351, et seq.).

(xi) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services--
Requirements (FEB 2009) (41 U.S.C. 351, et seq.).

(xii) 52.222-54, Employment Eligibility Verification (JAN 2009).
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(xiii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (MAR 2009) (Pub. L. 110-247). Flow
down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xiv) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. Appx
1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor may include in its subcontracts for commercial items a minimal number of
additional clauses necessary to satisfy its contractual obligations.

(End of clause)



PERFORMANCE WORK STATEMENT

                  PERFORMANCE WORK STATEMENT – ANCILLARY MEDICAL SERVICES


1.0. INTRODUCTION.

1.1. This contract is issued in support of the Military Treatment Facilities (MTFs) within the U.S. Army Medical
Command (MEDCOM) and other Department of Defense (DoD) agencies having similar requirements. The
Contractor shall provide personal and non-personal Ancillary Medical Services, which will contribute to a stable
workforce tasked with providing quality health care services to a diverse beneficiary population. Required
specialties, locations, quantities, and Performance Work Statements (PWS) will be designated by task orders. See
Enclosure 5 for typical specialties. Because Enclosure 5 is not intended to be a comprehensive list, the Government
reserves the right to add additional specialties as necessary throughout the life of the contract. The Contractor shall
provide technically competent health care providers within the time frame stated in each task order.

1.1.1. As used in this contract, Health Care Provider (HCP) includes services of all medical specialties except
Nursing, Medical Assistants, Physician Assistants, Medical Doctors and Doctors of Osteopathy.

1.2. The Contractor shall provide technically competent health care providers (HCPs) within the time frame stated
in the task order. All services shall be provided in accordance with established standards, principles and ethics of
the profession and applicable professional specialty organizations, The Joint Commission (TJC) standards,
applicable DoD and Army specific regulations, directives, and policies, and MTF specific policies, procedures, and
job descriptions. Contract HCPs shall give the highest regard to patient dignity and observe the precepts of the
American Hospital Association’s Bill of Rights for Patients.

1.3. The contract HCP shall provide services in conjunction with other non-contract providers to include physicians,
nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel. All contract
HCPs shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty
or position, as those required by Army or Government service health care professionals of similar experience and in
similar duty assignments. The scope of services provided in the MTFs cover the same range of services as those that
are provided in civilian treatment facilities of similar size and scope of services.

1. 4. Relationship of the Parties, Professional Liability Responsibility and Procedures.

1.4.1 Relationship of the Parties. Task orders written under this contract may be issued for personal services under
the authority of 10 United States Code 1089 and 10 United States Code 1091.
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1.4.1.1 Performance under such task order will constitute a personal service contract and is intended to create an
employer-employee relationship between the Government and the individual health care providers only to the extent
necessary for providing the health care services required under the contract. The performance of health care
services by the individual HCPs under a personal services contract is subject to day-to-day supervision and control
by health care facility personnel comparable to that exercised over military and civil service HCPs engaged in
comparable health care services. Any personal injury claims alleging negligence by the individual HCPs within the
scope of the HCP’s performance of the personal services contract shall be processed by DoD in the same manner as
claims alleging negligence by DoD military or civil service HCPs. The contract does not create an employer-
employee relationship between the Government and any corporation, partnership, business association or other party
or legal entity with which the HCP may be associated.

1.4.1.2. If the task order specifies the requirement is for non-personal services, performance under such task order
will constitute a non-personal services contract. Under such contracts the personnel rendering the services are not
subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually
prevailing in relationships between the Government and its employees.

1.4.1.3. If the task order specifies the relationship is for non-personal services, the Government will not be liable for
malpractice allegations against contract HCPs based upon performance of this contract. The Contractor shall be
required to carry malpractice for its contract HCPs, at a level acceptable to the Contracting Officer (KO), prior to
commencement of services. Evidence of insurance shall be provided per task order. If an apparent successful
Offeror, the Contractor shall provide evidence of insurability concerning medical liability insurance prior to task
order award. Upon task order award, the Contractor shall provide evidence of insurance demonstrating the required
coverage prior to commencement of performance. In accordance with FAR clause 52.237-7, the Contractor shall
indemnify the Government for any liability producing act or omission by the Contractor, its contract HCPs and
agents occurring during contract performance. If the Contractor uses subcontractors in the performance of this
contract, the Contractor is required to ensure that its subcontracts for provisions of health care services contain the
requirements of FAR clause 52.237-7, including the maintenance of medical liability insurance.

1.4.2. Responsibility and Procedures.

1.4.2.1. If any suit or action is filed or any claim is made against the contract HCP (whether performing under a
personal or non-personal services contract), which occurred as a result of work performed by the HCP under this
contract, the HCP shall immediately notify the Contractor, the Contracting Officer (KO) and the chief of the
appropriate services and promptly furnish them copies of all pertinent documents received.

1.4.2.2. If under a personal services contract, the Contractor and contract HCP shall cooperate with the
Government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or
claim; and authorize Government representatives to settle or defend the claim and to represent the HCP in, or take
charge of, any litigation involved in such an action. The contract HCP may, at the contract HCP’s own expense,
participate in defense of such claim or litigation.

2.0 BACKGROUND.

2.1. The mission of the military health care system (MHS) is to ensure the nation has available at all times a healthy
military force supported by a combat ready health care system. Health care services for eligible MHS beneficiaries
are provided at Medical Treatement Facilities (MTFs) located on or near military installations or posts. The MTF
may be a Clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple
specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic,
Hospital, or Medical Center. Army Community Hospitals (ACH) offer more complex, resource-intensive secondary
care (e.g. inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the
hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment),
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secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all
MEDCENs offer graduate medical education programs for physicians.

3.0 SCOPE OF WORK.

3.1 Administrative.

3.1.1. Services under this contract will be ordered by task orders. The MEDCOM Health Care Acquisition Activity
(HCAA) Regional Contracting Office (RCO) specified at Enclosure 3 is authorized to issue task orders for their
region. The RCO specified may issue task orders under this contract for other DoD agencies having similar
requirements if a Memorandum of Agreement is in place and only after coordination with the Health Care
Acquisition Activity (HCAA). In addition, task ordering authority may be delegated to other DoD agencies after
coordination with the HCAA. The MEDCOM region for this effort is identified at Enclosure 3.

3.1.2. Contractor Representative. The Contractor shall designate to the KO at the RCO, in writing, a primary point
of contact for contract implementation, coordination and administration not later than 10 business days after
receiving notice of contract award. The Contractor shall notify the KO of changes in the primary point of contact at
least five business days prior to the change. All notifications shall be in writing and shall state the name and contact
information for the point of contact. In addition, task orders may require a program manager or local point of
contact. Contractor representative shall maintain professional deportment at all times and demonstrate
responsiveness as appropriate.

3.1.3. The Contracting Officer’s Representative (COR) will be the KO’s authorized representative in administering
the contract at the MTF level. The Contractor’s representative shall be available to discuss any problems that the
Contractor’s personnel may be experiencing during the performance of this contract. Problems experienced by the
Government with the Contractor’s performance will be discussed and resolved. Unresolved problems will be
referred to the KO for resolution.

3.1.4. If the Contractor uses non-compete provisions in its employment agreements, it shall not prevent its HCPs
from being employed by or accepting offers of employment from the new Contractor of the follow-on contract. It
would hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.1.5. The Contractor and contract HCPs shall abide by all MTF standards, rules, and procedures
including requirements for any licensure, credentialing and quality assurance requirements.
Such regulations include, but are not limited to, general safety, fire prevention, waste disposal,
infection control, JC, and patient safety initiatives.

3.1.6. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. All inquiries and
complaints from the media, third parties, private or public agencies shall be immediately relayed to the COR. There
shall be no interviews, comments, or any other response without the prior knowledge and approval of the MTF
Commander.

3.1.7. Emergency health care for contract HCPs. The MTF will provide emergency health care for injuries or life
threatening medical emergencies occurring while on duty. The Contractor shall reimburse the Government for such
services as billed by the MTF.

3.1.8. U.S. Citizenship (copy of birth certificate or naturalization papers required). Legal aliens who possess a
green card or H-1B visa, who are in compliance with U.S. Immigration Laws, and who meet the qualifications
required herein, may perform under the contract. No alien shall be allowed to perform under this contract in
violation of the Immigration Laws of the United States. In addition, the Government shall not be held liable for not
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allowing performance under this contract by a Contractor employee who fails to comply with, or to maintain, the
citizenship or legal alien status requirements stated herein.

3.1.8.1. Graduates from jurisdictions other than the United States must comply with the requirements of AR 40-68,
4-9.

3.1.9. Reports. On the 5th working day of each month, the Contractor shall submit a written report to the KO
identifying all current task orders and monthly fill rates. If the fill rate does not meet the requirements stated in the
task order, an explanation of why must be provided. The Contractor shall submit additional reports to the KO as
requested for use in monitoring Contractor performance. The KO may request additional information at any time.

3.2. Conflict of Interest

3.2.1. The Contractor or contract HCPs shall not bill the patient for services rendered under this
contract. The Contractor or contract HCPs shall not request or accept compensation of any kind
for patients treated, procedures performed, or any other actions performed, except under the
terms and conditions of this contract, at the rate specified.

3.2.2. The Contractor or contract HCPs shall not, while performing services under this contract,
advise, recommend, or suggest to persons eligible to receive medical care at Government
expense that such persons should receive care from the Contractor or contract HCPs or from any
third party at any place other than as designated under this contract.

3.2.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or
technical data which is furnished, produced or otherwise available to the Contractor during the performance of this
contract are considered confidential business information and shall not be used for purposes other than performance
of health care services under this contract. The Contractor shall not release any of the above information without
prior written consent of the KO. The Contractor/contract HCPs shall not use patient care rendered pursuant to this
contract as part of a study, research project, or publication. The contract HCPs shall prepare medical records, forms
and documents as required, in accordance with the regulations and established guidelines listed in the contract.

3.2.3.1. Contract HCPs shall abide by federal and local MTF regulations and requirements concerning the nature of
limited privileged communication between patients and the HCP as may be necessary for security and personnel
reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of
patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance
Portability & Accountability Act of 1996. All regulations referenced are available for review from the COR, MTF,
or the KO. All medical records and reports will remain the property of the Government.

3.2.4. The Contractor shall not employ active duty military or Government civilian employees to perform services
under this contract.

3.2.5. The Contractor or contract HCPs shall not use Government facilities, supplies, or equipment in private
practice or for any purpose other than providing the health care services required under this contract.

3.3. Security

3.3.1. Security Identification Badges. The Contractor and contract HCPs shall comply with the local installation
and MTF personnel identification and access requirements.
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3.3.1.1. Each contract HCP shall wear a visible security identification badge, provided by the military installation or
the MTF, on the front of his/her outer clothing. The badge must show the full name, title and the word ―Contractor‖
in front. The COR will provide the paperwork to request identification badges.

3.3.1.2. The Contractor is responsible for absences of contract HCPs due to expired identification and access
documents. Such absences shall not relieve the Contractor of its obligation to perform the health care services
required under this contract.

3.3.1.3. The contract HCP shall immediately report any lost or stolen badges to the COR.

3.3.1.4. The contract HCP shall turn in all identification badges to the COR, or his/her designated representative
upon termination of their services under this contract.

3.3.2. Vehicle Registration. The Contractor/contract HCPs shall comply with the local
installation requirements for vehicle registration and operation on the military installation. All
contract HCPs must register their vehicles with the office responsible for vehicle registration to
gain access onto the military installation. A valid driver’s license, Government-furnished
civilian identification, proof of insurance and current registration must be presented to the
Provost Marshal’s Office, at which time a DoD decal will be issued. The decal shall be placed
on the vehicle’s front windshield in accordance with instructions.

3.3.2.1. All vehicles, with or without a DoD decal, are subject to search. Contract HCPs may encounter long
delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government
will not reimburse the Contractor for time spent at installation checkpoints. Contract HCPs must plan accordingly
and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

3.3.2.2. Contract HCPs shall follow installation procedures for removal and turn-in of the vehicle decal upon
termination of services under this contract.


3.3.3. Keys. The Contractor is responsible for any keys issued by the Government to contract HCPs for use in the
MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any
lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief,
or COR immediately upon recognition of the loss.

3.3.4. Safeguarding Material. The Contractor shall be responsible for safeguarding all Government property
provided or obtained in connection with this contract. The Contractor shall safeguard information of a confidential
or sensitive nature. Neither the Contractor nor any of its contract HCPs shall disclose or cause to be disseminated
any information concerning the operation of the MTF that could result in or increase the possibility of a breach in
security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of
1974. However, the Contractor may be required to provide testimony or disposition in cases of due process action.

3.4. Orientation and Training.

3.4.1. MTF in/out-processing checklist. When commencing work under this contract, the contract HCPs shall
obtain in-processing checklist(s) from the COR or designated office. All contract HCPs are required to complete the
applicable items on the checklist and turn it in to the designated office. Upon completion of the duty assignment,
the contract HCPs shall complete an out-processing checklist and return it to the designated office.
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3.4.2. MTF and Unit Orientation. The contract HCPs will be provided with a Government paid orientation to
familiarize the contract HCPs with the policies and procedures of the MTF, assigned department and specific unit.

3.4.2.1. Orientation will be completed within the time specified in AR 40-68, which currently is 45 days.

3.4.2.2. Competency Assessments. Competency Assessments, if required, will be designated in the task order.

3.4.3. Annual training requirements. The Contractor shall ensure that contract HCPs complete any mandatory
annual Government unique training requirements in accordance with MTF procedures. All contract HCPs shall
meet continuing education (CE) requirements. The Government will not reimburse for these costs. The COR may
approve Contractor HCPs to attend, in an unpaid status, MTF CE classes on a space available basis.

3.4.4. Government unique training. The Government may elect to provide unique Government training to contract
HCPs who are performing services under this contract. If the Government elects to provide such training, the
Government will provide such training at no additional expense to the Contractor or to the contract HCP. When
directed by the KO, contract HCPs shall attend all such training in a paid status as part of the normal services
required and billed under the contract. Such training shall require a performance commitment by the contract HCP
and the Contractor shall reimburse the Government (by means of a credit on the next month’s invoice) if a contract
HCP fails to satisfy the performance commitment after the contract HCP receives the unique Government training.
The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the
training and the number of months by which the contract HCP fails to complete the performance commitment. The
length of the performance commitment will be stated in the task order.

3.4.5. Computer Training. Contract HCPs who have any interaction with the MTF computer systems must receive
training for the applicable system(s). The COR will coordinate the necessary computer training. The training will
be on-site and during normal duty hours. This training will be at no cost to the Contractor. These systems include
but are not limited to:

3.4.5.1. Composite Healthcare Computer System (CHCS) is the military’s world-wide automated medical
information system that interfaces with 40 plus external clinical and administrative systems.

3.4.5.2. Armed Forces Health Longitudinal Technology Application (AHLTA) contains the MTF’s appointment
scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the
MTF. In addition, it contains the electronic medical records for MHS beneficiaries.

3.4.5.3. Ambulatory Data System (ADS). This computer system produces forms on which the providers identify
the appropriate billing codes for diagnoses and procedures for each patient. In addition, contract HCPs working in
Labor and Delivery will be trained on the Labor and Delivery Statistics System (LADS).

3.4.6. The Contractor shall ensure contract HCPs have received Occupational Safety and Health Administration
(OSHA) required training for the position in which they will perform, and that training currency is maintained.
Documentation of such training shall be provided to the COR.

3.5. MTF HOURS OF OPERATION

3.5.1. Hospitals and Medical Centers provide services 24 hours a day, 365 days a year (366 days during leap years)
including holidays. Clinics have designated operating hours.

3.5.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday
will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday.
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Contract employees may be required to work on legal holidays as determined by the department chief and stated on
the task order.

New Year’s Day, January 1st
Martin Luther King’s Birthday, 3rd Monday in January
President’s Day, 3rd Monday in February
Memorial Day, Last Monday in May
Independence Day, July 4th
Labor Day, 1st Monday in September
Columbus Day, 2nd Monday in October
Veteran’s Day, November 11th
Thanksgiving Day, 4th Thursday in November
Christmas Day, December 25th

3.5.3. Contract HCPs may be required to report to work as scheduled during emergencies, disasters or during
adverse weather conditions. Contract services will still be required during these situations if stated on the task
order.

3.5.4. Closures. During anticipated closure of the facility due to Command declared training holidays or unplanned
closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the Contractor
will only be paid for the actual hours that were worked.

3.6. HOURS OF PERFORMANCE.

3.6.1. Task orders will identify the hours for which performance is required along with the scheduling process,
overtime, and call.

3.6.2. Scheduling. The COR or their designee will be responsible for communicating with the Contractor regarding
scheduling issues. The shift supervisor may act as point of contact after normal duty hours, weekends, and holidays.
In such cases, the COR will confirm all actions on the next normal working day.

3.6.3. Absences and leave.

3.6.3.1. The Contractor shall notify the COR when a scheduled contract HCP cannot fill a shift due to illness or
emergency. Notification shall be as early as possible, but no later than 2 hours after start of scheduled shift.

3.6.3.2. If required by the task order, the Contractor shall have sufficient qualified personnel available so that all
services are provided in the event an HCP scheduled to work becomes ill, resigns, is terminated, or is otherwise
unavailable to work. The substitutes/replacements shall have at least the minimum qualifications required for the
position.

3.6.3.3. When the Contractor experiences delays in recruiting or submitting credentials packages, the Contractor
shall notify the ordering KO immediately. The ordering KO will evaluate the situation to determine if an extension
of the dates is appropriate. If an extension is not approved, the Government may terminate the task order for default
or seek other remedies as appropriate.

3.6.3.4. Scheduled absences of contract HCPs shall be coordinated with the COR at least 30 calendar days in
advance.

3.6.4. Duty at other locations. Contract HCPs may be required to travel to other locations to perform services if
required by the task order. If travel is required, it will be stated in the task order and arrangements for and costs of
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all travel, transportation, meals, lodging, and incidentals are the responsibility of the Contractor. The Contractor
will be reimbursed only for actual costs incurred up to the limits set forth in the DoD Civilian Personnel Joint Travel
Regulation (JTR), Volume 2. The website for per diem rates is: http://www.defensetravel.dod.mil/.

3.7. LICENSE VERIFICATION AND CREDENTIALS REVIEW OR PRIVILEGING (If Applicable).

3.7.1. The Contractor shall provide verified complete credentials packages within the time frames stated in the task
order. The Contractor shall follow Army Regulation (AR) 40-68, Clinical Quality Management, for all health care
services provided in the MTFs. Army Regulation 40-68 is located on the internet at website
http://www.apd.army.mil/. Credentialing requirements for non-Army customers will be addressed in the task order.
Complete credentials packages shall be submitted within the time frames stated in the task orders.

3.7.1.1. The Contractor shall perform all primary source verifications and include all verifications with the
credentials package or competency assessment folder information for non-privileged staff in accordance with AR
40-68. The Contractor shall obtain all paperwork, letters of reference, approvals, work history, etc. required by the
MTF credentialing or licensure verification processes. The MTF staff will not assist the Contractor in obtaining any
needed information for initial credentialing. The Contractor is responsible for the current competence of HCPs used
to provide health care services under this contract.

3.7.1.2. Licensure, certification, registration, or authorizing documents (license and certification verification
processes chapter 4 of AR 40-68). Graduates of foreign medical schools are required to possess both a medical
license and certification by the Education Commission for Foreign Medical Graduates (ECFMG) or Fifth Pathway.

3.7.1.2.1. Personal Services: Task orders will be issued for personal services. All personal services contract health
care providers must maintain a current, active, valid and unrestricted license or authorizing document from any U.S.
state, District of Columbia; or U.S. territory or jurisdiction to provide health care within the scope of practice for a
specific health care discipline. In addition, contract health care providers who write prescriptions for controlled
substances must have a current Drug Enforcement Agency (DEA) certificate or Controlled Drug Substance number
as appropriate. The Contractor shall ensure that renewal actions are accomplished well before expiration of the
provider’s license and/or DEA certification to ensure compliance with the contract.

3.7.1.3. Privileges are facility specific and the department chair or service chief develops the criteria to award
privileges. The forms required for the privileging process are outlined in AR 40-68. The Contractor shall request
from the COR, documentation requirements for privileges or for license verification, as required by the position, for
each HCP. HCPs who require privileging shall not provide health care services until they have been granted
privileges at the MTF.

3.7.1.4. The Credentials Committee may have questions which they will wish to present to the Contractor’s HCPs
verbally or in writing. The Contractor’s HCPs shall answer questions presented by the Credentials Committee either
verbally or in writing.

3.7.2. If the Contractor adds additional or replacement HCPs during the contract period, the same qualification
standards, credentialing/privileging and health requirements shall apply.

3.7.3. The Contractor shall not use any individual to provide direct health care services under this contract if that
individual, within the past 5 years:

3.7.3.1. Has had his/her clinical privileges limited, suspended, or revoked by any healthcare facility, public or
private, anywhere in the world.

3.7.3.2. Is the subject of a current or pending hearing or appeal brought by any health care facility, public or private,
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anywhere in the world, which may result in the limitation, suspension, or revocation of the individual’s clinical
privileges.

3.7.3.3. This prohibition does not apply to any individual whose clinical privileges, although originally limited,
suspended or revoked by a health care facility, were subsequently fully reinstated by the health care facility.

3.7.3.4. Limitation of clinical privileges, as used in this paragraph, refers to a partial withdrawal/reduction of
clinical privileges as a result of a determination that, or pending investigation to determine whether, an individual
has engaged in unprofessional conduct or substandard medical practice or is incompetent to perform certain medical
practices.

3.7.5. Removal of Contract HCPs. At any time during the performance of this contract, the KO or COR may
direct the Contractor to immediately remove any contract HCP whose actions or impaired state raises reasonable
suspicion that clear and present danger of physical harm exists to a patient, other contract HCPs, Government
personnel or to the impaired individual. This provision will be used in emergency situations only and not for the
purpose of bringing performance issues or other non-urgent concerns to the attention of the Contractor.

3.7.5.1. If the need for a removal occurs, the COR will contact the Contractor's point of contact and direct the
Contractor to remove that individual from the military facility and to not use that individual to perform any health
care services required under this contract until the issue has been resolved by the KO. The Contractor shall formally
meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Improvement
(QA&I) Plan and AR 40-68. A review of the basis for removal will be made by the KO within 3 working days after
the COR directed the removal.

3.7.5.2. If, after any investigation deemed necessary by the KO and discussions with the Contractor's representative,
the KO concludes that the contract HCP’s impairment requires permanent removal from performance under the
contract, the KO will notify the Contractor that permanent removal is required. In the event of disagreements
between the Government and the Contractor's representative concerning matters of impaired contract HCPs, the
decision of the KO will be final. During the period of time between the removal and the final decision of the KO,
the Contractor shall agree to provide a backup/replacement contract HCP in accordance with the terms and
conditions of this contract.

3.7.5.3. The HCP may be required to submit to drug/alcohol testing. The Government reserves the right to require
temporary or permanent removal from contract performance any individual who refuses or fails testing.

3.7.6. The MTF Commander has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical
privileges/practice when there is a reasonable cause to doubt the health care provider’s competence to practice or for
any cause affecting the safety of patients or others. AR 40-68 outlines the adverse clinical privileging and practice
actions for privileged personnel and adverse practice actions and peer review for nonprivileged personnel.

3.7.7. Contract HCPs shall not introduce new procedures or services without prior approval of the Department
Chief or representative. If disagreements or deviations from protocols or procedures occur, the Department Chief or
representative shall be the deciding authority.

3.7.8. The Contractor shall ensure contract privileged providers providing medical services under this contract have
a rubber stamp containing their full name, degree, title, DEA certificate number and company name (if applicable)
or the word, "Contractor." The stamp shall be placed on all forms and documentation having the provider's
signature:

EXAMPLES:
Jane J. Jones, APRN, BC                                          John J. Jones, APRN, BC
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Physician Assistant                                                Physician Assistant
DEA #123456                                                        DEA #123456
Jones Health Care Company                                          Contractor

3.8 Health. All HCPs performing services under this contract shall comply with the health and immunization
requirements specified in the task order, at the time of initial request for clinical privileges and annually thereafter.
Backup/replacement contract HCPs shall be required to provide equally current certification of health at the time of
initial request for clinical privileges and annually thereafter. The expense for all physical examinations to comply
with the health requirements shall be borne by the Contractor at no additional cost to the Government.

3.9. Contract HCPs determined by the MTF to be involved in the delivery of health care to children under the age of
18 on a frequent and regular basis must meet the requirements of the Crime Prevention Act of 1990, Criminal
History Background Check Requirements.

3.10. Contractor Manpower Reporting.

ACCOUNTING FOR CONTRACT SERVICES -The Office of the Assistant Secretary of the Army (Manpower &
Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor will report ALL
Contractor manpower (including subcontractor manpower) required for performance of this contract. The
Contractor is required to completely fill in all the information in the format using the following web address
https://cmra.army.mil/ . The required information includes: (1) Contracting Office, Contracting Officer,
Contracting Officer’s Technical Representative; (2) Contract number, including task and delivery order number;
(3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail
address, identity of Contractor employee entering data; (5) Estimated direct labor hours (including sub-contractor);
(6) Estimated direct labor dollars paid this reporting period (including sub-contractor); (7) Total payments
(including sub-contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by Contractor
(and separate predominant FSC for each sub-contractor if different); (9) Organizational title associated with the
Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for
providing the Contractor with its UIC for the purposes of reporting this information); (10) Locations where
Contractor and sub-contractors perform the work (specified by zip code in the United States and nearest City,
Country, when in an overseas location, using standardized nomenclature provided on website); (11) Presence of
deployment or contingency contract language, and, (12) Number of Contractor and sub-contractor employees
deployed in theater this reporting period (by country). (13) As part of its submission, the Contractor will also
provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will
be the period of performance not to exceed 12 months ending September 30 of each Government fiscal year and
must be reported by 31 October of each calendar year. The Contractor shall notify the Contracting Officer’s
Representative (COR) by the 5th working day of November whether or not they have completed this report. If the
COR is unavailable, the Contractor will notify the Contracting Officer.

3.11. Contractor Verification System (CVS).

3.11.1. The Contractor shall comply with agency personal identity verification procedures identified in the contract
that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB)
guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

3.11.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when
the subcontractor is required to have physical access to a federally-controlled facility or access to a Federal
information system.

3.11.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of FAR Clause
52.204-9, the Government will designate a Trusted Agent (TA), and the Contractor shall designate a Facility
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Security Officer (FSO), for this contract. The Government reserves the right to amend or supplement these
provisions pursuant to the Changes clause in the contract.

3.11.4. In-processing Requirements. Contractor personnel are prohibited from performing services under this
contract absent compliance with the in-processing requirements set forth below.

3.11.4.1. For every contract service provider, the FSO shall provide the following information to the TA for input
into the DEERS/RAPIDS System:

     (a)   Last Name
     (b)   First Name
     (c)   Middle Name
     (d)   Social Security Number
     (e)   Date of Birth
     (f)   E-mail Address (may be either the e-mail address of the incoming individual or the FSO).

3.11.4.2. The contract service provider shall have an Army Knowledge Online (AKO) account in order to submit
the application. AKO registration may be accessed via https://www.us.army.mil.

3.11.4.3. The DEERS/RAPIDS Systems will send a notice to the e-mail address provided IAW the above
requirement, in which the contract service provider’s user ID and password are provided. In the event the e-mail
message is sent to the FSO, the FSO shall notify the Contractor of the contract service provider’s user ID and
password.

3.11.4.4. The contract service provider shall log into the DEERS/RAPIDS System, and submit an application for
acceptance into the System, using the user ID and password provided.

3.11.4.5. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has
been accepted, returned or rejected will be provided to the individual’s e-mail address provided within 48 hours
after submission. If the application is returned or rejected, the contract service provider shall contact the TA and
comply with the TA’s guidance to attempt to correct and resolve the issues.

3.11.4.6. Upon approval of the application, the contract service provider shall receive an e-mail sent to the address
provided stating the Common Access Card (CAC) application was approved and to proceed to the Verifying Office
(VO) with two photo IDs to obtain a CAC. For CAC issuance, a DD2842 must be completed and taken by the
individual with two forms of picture ID. The e-mail will contain a URL to download the form. Acceptable forms of
ID are: Driver’s License, Social Security Card, Military ID, Contractor Company ID with picture and expiration
date, VISA charge card with picture imprinted, and passport.

3.11.4.7. Revalidation Requirements. The TA is required to revalidate all contract service providers, in the
DEERS/RAPIDS System, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked
and the Card will not be useable to login.

3.11.4.8. Out-processing Requirements. When a contract service provider’s performance under this contract ceases,
the Contractor or FSO shall provide written notice to the TA. The TA will remove the contract service provider
from the DEERS/RAPIDS System. The Contractor shall ensure the contract service provider’s CAC is turned in to
the Government IAW the out-processing procedures and further guidance from the Center for Health Care
Contracting.

3.12. PERSONAL SECURITY INVESTIGATION REQUIREMENTS.
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3.12.1. Since the HCPs under this task order have access to and/or process information requiring protection under
the Privacy Act of 1974, these positions are considered ―Sensitive‖ positions. Compliance with DoD Directive
5200.28, DoD 5200.2-R, AR 25-2, and AR 380-67 is mandatory for Sensitive positions. Therefore, a National
Agency Check with Inquiries (NACI) is required for each HCP under this contract. The Contractor shall fully
adhere with the provisions of referenced publications by having each of their contract service providers (CSP)s who
are performing under this task order make an appointment (through the COR) with the appropriate security
organization at the installation. Each individual will be fingerprinted and required to complete the appropriate
forms, usually a Standard Form 85-P, Questionnaire for Public Trust Positions. The Contractor shall advise their
CSPs that a positive report is needed as a condition of employment under this contract. The Contractor shall apply
for the NACI within three (3) workdays after start of performance for each contract HCP.

3.13   Quality Control

3.13.1 The Contractor shall have a planned and systematic quality control process covering every aspect of the
Contractor's operation under the contract. Contractor shall continuously operate the system for monitoring,
analyzing, and improving their contract performance. The system shall contain specific language regarding
Contractor efforts to correct known deficiencies.

3.13.2. The Contractor shall ensure that all contract HCPs comply with the MTF quality management/process
improvement activities as well as Joint Commission performance elements.

3.14 Retention. Awardees shall offer compensation packages sufficient to minimize personnel loss due to
inadequate incentives. For most task orders, the Government will require a full time equivalent, not a succession of
temporary HCPs. To facilitate continuity of care, task orders may identify an acceptable fill rate and turnover rate.
Turnover rate is the number of times a different HCP is provided for the same requirement.

3.15 Government Furnished Property (Supplies and Equipment)

3.15.1. Unless specified otherwise by each individual task order, the Government will provide the use of all
available MTF facilities and support services, materials, publications and forms, and equipment required for contract
performance. Contract HCP shall keep Government furnished supplies, equipment and work areas in a safe, orderly
and clean condition. Contract HCP shall notify the Government whenever maintenance of equipment is required or
whether equipment or items necessary for performance are missing or outdated and should be replaced. Contract
HCPs shall abide by all MTF and Army requirements for physical security of Army property and equipment.

3.15.2. Telephones, facsimile machines, copiers and computer equipment are authorized for transaction of official
Government business only and shall not be used for personal business. Personal long distance calls are not
authorized and the cost of all personal long distance calls made may be deducted from the Contractor’s invoice
payments. Telephones, facsimile machines and computer equipment are subject to communications security
monitoring at all times.

3.15.3. Space used by contract HCP in performance of services may be used for other purposes during their
absence. Items of clothing, personal effects, or equipment cannot be secured during their absence. The Government
will not incur any liability for theft, damage to, or loss of personal items.

3.15.4. Contract HCP may be issued keys. The contract HCP shall safeguard the keys from loss, theft or destruction,
and must present, for accountability purposes, all keys signed for at scheduled or unscheduled key control
inspections. The Contractor shall be required to reimburse the Government for lost keys, or lockset (if locksets are
required to be replaced) as a result of lost keys. The cost of replacement of keys/locksets may be deducted from
payments to the Contractor.
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3.15.5. Pagers and other communication devices. If pagers or other communication devices are provided, the
contract HCP shall safeguard the items from loss, theft or destruction, and must present them for accountability
purposes for a scheduled or unscheduled control inspection. The Contractor shall be required to reimburse the
Government for lost items. The cost of replacement of lost items may be deducted from payments to the Contractor.

3.15.6. Protective Clothing. The MTF will supply special protective clothing and shoe covers when required.

3.15.7. Name Tag. The contract HCP shall wear a nametag furnished by the MTF. The name tag will be in
compliance with, and IAW MTF policy.

3.15.8. Items issued will remain the property of the Government and will not be removed from the MTF or
Government-controlled facility. They are to be used, turned in, or disposed of as directed.

4. QUALITY ASSURANCE. The performance by the contract HCPs, the quality of services rendered, and any
documentation or written material in support of same, will be subject to continuous inspection, surveillance and
review for acceptance by the KO or COR. Quality Assurance procedures established by the MTF will be used for
continuous monitoring.

5.0. Position Descriptions. Specific qualifications and tasks will be included on task orders.

5.1. Requirements for all positions.

5.1. The Contractor shall ensure that all contract HCPs, providing services under this contract, shall be able to read,
write, and speak English well enough to effectively communicate with all parties and other health care providers. In
addition, if the position requires the use of computers, the contract HCP shall be computer literate.

5.2. The contract HCPs shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such
that he/she can relate constructively to a variety of patients from diverse backgrounds.

5.3. The contract HCPs shall have the required education, training, experience and documented current competency
in the required specialty position description.

5.4. Life support training. All contract HCPs must possess and maintain current course completion documentation
for basic life support (BLS) through an American Heart Association and/or Red Cross approved training program.

5.5. All contract HCPs shall maintain current all licenses and certifications requirements and meet all continuing
education requirements of the U.S. jurisdiction in which they are licensed to practice.

6. If the Contractor chooses to contact incumbent employees or other personnel at the MTF, contact must be made
outside duty hours. Contact during business hours is an unacceptable business practice and is prohibited.
Contractors must coordinate with appropriate officials and follow MTF policy regarding Contractors conducting
business at the MTF. Failure to follow these instructions will reflect negatively on Business Relations in the past
performance report.

7.0. DELIVERABLES.

7.1. Quality Control Plan (QCP). Within one (1) week of contract award, the Contractor shall submit a QCP to the
KO. The QCP shall cover every aspect of the Contractor's operation under the contract and for each subsequently
awarded task order. The purpose of the QCP is to monitor, analyze, and improve quality, management and
compliance with contract performance standards. Subsequently awarded task orders may require modifications to
the QCP.
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7.2. Transition Plan. Within one (1) week of contract award, the Contractor will provide a Transition Plan that will
detail what steps will be taken to minimize any decreases in productivity and to prevent possible negative impacts
on services. The Contractor shall develop procedures to ensure that all HCPs are available, at no additional cost to
the Government, during the phase in/ phase out periods to ensure that services are provided in accordance with task
order terms and conditions. During the phase in period, the Contractor shall become familiar with requirements in
order to commence full performance of services on the contract or task order start date, as applicable.

7.3. Reports. On the 5th working day of each month, the Contractor shall submit a written report to the KO
identifying all current task orders and monthly fill rates. If the fill rate does not meet the requirements stated in the
task order, an explanation of why must be provided. The Contractor shall submit additional reports to the KO as
requested for use in monitoring Contractor performance. The KO may request additional information at any time.

8.0. APPLICABLE PUBLICATIONS. Enclosure 1

9.0. DEFINITIONS AND ACROYNMS. Enclosure 2

10.0. MEDCOM SOUTHERN REGIONAL MEDICAL COMMAND. Enclosure 3

11.0. PERFORMANCE REQUIREMENTS SUMMARY. Enclosure 4

12.0. TYPICAL ANCILLARY MEDICAL SPECIALTIES. Enclosure 5

13.0. DIRECT HEALTH CARE PROVIDER MEDICAL SPECIALTIES MINIMUM QUALIFICATIONS.
Enclosure 6

14.0. WAGE DETERMINATIONS. Enclosure 7


                                                    ENCLOSURE 1

                                           APPLICABLE PUBLICATIONS


Following is a list of basic publications applicable to this work statement. The most current version of the
publication applies. Current issues of Army publications and links to other service publications can be accessed at
http://www.apd.army.mil/. Army publications not on the internet or MTF policies and procedures can be obtained
from the MTF. Department of Defense publications can be found at www.defenselink.mil/pubs or
www.dtic.mil/whs/directives.

The Publications have been coded as mandatory or advisory. The Contractor is obligated to follow those coded as
mandatory only to the extent that they apply to this contract. Supplements, amendments, or changes to these
mandatory publications may be issued during the life of the contract. Advisory publications may be used for
information and guidance but are not binding for compliance.

Mandatory Publications:

Public Law 91-596            29 Dec 70 Occupational Safety and Health Administration
Public Law 104-191           21 Aug 96 Health Insurance Portability and Accountability Act of 1996
Current Edition             The Joint Commission (TJC) Manual
AR 25-2                     Information Assurance
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AR 40-1                  Composition, Mission, and Functions of the Army Medical Department
AR 40-3                  Medical Services: Medical, Dental, and Veterinary Care
AR 40-4                  Army Medical Department Facilities/Activities
AR 40-5                  Preventive Medicine
AR 40-66                 Medical Records Administration and Health Care Documentation
AR 40-68                 Clinical Quality Management
AR 40-330                Rates Codes, Expense and Performance Reporting Systems, Centralized, Billing, and
                         Medical Service Accounts
AR 40-400                Patient Administration
AR 40-407                Nursing Records and Reports
AR 40-501                Standards of Medical Fitness
AR 40-562                Immunizations and Chemoprophylaxis
AR 340-21                The Army Privacy Program
AR 380-5                 Department of Army Information Security Program
AR 380-53                Information Systems Security Monitoring
AR 380-67                The Department of the Army Personnel Security Program
AR 385-40                Accident Reporting and Records and MEDCOM Supplements
AR 608-18                Army Family Advocacy Program
AR 600-85                Alcohol & Drug Abuse Prevention and Control Program
MEDCOM Pam 25-31         Index of Command Administrative Publications
DA PAM 40-11             Preventive Medicine
DoD 6055.5-M             Occupational Medical Surveillance Manual
TG 149                   Guidelines for Controlling Occupational Exposure to Hazardous Drugs
TG 190                   Guide to Managing Exposure to Bloodborne Pathogens
TB MED 510               Guidelines for the Recognition Evaluation, and Control of Occupational Exposure to
                         Waste Anesthetic Gases

Advisory Publications.



AMA CPT                  Physician’s Current Procedural Terminology, updated annually

                         See https://catalog.ama.assn.org

TB Med 2                 Sterilizing Medical, Surgical, Dental, and Veterinary Material
AR 40-501                Medical Examinations
AR 190-13                The Army Physical Security Program
AR 608-1                 Army Community Service Program
DA Pam 25-51             The Army Privacy Program: System Notices and Exemptions Rule
DoD 1341.2-M             DEERS Program Manual
DoDD 5200.2              DoD Personal Security
DoD 6010.8-R             Civilian Health and Medical Program of the Uniformed Services CHAMPUS,
                         Ch 9, 1 Jul 1991
FM 3-19.30               Physical Security
PL 89-614                Chapter 55, 10 U.S.C. (1071-1088)
Title 29, CFR            Occupational Safety and Health Standards


                                                ENCLOSURE 2
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                                         DEFINITIONS AND ACRONYMS

BENEFICIARY: A member of the military population delineated in AR 40-3, as eligible for care at military
medical treatment facilities.

CERTIFICATION: Official recognition of an individual by a national agency or association that is intended to
assure the public that the health care professional has successfully completed an approved education program and
evaluation. This includes a formal examination designed to assess the knowledge, experience, and skills required
for the provision of high quality patient care in that specialty.

CLINICAL PRIVILEGES: Elements of medical care which define the scope and limits of practice for individual
providers and are based on the capability of the health care facility, the provider's licensure, relevant training and
experience, current competence, health status, and judgment.

COMPETENCY: The ability to integrate knowledge, skills, and attitudes in their job performance. In addition, the
performance is equivalent to stated requirements and to professional standards of care and practice.

CONTRACTING OFFICER (KO): A person with the authority to enter into, administer, or terminate contracts and
make findings and determinations.

CONTRACTING OFFICER'S REPRESENTATIVE (COR): A Government employee selected
and designated in writing by the Contracting Officer to act as his or her authorized representative in administering a
contract.

CONTRACTOR HCPs: Personnel employed by or subcontracted by the Contractor to provide services under a
contract.

CREDENTIALS: The documents that constitute evidence of qualifying education, training, licensure, certification
or registration, experience, current competence, health status, and other qualifications of health care personnel.

CREDENTIALS REVIEW. The process by which the health care professional's credentials are determined to be
appropriate for the position requested or held prior to being granted clinical privileges or assigned patient care
responsibility. It is based on the following four core criteria: current licensure; relevant education, training or
experience; current competence; and ability to perform the requested privileges or scope of practice. Credentials
review is conducted on health care personnel prior to selection and employment.

HEALTH CARE PROVIDERS (HCPs): Health services personnel who participate in clinical patient care. That
does not include personnel whose duties are primarily administrative or clerical, or personnel who provide
maintenance or security services.

LICENSE: A grant of permission by an official agency of a State, the District of Columbia, or a Commonwealth,
territory, or possession of the United States to provide health care within the scope of practice of a specified
discipline. Licenses must be current, active, valid and unrestricted.

MALPRACTICE: A dereliction of professional duty, incorrect or negligent treatment, failure of professional skill
or learning, as well as illegal or immoral conduct by any provider/professional responsible for health care, that
results in death, injury, loss, or damage to the health care beneficiary.

MEDICAL/PATIENT RECORDS: Those documents generated in conjunction with, or as a result of, an episode of
preventive, diagnostic, or therapeutic and rehabilitative care.
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MILITARY HEALTH CARE SYSTEM (MHS): The combination of military and civilian medical systems used to
provide health care to DoD medical beneficiaries. The MHS incorporates all aspects of health services for the DoD.

MILITARY TREATMENT FACILITY (MTF): A military hospital or clinic to include dental and veterinary
clinics.
PERFORMANCE MEASURE: A method or instrument to estimate or monitor the extent to which the actions of a
health care practitioner or provider conform to clinical practice guidelines.

PRIMARY SOURCE VERIFICATION: The process utilized to authenticate the accuracy of a specific credential or
qualification as reported by an individual health care provider or professional. The primary source is the institution,
agency, or body that is the original source of the credential or qualification.

PRIVILEGING: The process whereby the privileging authority, upon recommendation from the credentials
committee, grants to individuals the authority and responsibility for making independent decisions to diagnosis,
initiate, alter, or terminate a regimen of medical or dental care.

QUALITY: The degree of adherence to generally recognized contemporary standards of good practice and the
achievement of anticipated outcome for a particular service, procedure, diagnosis, or clinical problem.

SAFETY: The degree to which the health care environment is free from danger or hazard; the degree to which the
health care intervention minimizes risks of adverse outcomes for both patients and staff.

UNPROFESSIONAL CONDUCT: Conduct that is beyond, or outside of, professional requirements for rendering
beneficiary care and which negatively affects, or has the potential to negatively affect, the professional relationship
or contract with the beneficiary.

ACRONYMS/ABBREVIATIONS:

         ACH               Army Community Hospital
         ADS               Ambulatory Data System
         AHLTA             Armed Forces Longitudinal Technology Application
         AR                Army Regulation
         BLS               Basic Life Support
         CLINS             Contract Line Item Numbers
         COR               Contracting Officer's Representative
         CVS               Contractor Verification System
         DEA               Drug Enforcement Administration
         DEERS             Defense Eligibility Enrollment Reporting System
         DoD               Department of Defense
         FAR               Federal Acquisition Regulations
         FIPS PUB          Federal Information Processing Standards Publication
         FSO               Facility Security Officer
         HCAA              Health Care Acquisition Activity
         HCP               Health Care Provider
         HIPAA             Health Insurance Portability & Accountability Act of 1996
         HSPD              Homeland Security Presidential Directive
         ID                Identification
         KO                Contracting Officer
         LADS              Labor and Delivery Statistics System
         MEDCEN            Medical Center
         MEDCOM            U.S. Army Medical Command
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         MHS               Military Health Care System
         MTF               Military Treatment Facility
         OMB               Office of Management and Budget
         OSHA              Federal Occupational Safety and Health Administration
         QA&I              Quality Assurance and Improvement
         RAPIDS            Real-Time Automated Personnel Identification System
         RCO               Regional Contracting Office
         RMC               Regional Medical Command
         TA                Trusted Agent
         TDY               Temporary Duty
         TJC               The Joint Commission
         UIC               Unit Identification Code
         WS                Work Statement


                                                  ENCLOSURE 3

                         MEDCOM SOUTHERN REGIONAL MEDICAL COMMANDS

The MEDCOM Southern Regional Medical Command Includes the following:


SOUTH                      Alabama           Arkansas          Florida
                           Georgia           Louisiana         Mississippi
                           Oklahoma          Tennessee         Texas
                           S Carolina        Puerto Rico


                                                  ENCLOSURE 4

                             PERFORMANCE REQUIREMENTS SUMMARY (PRS)
                                          HCP SERVICES

This PRS identifies the metrics that will be used to assess performance of the overall contract. The desired outcome
of the contract is to have qualified health care providers at the start of the performance period, have consistent
service, and maintain those providers for the full performance period. Target attainment will be assessed by the
RCO. Assessments will be based on input from CORs against task order metrics for each task order. Metrics at the
task order level will be tailored to the requirements of each task order including the Method of Surveillance and
Acceptable Quality Level (AQL). The task order ―Service Required,‖ as a minimum, will include the items shown
in the ―Service Required‖ column of the Contract PRS (on time performance, maintain fill rate, maintain HCPs for
the full performance period, provide technically competent HCPs, and HCPs must comply with policies and
standards). Other metrics that may be used at the task order level include, but are not limited to:

Substantiated patient complaints
Compliance with security measures
Compliance with hospital policies and procedures
Compliance with all generally accepted clinical quality care
Complete documentation in patient records
Timely patient follow-up when necessary
Timely submission of required reports and documentation
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                                                    CONTRACT PRS

SERVICE              STANDARD                        ACCEPTABLE           METHOD OF              INCENTIVE
REQUIRED                                             QUALITY LEVEL        SURVEILLANCE
(PWS Paragraph)                                      (AQL)
1. On time           Provide HCPs on site and        98% of all task      KO review of input     Favorable or
performance          perform in accordance           orders               from CORs’             unfavorable
 1.2                 with the task order, both                            surveillance of 100    performance
                     initially and throughout                             percent of the task    evaluation
                     the life of the task order.                          orders.                reports

2. Maintain fill     Maintain fill rate stated in    98% of all task      KO review of input     Favorable or
rate.                the task order.                 orders               from CORs’             unfavorable
3.14                                                                      surveillance of 100    performance
                                                                          percent of the task    evaluation
                                                                          orders.                reports
3. Maintain HCPs     Maintain turnover rate          98% of all task      KO review of input     Favorable or
for the full         that does not exceed what       orders               from CORs’             unfavorable
performance          is stated in the task order.                         surveillance of 100    performance
period.                                                                   percent of the task    evaluation
3.14                                                                      orders.                reports
4. Provide           Credentials packages            100% compliance      KO review of input     Favorable or
technically          submitted are for HCPs          on all task orders   from CORs’             unfavorable
competent HCPs.      that are fully qualified in                          surveillance of 100    performance
1.2, 3.7             accordance with the                                  percent of the task    evaluation
                     contract and task order                              orders.                reports
                     work statements.
5. HCPs must         HCPs must comply with           100% compliance      KO review of input     Favorable or
comply with          medical facility policy         on all task orders   from CORs’             unfavorable
policies and         and procedures.                                      surveillance of 100    performance
standards.                                                                percent of the task    evaluation
1.2, 3.1.5                                                                orders. CORs will      reports
                                                                          immediately report
                                                                          non-compliance to
                                                                          the KO.


                                                    ENCLOSURE 5

                               TYPICAL ANCILLARY MEDICAL SPECIALTIES

Below is a list of typical Ancillary Medical Specialties and positions that may be required on future task orders.
Because Enclosure 5 is not intended to be a comprehensive list, the Government reserves the right to add additional
specialties as necessary throughout the life of the contract .

ANCILLARY SERVICES

Dentist                                                          Medical Technologist

Optometrist                                                      Medical Laboratory Technician
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                                                                                          Page 48 of 91




Podiatrist                                           Dietician

Pharmacist                                           Telemetry Technician

Physician Assistant                                  Surgical Technologist

Audiologist/Speech Language                          Cardiovascular Technician

EMT/Paramedic                                        Radiography (CT)

Dental Laboratory Technician                         Radiography (MRI)

Dental Hygienist                                     Radiography Ultrasound

Dental Assistant                                     Mammographer

Respiratory Therapy Technician & Assistant           Nuclear Medicine Technologist

Respiratory Therapist                                Pharmacy Technician

Physical Therapy Assistant                           Telemetry Technician

Physical Therapy Athletic Trainer                    Sleep Medicine Specialist

Occupational Therapist                               Psychologist

Ophthalmic Technician Assistant                      Social Work (Bachelor Degree)

Ophthalmic Dispensing Optician                       Social Work (Graduate Degree)

Laboratory-Pathologist Assistant                     Physical Therapist

Radiology Technology                                 Vascular Tech

Arts Therapist                                       Central Sterile Supply Technician

Cognitive Behavioral Therapist                       Echocardiograph Technician

Endoscopy Technician                                 Health Educator

Hemodialysis Technician                              Mind Body Therapist

Phlebotomist                                         Psychiatric Technician

Recreation Therapist                                 Speech Pathologist

Telemetry Technician


                                             ENCLOSURE 6
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       DIRECT HEALTH CARE PROVIDER MEDICAL SPECIALTIES MINIMUM QUALIFICATIONS

                                                    ANCILLARY

Dentist – General
Qualifications:
Education: Dentist will have successfully graduated from an American Dental Association-Approved School of
Dentistry or other approved school appropriate to the discipline of the provider furnished
Certification: Current BLS
Experience: Minimum of 1 year experience.
Licensure: Valid license in at least 1 state, territory or commonwealth of the US

Optometrist
Qualifications:
Education: Physician will have successfully completed an Undergraduate Program, Optometry School (O.D.)
Certification: Current BLS
Experience: Minimum of 1 year experience within preceding 3 years in the specialty
Licensure: Valid unrestricted un-restricted optometry license in at least 1 state, territory or commonwealth of the
U.S.

Podiatrist
Qualifications:
Education: Physician will have successfully completed an Undergraduate Program, Podiatry School (D.P.M.), and
Internship; Residency Program preferred
Certification: Current BLS and ACLS if required by the client Experience: Minimum of 1 year experience within
preceding 3 years in the specialty
Licensure: Valid unrestricted podiatry license in at least 1 state, territory or commonwealth of the U.S.

Pharmacist
Qualifications:
Education: Bachelor’s or PharmD degree from an accredited program in the field of pharmacy
Certification: Current BLS
Experience: Minimum of 1 year experience within the preceding 3 years in designated specialty
Licensure: Valid license in at least 1 state, territory or commonwealth of the US

Physician Assistant
Qualifications:
Education: Physician will have successfully completed an Undergraduate Program,
Physician Assistant Program at Masters Level, specialty training requires completion of an accredited training
program in each respective specialty
Certification: Current BLS and ACLS if required by the client
Experience: Minimum of 1 year experience within preceding 3 years in the specialty
Licensure: Valid unrestricted license in at least 1 state, territory or commonwealth of the U.S.

Audiologist/Speech Language
Qualifications:
Education: Graduation from an Under Graduate Program, certified through the American Speech-Language Hearing
Association
Certification: Current BLS
Experience: Minimum of 1 year experience
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                                                                                                      Page 50 of 91



Licensure: Valid and current, unrestricted license in 1 state, territory or commonwealth of the US

EMT/ Paramedic
Qualifications:
Education: Graduate of accredited EMT/Paramedic Program
Certifications: BLS, ACLS, PALS, IV
Experience: Minimum of 1 year experience within preceding 3 years
Licensure: Current unrestricted state license and certification

Dental Related Services (Dental Hygienist, Certified Dental Assistant & Dental Laboratory Technician)
Qualifications:
Education: Graduation from a dental assisting or hygiene program accredited by the ADA commission on dental
accreditation
Certification: Current BLS
Experience: Minimum of 1 year experience within preceding 3 years
Licensure: Certification by the Dental Assisting National Board accredited by the ADA

Respiratory Therapist and Certified Respiratory Therapist
Qualifications:
Education: Certificate as an RT from the National Board for Respiratory Care (NBRC) and a registry number, or a
certificate from another body which the NBRC recognizes as its credentialing equivalent
Certification: Current BLS and ACLS if required by the client
Experience: Minimum of 2 years’ experience within preceding 3 years
Licensure: Valid and current, unrestricted license in 1 state, territory or commonwealth of the US

Certified Respiratory Therapy Technician and Respiratory Assistant
Qualifications:
Education: Graduation with an Associate Science Degree from a nationally accredited Respiratory Therapy school
or successful completion of an accredited Respiratory Therapy Technician program
Certification: Current BLS; certified as a CRT from the National Board for Respiratory Care (NBRC)
Experience: Minimum of 1 year experience within preceding 3 years
Licensure: Valid and current, unrestricted license in 1 state, territory or commonwealth of the US

Physical Therapist
Qualifications:
Education: Graduation with a Baccalaureate Degree in Physical Therapy from an APTA approved program
preferred. Professional License by the State Board in Physical Therapy
Certification: Current BLS
Experience: Minimum of 2 years of full time experience within the preceding 3 years
Licensure: Valid and current, unrestricted license in 1 state, territory or commonwealth of the US

Physical Therapy Assistant, Therapeutic Recreation Specialist and Athletic Trainer
Qualifications:
Education: Provider will have successfully completed an accredited training program in his/her respective specialty
Certification: Current BLS
Experience: Minimum of 1 year experience
Licensure: Valid and current, unrestricted license in 1 state, territory or commonwealth of the US

Occupational Therapy
Qualifications:
Education: Bachelor’s Degree – accredited OT program
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Certifications: BLS
Experience: Minimum of 1 year experience within preceding 3 years
Licensure: Current unrestricted license to practice as an Occupational Therapist
Certified Ophthalmic Technician Assistant
Qualifications:
Education: Provider will have successfully completed an accredited training program in his/her respective specialty
as determined by the Joint Commission on Allied Health Personnel
Certification: Current BLS
Experience: Minimum of 1 year experience
Licensure: Valid and current, unrestricted license in 1 state, territory or commonwealth of the US

Ophthalmic Dispensing Optician
Qualifications:
Education: Provider will have successfully completed an accredited training program in his/her respective specialty
Certification: Current BLS
Experience: Minimum of 1 year experience
Licensure: Valid and current, unrestricted license in 1 state, territory or commonwealth of the US

Certified Laboratory Technician, Pathologist’s Assistant & Certified Phlebotomy Technician
Qualifications:
Education: Graduation from an accredited training program resulting in certification by the American Society of
Clinical Pathologists (ASCP), Health and Human Services or American Medical Certification
Certification: Current BLS Experience: Minimum of 1 year experience

Medical Technologist
Qualifications:
Education: Graduation from an accredited training program resulting in certification by the American Society of
Clinical Pathologists (ASCP), Health and Human Services or American Medical Certification
Certification: Current BLS
Experience: Minimum of 1 year experience within preceding 3 years

Medical Laboratory Technician
Qualifications:
Education: Graduation from an accredited training program resulting in certification by the American Society of
Clinical Pathologists (ASCP), Health and Human Services or American Medical Certification
Certification: Current BLS
Experience: Minimum of 1 year experience within preceding 3 years

Dietetician Technician
Qualifications:
Education: Graduation from a school accredited by the American Dietetic Association resulting in an Associate’s
degree in Dietetic Technology or completion of a dietetic technician program approved by the Commission on
Accreditation/Approval for Dietetics Education of the American Dietetic Association
Certification: Possess registration as a Licensed Dietician/Certified Diabetic Educator from the Commission on
Dietetic Registration (CDR) of the American Dietetic Association. Possess knowledge and/or experience utilizing
the Nutrition Care Process for Medical Nutrition Therapy. Possess a valid, unrestricted
license/certification/registration to practice as a nutrition therapist in any one of the 50 States, the District of
Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.
Experience: Minimum of 1 year experience

Dietician/Nutritionist
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Qualifications:
Education: Bachelor’s Degree in field of dietetics
Certifications: BLS
Certification: Possess registration as a Licensed Dietician/Certified Diabetic Educator from the Commission on
Dietetic Registration (CDR) of the American Dietetic Association. Possess knowledge and/or experience utilizing
the Nutrition Care Process for Medical Nutrition Therapy. Possess a valid, unrestricted
license/certification/registration to practice as a nutrition therapist in any one of the 50 States, the District of
Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.
Experience: Minimum of 1 year experience within preceding 3 years
Licensure: Registered Dietician

Surgical Technologist
Qualifications:
Surgical Technology Program
Certification: Current BLS and ACLS if required by the client
Experience: Minimum of 1 year experience

Radiologic Technologist, CT Technologist, MRI Technologist, Mammographic and Sonography/Ultrasound
Technologist
Qualifications:
Education: Graduation from a Radiologic Technology Program accredited by the Joint Review Committee on
Education in Radiologic Technology (JRCERT) with specialty training as required
Certification: Current BLS
Experience: Minimum of 1 year experience
Licensure: Current registration by the American Registry of Radiologic Technologists (AART) as a Registered
Technologist and specialty as applicable

Nuclear Medicine Technologist
Qualifications:
Education: Successful completion of certificate program. Must meet minimum Federal Standards on administration
of radioactive drugs and operation of radiation detection equipment
Certifications: ARRT or NMTCB certification or equivalent nationally recognized medical technology certification
or categorical certification. BLS
Experience: Minimum of 1 year experience within preceding 3 years

Certified Pharmacy Technician
Qualifications:
Education: Graduation from a formal Pharmacy Technician training program.
Certification: Current BLS
Experience: Minimum of 1 year experience
Licensure: Current certification by the National Pharmacy Technician Certification Board

General Clinical Technologists/Technicians
Qualifications:
Education: Graduation from an accredited training program in each respective specialty
Certification: Current BLS
Experience: Minimum of 1 year experience

Sleep Technologist
Qualifications:
Education: Graduate of high school or GED equivalency
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Certification: BLS
Experience: Minimum of 1 year experience within preceding 3 years
Licensure: Graduate of accredited Polysomnographic Program or Registered Polysomnographic Technologist
(RPSGT)

Psychologist
Qualifications:
Education: Psychologist will have successfully completed a nationally accredited PhD program in Psychology
Certification: Current BLS
Experience: Minimum of 1 year experience within preceding 3 years in the specialty
Licensure: Valid unrestricted license in at least 1 state, territory or commonwealth of the U.S. and will at a minimum
be Board Eligible.

Social Worker (BS)
Qualifications:
Education: Graduation from an accredited Social Work program resulting in a Baccalaureate degree in Social Work
Certification: Current BLS
Experience: Minimum of 1 year experience
Licensure: Valid and current, unrestricted license in 1 state, territory or commonwealth of the US

Social Worker (MS)
Qualifications:
Education: Graduation from an accredited Social Work program resulting in a Master’s of Science degree in Social
Work
Certification: Current BLS
Experience: Minimum of 1 year experience
Licensure: Valid and current, unrestricted license in 1 state, territory or commonwealth of the US

Art Therapist
Qualifications:
Education: Possess a Master’s degree in Art Therapy from a school of Art Therapy accredited by the American Art
Therapy Association (AATA)
Certification: Possess current certification as a Registered Art Therapist (ATR) or pending registration from the Art
Therapy Credentials Board (ATCB)

Cardiovascular Technician/Technologist
Qualifications:
Education: Graduate of a Cardiovascular Technician program accredited by the Commission on Accreditation of
Allied Health Education Programs (CAAHEP) through the Joint Review Committee in Cardiovascular Technology
(JRCCVT)
Certification: Possess and maintain certification in Advanced Cardiac Life Support (ACLS)
Experience: Possess a minimum of two (2) years full time clinical experience as a Cardiovascular Technician within
the preceding three (3) years
Licensure: Registered Cardiovascular Invasive Specialist (RCIS) as determined by Cardiovascular Credentialing
International

Vascular Technologist
Qualifications:
Education: Have graduated from a vascular technologist program accredited by the Commission on Accreditation of
Allied Health Education Program (CAAHEP)
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Experience: Possess at least 3 years of experience as an RVT in the last 5 years specializing in Cerebral Vascular
disease including proficiency in Transcranial Doppler
Licensure: Possess current registration as a Registered Vascular Technologist by the American Registry of
Diagnostic Medical Sonographer, Inc. (ARDMS)

Central Sterile Supply Technician
Qualifications:
Certification: Possess either certification as a sterilization technician as determined by the National Institute for the
Certification of Healthcare Sterile Processing and Distribution Personnel or equivalent certifying agency (e.g., the
International Association of Healthcare Central Services Materials Management, or the National Institute of
Healthcare Sterile Processing and Distribution Personnel).
Experience: Possess at least 1 year experience within the preceding 3 years as a sterilization technician
Licensure: Possess and maintain certification from either the International Association of Healthcare Central Service
Materiel Management (IAHCSM) or National Institute for the Certification of Healthcare Sterile Processing and
Distribution Personnel (NICHSPDP)

Cognitive Behavioral Therapist
Qualifications:
Experience: Possess knowledge of and skill in the uses of psychological assessment, psycho-diagnostic evaluations,
and psychotherapy.
Experience: Possess specialized knowledge of evidence-based treatment for general behavioral health problems
(e.g., depression and anxiety) and areas of behavioral medicine (e.g., chronic pain, obesity and sleep problems).

Echocardiograph (EKG) Technician
Qualifications:
Education: Be a graduate of a Cardiovascular Technologist program accredited by the Commission on Accreditation
of Allied health Education Programs (CAAHEP) through the Joint Review Committee in Cardiovascular
Technology (JRC-CVT)
Certification: Possess and maintain certification in Advanced Cardiac Life Support (ACLS)
Licensure: Current registration as a Diagnostic Cardiac Sonographer (RDCS) as determined b the American
Registry of Diagnostic Medical Sonographers (ARDMS) or current registration as a Cardiac Sonographer (RCS) as
determined by the Cardiovascular Credentialing International
Experience: Possess a minimum of two (2) years full time clinical experience as a Cardiac Sonographer within the
preceding three (3) years
Continuing Education: Provide proof of professional development through continuing education within the last 24
months

Endoscopy Technician
Qualifications:
Education: Graduation from an accredited Licensed Practical Nurse or Licensed Vocational Nurse Program
accredited by the National League for Nursing Accrediting Commission (NLNAC)
Experience: Possess 3 years endoscopy technician experience within the last 5 years

Health Educator
Qualifications:
Education: Possess a Master’s Degree in Health Education, Community/Public health or Wellness, or a human
services related field such as counseling or psychology from an accredited university

Hemodialysis Technician
Qualifications:
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Education: Associate’s Degree from an accredited college or university OR high school diploma or its equivalent,
and successful completion of a hemodialysis technician training program accredited/approved by the National
Association of Nephrology Technician and Technologist (NANT)
Certification/Licensure: One of the following
(1) Certified Clinical Hemodialysis Technician (CCHT) by the Nephrology Nursing Certification Commission
(NNCC);
(2) Certified Hemodialysis Technician (CHT) by the Board of Nephrology Examiners Nursing and Technology
(BONENT);
(3) Certified in Clinical Nephrology Technology (CCNT) by the National Nephrology Certification Organization
(NNCO); or
(4) Certification or licensure as a hemodialysis technician or similar title by another jurisdiction in the United States
provided the standards for certification or licensure are substantially equivalent to those in Maryland.
Experience: Possess a minimum of 1 year of full-time experience as a hemodialysis technician within the preceding
3 years

Mind Body Therapist
Qualifications:
Education: Possess a Baccalaureate Degree from an accredited college or university
Experience: Possess a minimum of 3 years of experience in one or more mind-body practices, such as yoga, Healing
Touch, Reiki, mindfulness-based stress reduction or art therapy, massage therapy within the preceding 5 years;
possess knowledge and experience in the relationship between medical, complementary and alternative medicine
(CAM), and psychological aspects of health and disease; possess knowledge and experience in complementary and
alternative medicine as related to behavioral change.
Licensure: Possess appropriate qualifications and licenses for the various mind-body practices (e.g. Yoga: 200-hour
teacher training program, and Registered Yoga Teacher (RYT); Massage Therapy: Licensed Massage Therapist
(LMT), national certification board and state licensure, etc.)

Psychiatric Technician
Qualifications:
Certification/Licensure: Possess a current certification as a Psychiatric Technician by the American Association of
Psychiatric Technicians, or possess a certification received from military training as a Psychiatric Technician, or
possess a current, unrestricted license to practice as an LVN/LPN in any one of the 50 States, the District of
Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands and current state or national
certification in the subspecialty of Psychiatry
Experience: Have a minimum of 12 months full time experience within the preceding 24 months as a Psychiatric
Technician or LPN with subspecialty of Psychiatry

Telemetry Technician
Qualifications:
Education: Have successfully completed a telemetry technician course accredited by the Accrediting Bureau of
Health Education Schools with emphasis in dysrhythmia recognition. The training program must have included the
requirement for successful completion of a dysrhythmia recognition examination.
-OR-
Experience: Possess two years experience monitoring EKG/Arrhythmia in a physician’s office, clinic, hospital, or
similar setting within the preceding three years.
Certification: 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
(CardioPulmonary Resuscitation) for the Professional Rescuer; or equivalent

                                                    ENCLOSURE 7
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                                       WAGE DETERMINATIONS

     Wage determinations incorporated by reference can be viewed and downloaded at http://www.wdol.gov/

 MTF LOCATION                           ADDRESS                              WD#       Revision       Date
Fort Rucker          Lyster Army Health Clinic (US Army Aero medical      2005-2005    10          11/02/2010
(Dale County)        Center)
                     Andrews Avenue Building 301
                     Fort Rucker, Alabama 36362-5350

Fort Benning         Martin Army Community Hospital                       2005-2137    10          09/01/2010
(Muscogee County)    7950 Martin Loop
                     Fort Benning, Georgia 31905-5670

Fort Gordon          Dwight D. Eisenhower Army Medical Center             2005-2135    11          08/02/2010
(Richmond County)    Building 300, Hospital road
                     Fort Gordon, Georgia 30905-5950
Fort McPherson       Lawrence Joel Army Health Clinic                     2005-2133    9           09/14/2010
(Fulton County)      170 Hardee Avenue, SW
                     Fort McPherson, Georgia 30330-1062

Fort Stewart         Winn Army Community Hospital                         2005-2141    11          06/15/2010
(Liberty County)     1061 Harmon Avenue
                     Fort Stewart, Georgia 31314-5111

Fort Polk            Bayne Jones Army Community Hospital                  2005-2229    10          06/16/2010
(Vernon County)      1585 3rd Street
                     Fort Polk, Louisiana 71459-5110

Fort Sill            Reynolds Army Community Hospital                     2005-2525    12          09/28/2010
(Comanche County)    4301 Mow-Way Road
                     Fort Sill, Oklahoma 73503-6300

Fort Jackson         Moncrief Army Community Hospital                     2005-2475    12          06/15/2010
(Richland County)    4500 Stuart Street
                     Fort Jackson, Sounth Carolina 29207-5720

Naval Hospital       Naval Hospital Beaufort                              2005-2473    12          06/15/2010
Beaufort             1 Pinckney Boulevard
(Beaufort County)    Beaufort, South Carolina 29902-6148

Fort Hood            Darnall Army Community Hospital                      2005-2523    10          06/15/2010
(Bell County)        3600 Darnall Loop
                     Fort Hood, Texas 76544-4752

Fort Sam Houston –   Brooke Army Medical Center                           2005-2521    11          06/28/2010
San Antonio          3851 Roger Brooke Drive
(Bexar County)       Fort Sam Houston, Texas 78234-6200
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Naval Air Station      BMC Fort Worth                             2005-2513   10       09/09/2010
Joint Reserve Base     1711 Doolittle Ave
Fort Worth             Fort Worth, Texas 76127
(Tarrant County)
Fort Buchanan          Rodriguez Army Health Clinic (RAHC)        2005-2461   12       11/10/2010
(San Juan County)      Building 21
                       Fort Buchanan, Puerto Rico 00934-3400

Southcom               SOUTHCOM Health Clinic                     2005-2119   11       08/10/2010
(Dade County)          US Southern CMD
                       3511 NW 91st Ave
                       Miami, FL 33117-1217
Fort Campbell          Blanchfield Army Community Hospital        2005-2187   10       08/26/2010
(Christian County)     650 Joel Drive
                       Fort Campbell, KY 42223-5349

Redstone Arsenal       Fox Army Health Clinic                     2005-2007   14       12/14/2010
(Madison County)       4100 Goss Road
                       Redstone Arsenal, AL 35809-7000

Camp Shelby            Camp Shelby Joint Forces Training Center   2005-2299   11       06/15/2010
(Forrest County)       7226 MSU (TMC)
                       1302 Lee Avenue
                       Camp Shelby, MS 39407-5500



LIST OF ATTACHMENTS

     Attachment                                  Document Name                      No. of
                                                                                    Pages
          1          Performance Risk Assessment Questionnaire                        5

          2          Pricing Matrix                                                   16
          3          Compensation Plan Format                                         1



ATTACHMENT 1
SAMPLE TRANSMITTAL LETTER

    ABC COMPANY
    (NOTE: This information should be on company letterhead.)

    TO: QUESTIONNAIRE EVALUATOR                                   DATE OF LETTER
        AGENCY OR ORGANIZATION NAME
        STREET ADDRESS
        CITY/STATE/ZIP CODE

    FROM:          COMPANY NAME (CAGE CODE)
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                                                                                                    Page 58 of 91



                 STREET ADDRESS
                 CITY/STATE/ZIP

    SUBJECT: Performance Risk Assessment Questionnaire for (PROGRAM TITLE/DESCRIPTION) concerning
    contract number(s) (CONTRACT & ORDER NUMBER [IF APPLICABLE] TO BE EVALUATED). The effort
    was performed by (SPECIFIC ENTITY THAT PERFORMED THE WORK) under (CAGE Code)

    1. We are currently responding to the Center for Health Care Contracting (CHCC), Request for Proposal (RFP)
    W81K04-11-R-0023 for Ancillary Medical Services. The RFP specifically requires that we, as an Offeror, send
    the attached questionnaire to several points of contract (POC) on recent and relevant efforts that we (or a
    proposed team member) have performed.

    2. We have identified subject contract(s) as relevant to this acquisition and you as our POC.
    As such, please take a few moments of your time to fill out the attached questionnaire and
    forward it directly to the Center for Health Care Contracting. DO NOT RETURN THE COMPLETED
    QUESTIONNAIRE TO US. The information contained in the completed Performance Risk Assessment
    Questionnaire is considered sensitive and cannot be released to us, the Offeror.

   3. The completed Performance Risk Assessment Questionnaire should be sent directly to the
    Government not later than (DATE TO BE INSERTED BY OFFEROR, PRIOR TO DUE DATE). The
    questionnaires should be mailed/faxed/e-mailed to: Center for Health Care Contracting (CHCC), MCAA-C-
    PA; ATTN: Mr. Anthony J. Smith, 2199 Storage Street, Suite 68, Fort Sam Houston, Texas 78234-5047 (see e-
    mail address and fax number on attached Performance Risk Assessment Questionnaire). If you need to contact
    Mr. Anthony Smith, please call (210) 295-4631.

    4. If you have any questions regarding source selection, contact the Contracting Officer, Johnie Johnson at e-
    mail: johnie.johnson@us.army.mil by phone at (210) 221-4005. If you have questions regarding the
    clarification of contract number, POC, or program title, please contact (CONTRACTOR’S POC AND PHONE
    NUMBER FOR PAST PERFORMANCE ISSUES). Thank you for your timely assistance.

    Sincerely,
    (TITLE & NAME OF COMPANY OFFICIAL)

Attachment: Performance Risk Assessment Questionnaire




PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE

RETURN COMPLETED SURVEY FORM TO:
                                                                                      W81K04-11-R-0023



                                                                                            Page 59 of 91




                                Center for Health Care Contracting (CHCC)
                                Attn: Anthony J. Smith
                                Phone Number: 210-295-4631
                                Fax number 210-221-5402 or e-mail anthony.j.smith11@us.army.mil



A. OFFEROR’S INFORMATION:



      Company/Organization Name
      Address:


      Point of Contact (POC):
      Title of POC:
      Telephone Number:
      Fax Number:
      Email


B. RESPONDENT INFORMATION:

      Company/Organization Name
      Address:


      Telephone Number:
      Point of Contact (POC):
      Title of POC:
      Offeror Performed as

C. CONTRACT INFORMATION:

      Contract Title:
      Contract Number:
      Status (i.e. On-going, complete):
      Contract Amount: total amount of
      base plus any options
      Type of Contract
      Performance Period: Include base
      plus any options
      Place of Performance:
                                                                                                W81K04-11-R-0023



                                                                                                       Page 60 of 91



BRIEF DESCRIPTION OF CONTRACT REQUIREMENTS:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________




D. PERFORMANCE INFORMATION: Choose the number on the scale of 1 to 6 that most accurately describes the
Offeror’s performance or situation. If you are unable to rate an item because it was not a requirement, never an
issue, or you have no knowledge of the item in question, then you should mark ―Unknown‖.

RATING                             DEFINITION

Exceptional. (6)                   Performance meets contractual requirements and exceeds many requirements to
                                   the government’s benefit. (Risk Level: Very Low)
Very Good. (5)                     Performance meets contractual requirements and exceeds some to the
                                   government’s benefit. (Risk Level: Low)



Satisfactory. (4)                  Performance meets contractual requirements. (Risk Level: Moderate)



Marginal. (3)                      Performance does not meet some contractual requirements. The element being
                                   assessed reflects a serious problem for which the Contractor has not yet
                                   implemented satisfactory corrective actions. (Risk Level: High)



Unsatisfactory. (2)                Performance does not meet contractual requirements and recovery is not likely
                                   in a timely manner. Contractor’s corrective actions to date are ineffective (Risk
                                   Level: Very High)



Unknown.(1)                        The Offeror has little/no relevant past performance upon which to base a
                                   meaningful performance risk prediction. (Risk Level: Unknown)

 a. PERFORMANCE AND SUPPORTABILITY:
 (1) The Contractor provided quality service that adhered to contract requirements,
                                                                                      1   2    3   4    5     6   NA
 specifications, and standards of professional conduct.
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                                                                                                      Page 61 of 91



 (2) The Contractor provided quality personnel that met or exceeded the required
                                                                                     1   2    3   4    5   6      NA
 qualifications
 (3) The Contractor successfully achieved fill rates established by the contract     1   2    3   4    5   6      NA
 (4) The labor turnover in key personnel and other labor categories (to include
 contracted health care providers) was minimal and did not adversely affect          1   2    3   4    5   6      NA
 Contractor Performance.
 (5) The Contractor had the ability to respond effectively to contract performance
                                                                                     1   2    3   4    5   6      NA
 issues.
 (6) If applicable, Contractor acted in accordance with any ―Non-Compete
                                                                                     1   2    3   4    5   6      NA
 Clause‖ Terms and Conditions of the contract.
 b. MANAGEMENT:
 (1) The Contractor demonstrated an overall effective and quality management
 effort.                                                                             1   2    3   4    5   6      NA

 (2) The Contractor maintained an open line of communication so that the
 Contracting Officer’s Representative (COR) was apprised of technical and cost       1   2    3   4    5   6      NA
 issues.
 (3) The Contractor cooperated with the Government in providing flexible,
                                                                                     1   2    3   4    5   6      NA
 proactive, and effective solutions to critical contract issues.
 (4) The Contractor provided proactive and effective management of its
                                                                                     1   2    3   4    5   6      NA
 subcontractors.
 (5) The Contractor maintained an effective ongoing Quality Control Plan to
                                                                                     1   2    3   4    5   6      NA
 provide for monitoring, analyzing and improving quality contract performance.
 c. TIMELINESS/SCHEDULE:
 (1) The Contractor consistently demonstrated an ability to quickly recruit HCPs
                                                                                     1   2    3   4    5   6      NA
 on time to meet the Government needs.
 (2) The Contractor demonstrated the ability to retain HCPs to support
                                                                                     1   2    3   4    5   6      NA
 contract/task order requirements so that work schedules would not be disrupted.
 (3) The Contractor demonstrated the ability to plan for and provide replacement
 candidates during the life of the contract to include pre-planned absences,         1   2    3   4    5   6      N/A
 unplanned illnesses, or an extended leave of absence.
 (4) Credentialing Packages (to include current and complete information) were
                                                                                     1   2    3   4    5   6      NA
 presented in timely fashion to the applicable facility.
 (5) The Contractor was able to resolve customer complaints quickly and
                                                                                     1   2    3   4    5   6      NA
 effectively.


E. OTHER:

(1) Would you award this firm another contract? ( ) Yes, ( ) No If you answered ―No‖ provide an explanation.
_____________________________________________________________________________________________
_____________________________________________________________________________________________

(2) Was the contract terminated for default? ( ) Yes, ( ) No If you answered ―Yes‖, provide an explanation.
_____________________________________________________________________________________________
_____________________________________________________________________________________________

(3) Has the Contractor ever been given a cure notice, show cause notice, suspension of progress payments, etc.?
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( ) Yes, ( ) No If you answered ―Yes‖, provide an explanation.
_____________________________________________________________________________________________
_____________________________________________________________________________________________

(4) Based upon the information you provided and using the definitions provided in the evaluation criteria above, the
overall performance rating you would give this Contractor is:

                 Exceptional ______ Very Good ______ Satisfactory ______ Marginal ______
                                   Unsatisfactory ______ Unknown ______

COMMENTS: (ALL Unsatisfactory, Marginal, Very Good, or Exceptional Ratings require comments to support the
same. Failure to provide comments will render questionnaire void and will not be accepted by the Government):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________




SAMPLE SUBCONTRACTOR CONSENT LETTER
Performance Risk information concerning subcontractors and teaming partners cannot be disclosed to a private party
without the subcontractor’s or teaming partner’s consent. Because a prime Contractor is a private party, the
Government will need that consent before disclosing subcontractor/teaming partner past and present performance
information to the prime during discussions or negotiations. In an effort to assist the Government in assessing your
performance risk, we request that the following consent form be submitted for each of the teaming partners or major
subcontractors that you identify in your proposal. This information should be submitted as part of your Performance
Risk (Past and Present Performance) Volume.

SAMPLE:

(NOTE: This information should be on company letterhead.)
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Subcontractor/Teaming Partner Consent Form for the Release of Performance Risk (Past and present Performance)
Information to the Prime Contractor

Dear (Contracting Officer),

We are currently participating as a (SUBCONTRACTOR/TEAMING PARTNER) WITH (PRIME CONTRACTOR OR
NAME OF ENTITY PROVIDING PROPOSAL) in responding to the Department of the Army, Center for Health
Care Contracting (CHCC)/MCAA-C-PA, Request for Proposal (RFP) No. W81K04-11-R-0023 for the acquisition of
Ancillary Medical Services.

We understand that the Government is placing increased emphasis on past performance in order to obtain best value
in source selections. In order to facilitate the performance risk assessment process we are signing this consent form
in order to allow you to discuss our past and present performance information with the prime Contractor during the
source selection process.




_________________________________
(Signature of individual who has the authority to sign for and legally bind the company)

__________________________________
(Title of above individual)

Company Name: __________________________________________

Address: _________________________________________________

CAGE Code: ______________________________________________

Phone Number and Fax Number: ______________________________




ATTACHMENT 2
SEE ATTACHED PRICE MATRIX


ATTACHMENT 3
                                       COMPENSATION PLAN FORMAT


SOUTHERN REGION


MEDICAL SPECIALTY: ________________________________________
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                           YEAR ___

            Direct Labor               Year ___
        * Direct Hourly Rate               $
                             (based on 2,080 hours – including leave)
               Base Labor Rate by Specialty: 2080 X _______ = $ _____________
                              (hours) (base rate) (total base labor)
                       Applicable salary range used to compute composite rate:
                                       $          to $_______

                     Fringe Benefits         Rate        Year ___
                     **FICA                             %$
                     **FUTA                             %$
                     **SUTA                             %$
                     Worker’s Comp                      %$
                     H&W Rate (SCA)                     %$
                     **Leave Costs                      %$
                     Health/Life Ins                    %$
                     Retirement Plan                    %$
                     Continuing Educ                    %$
                     Other (Specify)                    %$
                                                        %
                     Fringe Benefits                    %$

                     Fringe% of Direct Labor
                     Proposed Fringe Benefits                               %
                     Rate

                     Direct Labor + Fringe                $


The items listed as fringe benefits above shall not be considered as either mandatory or all inclusive. They are only
examples of fringe benefits that might be included in your compensation package paid directly to or for the benefit
of the employees.

* NOTE 1: The total hourly compensation rates presented in this plan shall reflect the average compensation that
will be paid to contract service providers performing direct health care services in this labor category.

**NOTE 2: Note that annual dollar limits apply to FICA, FUTA and SUTA. Also, note that items such as payroll
taxes, H&W, and other fringe-related items may apply in computing the full cost of vacation, holiday, sick and/or
personal leave per direct hour.



CLAUSES INCORPORATED BY REFERENCE
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52.212-1               Instructions to Offerors--Commercial Items                       JUN 2008


CLAUSES INCORPORATED BY FULL TEXT


ADDENDUM TO 52.212-1

           Addenda to 52.212-1(b), Submission of Offers. The paragraph is tailored as follows:
              1. Paragraph (b), The second sentence is deleted and replaced with the following: ―Offers must be
                  submitted on the SF 1449 and accompanied by all requested items elsewhere specified in the
                  solicitation.
              2. Paragraphs (b) (10) is deleted and replaced by information required to be submitted in Volume III
                  of the proposal.

           Addenda to 52.212-1(c), Period for Acceptance of Offers. The paragraph is tailored as follows: ―The
           Offeror agrees to hold the prices in its offer firm for 180 calendar days from the date specified for receipt of
           offers.‖

           Addenda to 52.212-1(e), Multiple Offers. This paragraph is deleted in its entirety.

PROPOSAL SUBMISSION

           1. INTRODUCTION.

          a. The Offeror shall submit its proposal to the office indicated in block 9 of the Standard Form (SF) 1449,
Solicitation/Contract Award, to arrive no later than the date and time (CDT) specified in Block 8, SF 1449. The
Offeror shall mark the exterior of their package with solicitation number specified in Block 5, SF 1449.
Telegraphic, Email, and Facsimile Mail Offerors will not be accepted. To be considered, the complete proposal
must be received not later than the date and time (CDT) specified in Block 8, SF 1449. Proposals shall be
submitted in electronic format on CD-R compatible with Microsoft Office 2000 applications and hardcopies (paper)
of any materials requested or submitted for this solicitation, as noted in paragraph 2 below. If there are
discrepancies between the paper and electronic versions, the paper copy will take precedence.

          b. Contracting Officer has determined there is a high probability of adequate competition on this
acquisition. Upon examination of the initial offers, the Contracting Officer will review this determination and if in
the Contracting Officer’s opinion, adequate competition exists no additional cost information will be requested and
certification under FAR 15.406-2 will not be required. However, if at any time during this competition the
Contracting Officer determines that adequate competition no longer exists; Offerors may be required to submit
information to the extent necessary for the Contracting Officer to determine the reasonableness of price.

          c. CD Format. Each CD-R shall be made read only and ―burned‖ at a minimum 8x speed. In addition,
each CD-R must be made ―final.‖ ―Final‖ is a recording option that renders the CD totally used so that no other data
tracks can be added. Do not use compressed file formats. Documents such as annual reports, previously printed
materials; graphics or any other documents that cannot be submitted in electronic format are exempt. Submissions
shall be virus free. Pricing shall be in MS Excel with formulas intact on the CD-R. However, any written pricing
rationale can be in Word format. The CD-R content and label shall be unsanitized.

        (1) The submission shall be clearly indexed and logically assembled. Each volume shall be clearly
identified and shall begin at the top of a page. Each subfactor shall begin at the top of a page. All pages of each
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volume shall be appropriately numbered and identified by the complete company name, date and solicitation number
in the header and/or footer. Files shall not contain classified data.

       (2) The Business Proposal, Technical Quality proposal, Performance Risk (Past & Present Performance),
and Price proposal must be on separate CD-Rs for the purpose of independent evaluation. Additionally, all
information related to pricing shall be included in the section of the proposal defined as Price Proposal. UNDER
NO CIRCUMSTANCES should pricing data be included elsewhere in the proposal.

          d. Paper Copies. Proposals shall be prepared with four (4) separate volumes, stapled, or bound separately.
All documentation shall be submitted in a 3-ring binder that is clearly tabbed and indexed. Each volume shall be
clearly identified at the top of a page. All pages of each volume shall be appropriately numbered. All pages of the
original proposal shall have the complete company name, date and solicitation number on each page as a header
and/or footer. The five copies of the technical quality volume shall be sanitized to exclude any information that
would identify them or their company (e.g., name, address, telephone numbers, employees’ names, resumes, etc.).
The sanitized pages shall contain the Offeror’s Commercial and Government Entity (CAGE) Code on the top right
corner of each page of each copy of the sanitized technical proposal for identification purposes. Files shall not
contain classified data. Each paragraph shall be separated by at least one blank line. A standard, 12-point minimum
font size applies. Margins: Top, Bottom, Left, Right – 1‖ Page Size, Width – 8.5‖ Page Size, Height – 11‖. Tables
and illustrations may use a reduced font size not less than 8-point and may be landscape. Charts and graphs may be
on 11‖ X 17‖ paper, tri-folded to match the other 8.5‖ X 11‖ pages in the volume and will count as one page in the
Proposal.

         e. THE FOLLOWING ADDITIONAL RESTRICTIONS APPLY:

         (1) Technical Quality Proposal (Volume III) is limited to 35 pages. Page limitations shall be treated as
maximums. If exceeded, the excess pages will not be read or considered in the evaluation of the proposal. Single-
sided pages are preferred. In the event that both sides of a sheet display printed material, it shall be counted as two
pages. These limitations shall apply to both electronic and hard copy proposals.

         (2) Each page shall be counted except the following:

         a. Volume Cover Pages
         b. Table of Contents
         c. Summary Section
         e. Glossaries
         f. Tabs
         g. Dividers
         h. Blank pages
         i. Online Representation and Certifications Application (ORCA Information)
         j. Attachment 2 Price Matrix
         k. Consent Letters/Client Authorization Letters
         l. Past Performance Risk Assessment Questionnaires
         m. Points of contacts list completing past performance questionnaires

         (3) Each paragraph shall be separated by at least one blank line. A standard, 12-point minimum font size
applies. Arial or Times New Roman is required. Tables and illustrations may use a reduced font size not less than
8-point and may be landscape. Headers, footers and page numbers must be not less than 8-point font size.

         (4) Page Count. Volume III, Technical Quality, is limited to a maximum of 35 pages single-sided. Those
pages that exceed the maximum will not be evaluated. If there are more than 45 lines of text on any page, the
additional lines will not be evaluated. Headers, footers and page numbers are not included in the line count.
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2. PROPOSAL FILES. Proposals shall be prepared with four separate volumes as follows:

                  VOLUME I          BUSINESS PROPOSAL
                  VOLUME II         TECHNICAL QUALITY PROPOSAL
                  VOLUME III        PERFORMANCE RISK PROPOSAL (Past and Present Performance)
                  VOLUME IV         PRICE PROPOSAL

     Volume      Title                              Number of Copies                Maximum Page Limit
                                                    2 Originals
     I          Business Proposal                                                   No Limit

                                                    1 Original + 5 Copies
     II         Technical Quality Proposal                                          35
                                                    Sanitized + 1 CD-R
                Performance Risk Proposal           1 Original + 5 Copies + 1
     III                                                                            2 pages per reference
                (Past and Present Performance)      CD-R
                                                    1 Original + 5 Copies + 1       Shall use Price Matrix at
     IV         Price Proposal
                                                    CD-R                            Attachment 2


 3. CONTENT REQUIREMENTS. All information shall be confined to the appropriate volume/section. The
Offeror shall confine submission to essential matters, sufficient to define the proposal and provide adequate basis for
evaluation. Offerors are responsible for including sufficient details, in a concise manner, to permit a complete and
accurate evaluation of each proposal. Each file of the proposal shall include a Table of Contents and Summary
Section. The Summary Section shall contain a brief abstract of the file. Proprietary information shall be clearly
marked. The following shall be included in the narrative discussion.

  (a) VOLUME I – BUSINESS PROPOSAL

        (1) A maximum 2-page Cover Letter and Introduction identifying the offer (name, address, telephone and
fax numbers, email address, the solicitation number, and the contents of the proposal).

         (2) An outline of the proposal shall be identified by sequential page number and Volume reference
number/title on a table of contents page. A matrix shall be included cross referencing each paragraph of the PWS to
the specific page and paragraph of the proposal that addresses it.

         (3) Request for Proposal - Solicitation/Contract/Order for Commercial Items (SF 1449) and Amendments
(SF 30). Three originals of page 1 SF 1449 with signature of a corporate officer authorized to negotiate for the
company in Block 30a, acknowledgement of all amendments, (SF 30) with original signature in Block 15B, and
agreement of 180 days acceptance period.

          (4) Representations and Certifications: One completed original copy of all representations and
Certifications. If the Offeror has completed the Online Representations and Certifications Application (ORCA) at
http://orca.bpn.gov, submit a printout of the ORCA Representations and Certifications.

        (5) Offerors that propose to satisfy the requirements under this solicitation through a joint venture
arrangement or Mentor/Protégé Agreement must submit a copy of the Small Business Administration’s (SBA)
approval of the arrangement.
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          (6) The Offeror shall provide with its proposal, points of contact (POCs) for administration of any
resulting contract should the Offeror be selected. These POCs shall be available during normal business hours and
other than normal business hours. The POC for other than normal business hours will be contacted only in the event
of emergencies. Accordingly, the named individual(s) should possess sufficient corporate authority to effectively
deal with emergency situations. The telephone number(s) provided should be functional at all times. If there are
different POCs for different conditions, such as weekdays, weekends, holidays, etc, please furnish all and explain as
follows:

               (a) Offeror’s normal business hours/days.
               (b) POCs during normal business hours.
               (c) POCs for other than normal business hours.

         (7) One completed, Electronic Submission of Payment Request, indicating method of payment.

NOTE: If Offeror does not submit an original SF 1449 and at least one original of all amendments (SF 30), the
Offeror’s proposal may be rejected.

         (8) Financial Information. Financial information, including accounting system information; financial
condition information; and financial capability information will be part used as part of the Contractor responsibility
determination in accordance with FAR/DFARS/AFARS Part 9.

         (A) Financial Capability. Applies to both prime Contractors and subcontractors and teaming
partners performing at least 25% of the contract effort.

         (B) General Instructions. These instructions are to assist Offerors in submitting financial
capability information. Compliance with these instructions is mandatory.

     - Failure to comply may render your proposal ineligible for award. Failure to provide adequate support for the
financial capability proposal may delay consideration of the proposal for award or may result in the Offeror being
declared not financially responsible.

     - All information relating to the Offeror’s financial capability must be included as a separate section in Volume
I, Business Proposal.

    - The prime Contractor must have adequate financial resources to perform the contract, or the ability to obtain
them, in order to be determined responsible and therefore eligible for award.

    - Adequate financial capability is a regulatory requirement with a pass/fail determination.

    - Offerors who are unable to provide evidence of adequate financial resources may be referred to the SBA for
Certificate of Competency consideration in accordance with FAR Part 19.6. To be eligible for award of a contract,
the Offeror must have adequate financial resources or a Certificate of Competency issued by the SBA.

         (C) Financial Statements. In addition to the above, the Offeror shall provide a copy of their
financial statements including the complete:

         -   balance sheet,
         -   income statement,
         -   statement of cash flows, and
         -   notes to the financial statements
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         Financial statements shall be provided for

         - The last three (3) years
         - The Offeror’s year-to-date through the last quarter available.

         If audited, reviewed, compiled or certified financial statements are available, these shall be submitted.
Financial capability information shall be submitted with the company name intact.

         (D) In addition to the above:

- Offerors shall explain how performance on the resultant contract and each subsequent task order will be financed.
- If the Offeror intends to rely on internally available working/operating capital, evidence of availability of these
resources shall be submitted.
- If the Offeror intends to rely on financial support from other sources, identify the maximum lines of credit that
may be available.
- If applicable, Offerors shall include a letter stating their line of credit from their chief financing source, which
shall contain both the amount of credit and the amount of credit currently available.
- Include documentation to support the line of credit amounts and a point of contact and phone number for the
lender.
 - The above information shall be provided for the prime and all team members (e.g. subcontractor, partner, etc.)
performing more than 25% of the proposed contract effort. If the Offeror is a combination of firms (for example, a
partnership or joint venture), discuss the financial responsibilities among the companies. Historical and year-to-date
financial data shall be submitted for each company that makes up the Offeror, to include any parent company. The
ability to fund contract performance shall be addressed for the combined firm.
 - Unless specifically agreed upon between the prime and individual team members, company financial information
shall not be accessible between the offering parties. Team Members shall submit their current financial statements
and other financial information to the Government through the Prime under individually sealed packages.


(b) VOLUME II – TECHNICAL QUALITY PROPOSAL (Factor 1)

Technical quality proposal must specifically address the following sub-factors:

Subfactor 1A. Contractor Quality Control Plan. Describe your company’s quality control program and procedures
for monitoring performance, identifying trends/problems/issues, corrective actions and follow-up to determine
resolution. Explain your methodology for identifying, resolving, and preventing quality assurance problems.
Discuss how your quality control plan will assure documentation, record maintenance, and reporting of quality
related problems. Explain how your quality control program will monitor overall contract performance with
deficiencies identified before the level of service becomes unacceptable.

Subfactor 1B. Management Capabilities. Describe a detailed plan that demonstrates your understanding of the
organization, logistics and management required by this solicitation. Explain management techniques you will use
to ensure satisfactory performance of all required services throughout the life of the contract. Discuss your specific
management techniques, tools and practices to ensure the quality and timeliness of services. Explain your
understanding of the type of services to be provided and the necessary qualifications of contract HCPs under these
contracts. Describe your process for verification of contract HCP qualifications/certifications and procedures to
ensure qualifications/certifications are renewed as required. Describe your procedures for and commitment to
timely payment of contract HCPs. If partnering with another Contractor, state the capacity (to include roles and
responsibilities) in which this partner will serve in the management of this contract.
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Subfactor 1C. Recruitment and Retention. Explain the methods to be used to recruit qualified contract HCPs.
Explain your capability to recruit health care specialties required for locations listed in this solicitation. Describe
your recruitment and placement plan that demonstrates how you will maintain full coverage throughout the life of
each task order, including schedule management and back-up staffing plan. Describe procedures/methods to be used
to cover unscheduled absences. Discuss the impact of the lead-time associated with the use of any advertising media
to be used to recruit HCPs (newspapers, professional journals, etc.). Describe verification procedures to be used to
verify information provided by potential contract HCPs. Describe any non-compete conditions you include in your
employment agreements. Describe your plan and company policy to retain employees and/or subcontractors with
minimum turnover. Explain retention incentives and training programs to be provided. Except for the
compensation plan, the technical proposal shall not contain cost/pricing information.

Compensation and Retention Plans - Describe your compensation and retention plans and company policy to retain
employees and subcontractors with minimum turnover and to achieve contractually established fill rates for each
Health Care Provider (HCP) specialty listed (Attachment 2) for all locations stated in the solicitation. Describe
applicable retention incentives, training programs and methods to achieve the required fill rates. With respect to the
compensation plan, each Offeror shall furnish the hourly wage to be paid for each HCP (by specialty) in each
location for which prices are proposed. Offerors shall propose a salary which is at least commensurate with salaries
paid for similar health care providers in the local area. The hourly wage rate consists of the base salary as well as all
fringe benefits/costs applicable to each labor category. The Contractor shall list all proposed fringe benefits and the
percentage it represents in relation to the direct labor for each HCP in each location. Incomplete submissions may
result in an overall unsatisfactory rating. For purposes of evaluating compensation plans only, Offerors shall
propose labor rates for the first year of performance; labor rates should be based upon 2080 hours as a full-time
equivalent. It is understood the 2080 hours represent one full-time employee.

(c) VOLUME III – PERFORMANCE RISK PROPOSAL (Past and Present Performance) (Factor 2)

Provide a maximum of five (5) of the most relevant contracts performed within the last three (3) years from the date
of issuance of this solicitation. Total number of assessments allowed (five) shall include prime and any major
subcontractor(s) projected to perform on any resultant contract. Submission for each acquisition is limited to two
(2) pages not including attachments described in paragraphs (1) thru (5) below. The Offeror shall provide a copy of
the attached Past Performance Questionnaire (see Attachment 1) to each submitted source. Instruct each source to
complete and mail, fax or e-mail the entire questionnaire to: Center for Health Care Contracting (CHCC), MCAA-
C-PA; ATTN: Mr. Anthony J. Smith, 2199 Storage Street, Suite 68, Fort Sam Houston, Texas 78234-5047; fax:
210-221-5402; e-mail: anthony.j.smith11@us.army.mil

The Government requires each Offeror to submit completed Performance Risk Assessment Questionnaires and a list
of primary point of contacts completing the questionnaires no later than TBD , 2011 at 4:00 PM CDST.
Questionnaires received after the date and time required will be deemed late and will not be considered for evaluation.
The early submission of the Past Performance Risk Assessment Questionnaires will aid the Government in the
evaluation of the past performance factor (see FAR 52.212-2).

The POC List shall be submitted in Word for Windows Table Format to include the following fields: Solicitation
Number; Company Name; Contract Number; Government Agency; POC Last Name, First Name; POC Title; POC
Telephone Number; POC E-Mail Address; Date E-Mailed to POC (month/day). For each submitted source provide
the following:

    (1)            Acquisition information:
                                 Contracting agency
                                 Contract number
                                 Contract dollar value
                                 Performance period (Contract start and completion date)
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                                                                                                          Page 71 of 91



                                    Contact information for Contracting Officer/administrator
                                           Name
                                           Address
                                           Fax number
                                           Phone number
                                           Email address

    (2)            Statement of Relevancy: Provide a complete description of the work involved to include dollar
value. Include rationale as to why and how the acquisition meets one of the relevancy definitions for this
acquisition.

     (3)           Quality and Satisfaction Rating for Contracts Completed in the Past Three Years: Provide any
information currently available (letters, metrics, customer surveys, independent surveys, etc.), which demonstrates
customer satisfaction with overall job performance and quality of completed product for same or similar type
contract. In addition, explain corrective actions taken in the past, if any, for substandard performance and any
current performance problems such as cost overruns, extended performance periods, numerous warranty calls, etc.

     (4)            Teaming Arrangements: If a teaming arrangement is contemplated, provide complete
information as to the arrangement, including any relevant and recent past performance information on previous
teaming arrangements with same partner. If this is a first time joint effort, each party to the arrangement must
provide a list of past and present relevant contracts. Past experience of one team member will be considered past
experience of all team members for purposes of evaluation.

     (5)            Subcontractor Consent: Past performance information pertaining to a subcontractor cannot be
disclosed to the prime Offeror without the subcontractor’s consent. Provide with the proposal a letter from all
subcontractors that will perform major or critical aspects of the requirement, consenting to the release of their past
performance information to the prime Contractor.


(d) VOLUME IV – PRICE PROPOSAL (Factor 3)

Section 1. Pricing for all Medical Specialties. Pricing for all medical specialties shall be submitted on the Price
Matrix provided as Attachment 2. Contractor shall not re-format or remove cells from the Price Matrix provided by
the Government. Submission of the pricing data shall be complete and accurate. Pricing for each labor category
shall be fully burdened labor rates rounded to the nearest cent. Failure to submit prices for all HCPs labor categories
at all locations shall render a proposal ineligible for award.

Section 2. Contractor Manpower Reporting (CMR). Offerors may propose prices for CMR in accordance with
PWS Paragraph 3.10. Offerors electing to not separately price CMR should enter – NSP on the Pricing sheet (see
Pricing Matrix CMR TAB).



CLAUSES INCORPORATED BY REFERENCE


52.222-24            Preaward On-Site Equal Opportunity Compliance Evaluation FEB 1999
52.225-25            Prohibition on Engaging in Sanctioned Activities Relating to SEP 2010
                     Iran--Certification.
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CLAUSES INCORPORATED BY FULL TEXT


52.203-2     CERTIFICATE OF INDEPENDENT PRICE DETERMINATION (APR 1985)

(a) The offeror certifies that --

(1) The prices in this offer have been arrived at independently, without, for the purpose of restricting competition,
any consultation, communication, or agreement with any other offeror or competitor relating to –

(i) Those prices,

(ii) The intention to submit an offer, or

(iii) The methods of factors used to calculate the prices offered:

(2) The prices in this offer have not been and will not be knowingly disclosed by the offeror, directly or indirectly, to
any other offeror or competitor before bid opening (in the case of a sealed bid solicitation) or contract award (in the
case of a negotiated solicitation) unless otherwise required by law; and

(3) No attempt has been made or will be made by the offeror to induce any other concern to submit or not to submit
an offer for the purpose of restricting competition.

(b) Each signature on the offer is considered to be a certification by the signatory that the signatory --

(1) Is the person in the offeror's organization responsible for determining the prices offered in this bid or proposal,
and that the signatory has not participated and will not participate in any action contrary to subparagraphs (a)(1)
through (a)(3) of this provision; or

(2) (i) Has been authorized, in writing, to act as agent for the following principals in certifying that those principals
have not participated, and will not participate in any action contrary to subparagraphs (a)(1) through (a)(3) of this
provison ______________________________________________________ (insert full name of person(s) in the
offeror's organization responsible for determining the prices offered in this bid or proposal, and the title of his or her
position in the offeror's organization);

(ii) As an authorized agent, does certify that the principals named in subdivision (b)(2)(i) above have not
participated, and will not participate, in any action contrary to subparagraphs (a)(1) through (a)(3) above; and

(iii) As an agent, has not personally participated, and will not participate, in any action contrary to subparagraphs
(a)(1) through (a)(3) of this provision.

(c) If the offeror deletes or modifies subparagraph (a)(2) of this provision, the offeror must furnish with its offer a
signed statement setting forth in detail the circumstances of the disclosure.

(End of clause)



52.216-1     TYPE OF CONTRACT (APR 1984)
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The Government contemplates award of a Fixed Price Indefinite Delivery Indefinite Quantity contract resulting
from this solicitation.

(End of provision)




52.233-2     SERVICE OF PROTEST (SEP 2006)

(a) Protests, as defined in section 33.101 of the Federal Acquisition Regulation, that are filed directly with an
agency, and copies of any protests that are filed with the Government Accountability Office (GAO), shall be served
on the Contracting Officer (addressed as follows) by obtaining written and dated acknowledgment of receipt from

Contracting Officer
Center for Health Care Contracting
2199 Storage Stree, Suite 68
Fort Sam Houston, TX 78234-5074

(b) The copy of any protest shall be received in the office designated above within one day of filing a protest with
the GAO.

(End of provision)




52.252-1     SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if
they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is
cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its
quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by
paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a
solicitation provision may be accessed electronically at this/these address(es):

http://farsite.hill.af.mil

(End of provision



CLAUSES INCORPORATED BY REFERENCE


52.212-2                Evaluation - Commercial Items                                 JAN 1999


CLAUSES INCORPORATED BY FULL TEXT
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ADDENDUM TO 52.212-2

Paragraph (a) is hereby replaced with the following:

A. BASIS OF AWARD

Multiple awards will be made based on the best overall (i.e., best value) proposals that are determined to be the most
advantageous to the Government, with appropriate consideration given to the three evaluation factors: Technical
Quality, Performance Risk, and Price. The Technical Quality factor is equally as important as the Performance Risk
factor. The combined non-price factors (Technical Quality and Performance Risk) are significantly more important
than the Price factor. To receive consideration for award, a rating of no less than ―Satisfactory‖ must be achieved on
all factors and subfactors. For Performance Risk, the Past and Present Performance must first meet Recency and
Relevancy, to be further evaluated for Quality of Performance. Prices for Contractor Manpower Reporting (CMR)
and medical specialties included in the solicitation must be reasonable with appropriate risk.

B. FACTORS AND SUB-FACTORS TO BE EVALUATED

   FACTOR 1 – TECHNICAL QUALITY (The sub-factors are equal in importance)

         (i) Subfactor 1A Contractor Quality Control Plan
         (ii) Subfactor 1B Management Capabilities
         (iii) Subfactor 1C Recruitment and Retention

   FACTOR 2 – PERFORMANCE RISK (Past and Present Performance)

   FACTOR 3 – PRICE

C. EVALUATION APPROACH

All proposals will be subject to evaluation by a team of Government personnel. Offerors must ensure all
information pertaining to the factor or subfactor is addressed in that particular portion of the proposal. Offerors are
cautioned that only the information included for each factor/subfactor will be evaluated. For example, only
information included in the section labeled ―Recruitment and Retention‖ will be evaluated for Recruitment and
Retention. If recruitment and/or retention information is included elsewhere in the proposal, it will not be evaluated
as part of the Recruitment and Retention subfactor.

   1. TECHNICAL EVALUATION APPROACH (Factor 1). Each of the Technical Quality subfactors will be
assessed individually and the results will then be assessed in their totality to derive the Offeror’s Technical Quality
rating. In no event where there are subfactors will the overall factor rating exceed the lowest subfactor rating. The
evaluation process will consider the following:

    a.    Contractor Quality Control Plan

     The Offeror's quality control plan will be evaluated for the extent to which it meets the Government's quality
requirements as well as monitoring performance; identifying trends/problems/issues; resolving and preventing
quality assurance problems; documentation, record maintenance, and reporting of quality related problems; and
identifying deficiencies before the level of services becomes unacceptable.

    b.    Management Capabilities
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       The Offeror's management capabilities will be evaluated to determine its understanding of the organization
and logistics of the management services, qualifications of contract HCPs and verifications required by this
solicitation. The management techniques to ensure quality services throughout the life of the contract will also be
evaluated.

    c.    Recruitment and Retention

     The Offeror's methods of recruitment and capability to recruit all required health care specialties will be
evaluated to ensure an understanding of the qualifications required for various labor categories and types of services
rendered. The Offeror’s non-compete employment agreement will be evaluated to ensure that the non-compete
clause does not prevent employees of the awardees hired to directly support any resultant task order from being
employed or accepting offers of employment for any follow-on effort required by the customer. The Offeror's plan
and company policy to retain employees/ subcontractors with minimum turnover, retention incentives, and training
programs will be evaluated. The elements of the compensation plans will be evaluated to ensure the proposed
compensation plans are sufficient to attract and retain quality HCPs.

Adjectival ratings that will be used to evaluate Technical Quality are Excellent, Good, Satisfactory, Marginal, and
Unsatisfactory as defined below:

 ADJECTIVE                                          DEFINITION AND CRITERIA

                            The proposal demonstrates a superior understanding of the requirements and a
                            new or proven approach that significantly exceeds performance or capability
                            standards. The proposal has several exceptional strengths that will
                            significantly benefit the Government. The proposal has no weaknesses or
          Excellent
                            deficiencies. Normal Contractor effort and normal Government monitoring
                            will be sufficient to minimize risk. The proposal is extensive, detailed, and
                            exceeds all requirements and objectives; therefore, has a high probability of
                            meeting the requirements with little or no risk to the Government.
                            The proposal demonstrates a considerable understanding of the requirements
                            and the approach exceeds performance or capability standards. The proposal
                            has one or more strengths that will benefit the Government. The proposal has
                            no deficiencies and any proposal weakness has little potential to cause
            Good            disruption of schedule, increase in cost, or degradation of performance.
                            Normal Contractor effort and normal Government monitoring will probably be
                            able to overcome difficulties. The proposal generally exceeds requirements in
                            minor areas; therefore, has a strong probability of meeting the requirements
                            with little risk to the Government.
                            The proposal demonstrates an adequate understanding of the requirements and
                            the approach meets all performance or capability standards. The proposal has
                            no strengths that exceed the requirement. The proposal has no material
                            weaknesses and no deficiencies. The proposal has some weakness that can
         Satisfactory       potentially cause disruption of schedules, increase in cost, or degradation of
                            performance. Special Contractor emphasis and close Government monitoring
                            will minimize any risk. The proposal meets the minimum requirements;
                            therefore, has a Satisfactory probability of successfully meeting the
                            requirements.
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                            The proposal fails to meet performance requirements and capability standards
                            in one or more areas. The proposal has minor omissions and demonstrates a
                            misunderstanding of the requirement that may be corrected or resolved through
         Marginal           discussions without a complete revision of the entire proposal. The proposal
                            has weaknesses or minor deficiencies that can potentially cause some
                            disruption of schedule, increase in cost, or degradation of performance even
                            with special Contractor emphasis, and close Government monitoring.
                            The proposal fails to demonstrate a basic understanding of the requirements
                            and the approach fails to meet performance or capability standards. The
                            proposal has major omissions, weaknesses or deficiencies, and inadequate
      Unsatisfactory
                            details to assure the evaluators that the Offeror has an understanding of the
                            requirements. The proposal presents an Un-Satisfactory risk and cannot meet
                            the requirements without major revisions.

  2. PERFORMANCE RISK APPROACH (Past and Present Performance)(Factor 2).

          a. Using questionnaires and data independently obtained from other Government and commercial sources,
the Contracting Officer will evaluate relevant and recent past performance information of all Offerors based on (1)
the past and present effort provided by the Offeror and (2) data independently obtained from Government and
commercial sources. Relevant performance includes performance of efforts involving Ancillary Medical Services
that are similar or greater in scope, magnitude and complexity to the effort described in this solicitation. The
purpose of the past performance evaluation is to allow the Government to assess the Offeror’s ability to perform the
effort described in this RFP, based on the Offeror’s demonstrated present and past performance. Past performance
regarding predecessor companies, key personnel who have relevant experience, or sub-contractors that will perform
major or critical aspects of the requirement will be rated as highly as past performance information for the principal
Offeror. Offerors with no relevant past or present performance history shall receive the rating "Unknown" meaning
the rating is treated neither favorably nor unfavorably. Past or present performance effort will be evaluated for
recency, relevancy, and quality of performance. The following relevancy definitions apply:

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

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

     Very Relevant                                           Very relevant performance carries more weight
                                                             than relevant or somewhat relevant. To qualify
                                                             as very relevant the Past/present performance
                                                             effort must involve Ancillary Medical Services
                                                             equaling _TBD_ to _TBD_ Health Care
                                                             Providers (HCPs) (or above) and a dollar value
                                                             of $_TBD_ or above over the life of the
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                                                            contract. At least 90% of the performance must
                                                            have been in a military or veterans medical
                                                            treatment facility.
     Relevant                                               Relevant performance fails to meet all
                                                            requirements for very relevant performance but
                                                            meets all of the following. (1) The number of
                                                            HCPs provided must have been between
                                                            _TBD_ and _TBD_ and a dollar value of for
                                                            the life of the contract must be between
                                                            $_TBD_ and $_TBD_. (2) Performance must
                                                            have been in a medical treatment facility
                                                            (military or civilian to include clinics).
     Somewhat Relevant                                      Somewhat relevant performance does not meet
                                                            all requirements for very relevant or relevant
                                                            but meet the following: (1) The number of
                                                            HCPs provided must have been between
                                                            _TBD_ and _TBD_ and a dollar value of for
                                                            the life of the contract must be between
                                                            $_TBD_ and $_TBD_. (2) Performance must
                                                            have been in a medical treatment facility
                                                            (military or civilian to include clinics).
     Not Relevant                                           Not relevant performance is all performance
                                                            that fails to meet one of the three relevancy
                                                            categories above.

         b. Quality of Performance - (1) Performance efforts that qualify as recent and meet one of the three
relevancy criteria (very relevant, relevant, or somewhat relevant) will be evaluated for quality of performance. Each
evaluated effort will receive one of the following performance ratings:

                  Exceptional
                  Very Good
                  Satisfactory
                  Marginal
                  Unsatisfactory
                  Unknown

        c. Based on the evaluation of past and present performance the Government will develop one of the
following performance confidence assessments for all Offeror’s whose past performance was evaluated:

 Exceptional                                          Performance meets contractual requirements and exceeds
                                                      many requirements to the Government’s benefit. (Risk
                                                      Level: Very Low)
 Very Good                                            Performance meets contractual requirements and exceeds
                                                      some to the Government’s benefit. (Risk Level: Low)
 Satisfactory                                         Performance meets contractual requirements. (Risk
                                                      Level: Moderate)
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 Marginal                                               Performance does not meet some contractual
                                                        requirements. The element being assessed reflects a
                                                        serious problem for which the Contractor has not yet
                                                        implemented satisfactory corrective actions. (Risk Level:
                                                        High)
 Unsatisfactory                                         Performance does not meet contractual requirements and
                                                        recovery is not likely in a timely manner. Contractor’s
                                                        corrective actions to date are ineffective (Risk Level:
                                                        Very High)
 Unknown                                                The Offeror has little/no relevant past performance upon
                                                        which to base a meaningful performance risk prediction.
                                                        (Risk Level: Unknown)

         d. The Government reserves the right to down grade the performance confidence assessment of any Offeror
based on lack of relevant performance information. Offeror’s may be asked to clarify certain aspects of their
proposal (for example, the relevance of past performance information) or respond to adverse past performance
information to which the Offeror has not previously had an opportunity to respond. Adverse past performance is
defined as past or present performance effort that is rated less than satisfactory overall or any unfavorable comments
received from sources without a formal rating system.


  3. PRICE EVALUATION APPROACH (Factor 3).

          a. Prices will be determined reasonable based on adequate price competition. The determination of
relative overall price to the Government will be established by totaling all prices for all contract years, to include
pricing for Contractor Manpower Reporting.

         b. Contractor Manpower Reporting (CMR). The CMR pricing for all years will be included in the total
evaluated price to determine relative overall price to the Government. Proposed prices will be determined
reasonable based on adequate price competition and/or comparison with current or recent prices for CMR. Prices
for CMR will be incorporated into the contract and will remain firm for the life of the contract. If not separately
priced, ―NSP‖ will be incorporated into the contract.

         c. Proposed prices should include total cost of performing each task.

         d. All CLINs will be totaled to arrive at the total evaluated price for each Offeror.

D. Multiple Years: The Government will evaluate offers for award purposes by adding the total estimated price for
all contract years. The Government may determine that an offer is unacceptable if prices for any year are
significantly unbalanced.

E. A written notice of award or acceptance of an offer mailed or otherwise furnished to the successful Offeror
within the time for acceptance specified in the offer, shall result in a binding contract without further action by either
party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer),
whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.
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52.212-3    OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (APR 2011)

An offeror shall complete only paragraph (b) of this provision if the offeror has completed the annual
representations and certifications electronically at http://orca.bpn.gov. If an offeror has not completed the annual
representations and certifications electronically at the ORCA website, the offeror shall complete only paragraphs (c)
through (o) of this provision.

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

―Economically disadvantaged women-owned small business (EDWOSB) Concern‖ means a small business concern
that is at least 51 percent directly and unconditionally owned by, and the management and daily
business operations of which are controlled by, one or more women who are citizens of the United States and who
are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned
small business eligible under the WOSB Program.

"Forced or indentured child labor" means all work or service-

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for
which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be
accomplished by process or penalties.

Inverted domestic corporation means a foreign incorporated entity which is treated as an inverted domestic
corporation under 6 U.S.C. 395(b), i.e., a corporation that used to be incorporated in the United States, or used to be
a partnership in the United States, but now is incorporated in a foreign country, or is a subsidiary whose parent
corporation is incorporated in a foreign country, that meets the criteria specified in 6 U.S.C. 395(b), applied in
accordance with the rules and definitions of 6 U.S.C. 395(c).

Manufactured end product means any end product in Federal Supply Classes (FSC) 1000-9999, except--

(1) FSC 5510, Lumber and Related Basic Wood Materials;

(2) Federal Supply Group (FSG) 87, Agricultural Supplies;

(3) FSG 88, Live Animals;

(4) FSG 89, Food and Related Consumables;

(5) FSC 9410, Crude Grades of Plant Materials;

(6) FSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) FSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) FSC 9610, Ores;

(9) FSC 9620, Minerals, Natural and Synthetic; and
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(10) FSC 9630, Additive Metal Materials.

Place of manufacture means the place where an end product is assembled out of components, or otherwise made or
processed from raw materials into the finished product that is to be provided to the Government. If a product is
disassembled and reassembled, the place of reassembly is not the place of manufacture.

Restricted business operations means business operations in Sudan that include power production activities, mineral
extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the
Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include
business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment
Act of 2007) conducting the business can demonstrate--

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of
the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such
authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian
organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Service-disabled veteran-owned small business concern--

(1) Means a small business concern--

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any
publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled
veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans
or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver
of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-
connected, as defined in 38 U.S.C. 101(16).

"Small business concern" means a concern, including its affiliates, that is independently owned and operated, not
dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business
under the criteria in 13 CFR Part 121 and size standards in this solicitation.

Veteran-owned small business concern means a small business concern--

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the
case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more
veterans; and
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(2) The management and daily business operations of which are controlled by one or more veterans.

"Women-owned business concern" means a concern which is at least 51 percent owned by one or more women; or
in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more
women; and whose management and daily business operations are controlled by one or more women.

"Women-owned small business concern" means a small business concern--

(1) That is at least 51 percent owned by one or more women or, in the case of any publicly owned business, at least
51 percent of its stock is owned by one or more women; or

(2) Whose management and daily business operations are controlled by one or more women.

Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR
part 127)‖, means a small business concern that is at least 51 percent directly and unconditionally owned by, and the
management and daily business operations of which are controlled by, one or more women who are citizens of the
United States.

(b) (1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this
provision do not automatically change the representations and certifications posted on the Online Representations
and Certifications Application (ORCA) website.

(2) The offeror has completed the annual representations and certifications electronically via the ORCA website at
http://orca.bpn.gov. After reviewing the ORCA database information, the offeror verifies by submission of this offer
that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations
and Certifications--Commercial Items, have been entered or updated in the last 12 months, are current, accurate,
complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code
referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR
4.1201), except for paragraphs ----------.

(Offeror to identify the applicable paragraphs at (c) through (o) of this provision that the offeror has completed for
the purposes of this solicitation only, if any.)

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate,
and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the
representations and certifications posted on ORCA.]

(c) Offerors must complete the following representations when the resulting contract will be performed in the United
States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it ( ) is, ( ) is not a small business
concern.

(2) Veteran-owned small business concern. (Complete only if the offeror represented itself as a small business
concern in paragraph (c)(1) of this provision.) The offeror represents as part of its offer that it ( ) is, ( ) is not a
veteran-owned small business concern.
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(3) Service-disabled veteran-owned small business concern. (Complete only if the offeror represented itself as a
veteran-owned small business concern in paragraph (c)(2) of this provision.) The offeror represents as part of its
offer that it ( ) is, ( ) is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business
concern in paragraph (c)(1) of this provision.) The offeror represents, for general statistical purposes, that it ( ) is, (
) is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. (Complete only if the offeror represented itself as a small business
concern in paragraph (c)(1) of this provision.) The offeror represents that it ( ) is, ( ) is not a women-owned small
business concern.

Note to paragraphs (c)(8) and (9): Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to
exceed the simplified acquisition threshold.

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-
owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that--

(i) It * is, * is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to
the WOSB Repository, and no change in circumstances or adverse decisions have
been issued that affects its eligibility; and

(ii) It * is, * is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in
paragraph (c)(6)(i) of this provision is accurate in reference to the WOSB
concern or concerns that are participating in the joint venture. [The offeror shall enter the name or names of the
WOSB concern or concerns that are participating in the joint venture: .] Each WOSB concern participating in the
joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the offeror
represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.] The offeror
represents that--

(i) It * is, * is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents
to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its
eligibility; and

(ii) It * is, * is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in
paragraph (c)(7)(ii) of this provision is accurate in reference to the EDWOSB concern or concerns that are
participating in the joint venture. The offeror shall enter the name or names of the EDWOSB concern or concerns
that are participating in the joint venture: ------------. Each EDWOSB concern participating in the joint venture shall
submit a separate signed copy of the EDWOSB representation.

(8) Women-owned business concern (other than small business concern). (Complete only if the offeror is a women-
owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this
provision.) The offeror represents that it ( ) is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may
identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror
or first-tier subcontractors) amount to more than 50 percent of the contract price:

_____________________________________________
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(10) (Complete only if the solicitation contains the clause at FAR 52.219-23, Notice of Price Evaluation Adjustment
for Small Disadvantaged Business Concerns or FAR 52.219-25, Small Disadvantaged Business Participation
Program-Disadvantaged Status and Reporting, and the offeror desires a benefit based on its disadvantaged status.)

(i) General. The offeror represents that either--

(A) It ( ) is, ( ) is not certified by the Small Business Administration as a small disadvantaged business concern and
identified, on the date of this representation, as a certified small disadvantaged business concern in the CCR
Dynamic Small Business Search database maintained by the Small Business Administration, and that no material
change in disadvantaged ownership and control has occurred since its certification, and, where the concern is owned
by one or more individuals claiming disadvantaged status, the net worth of each individual upon whom the
certification is based does not exceed $750,000 after taking into account the applicable exclusions set forth at 13
CFR 124.104(c)(2); or

(B) It ( ) has, ( )( has not submitted a completed application to the Small Business Administration or a Private
Certifier to be certified as a small disadvantaged business concern in accordance with 13 CFR 124, Subpart B, and a
decision on that application is pending, and that no material change in disadvantaged ownership and control has
occurred since its application was submitted.

(ii) Joint Ventures under the Price Evaluation Adjustment for Small Disadvantaged Business Concerns. The offeror
represents, as part of its offer, that it is a joint venture that complies with the requirements in 13 CFR 124.1002(f)
and that the representation in paragraph (c)(10)(i) of this provision is accurate for the small disadvantaged business
concern that is participating in the joint venture. (The offeror shall enter the name of the small disadvantaged
business concern that is participating in the joint venture: ____________.)

(11) HUBZone small business concern. (Complete only if the offeror represented itself as a small business concern
in paragraph (c)(1) of this provision.) The offeror represents, as part of its offer, that--

(i) It [squ] is, [squ] is not a HUBZone small business concern listed, on the date of this representation, on the List of
Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material
changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was
certified in accordance with 13 CFR Part 126; and

(ii) It [squ] is, [squ] is not a HUBZone joint venture that complies with the requirements of 13 CFR Part 126, and
the representation in paragraph (c)(11)(i) of this provision is accurate for each HUBZone small business concern
participating in the HUBZone joint venture. [The offeror shall enter the names of each of the HUBZone small
business concerns participating in the HUBZone joint venture: --------.] Each HUBZone small business concern
participating in the HUBZone joint venture shall submit a separate
signed copy of the HUBZone representation.

(d) Certifications and representations required to implement provisions of Executive Order 11246--

(1) Previous Contracts and Compliance. The offeror represents that--

(i) It ( ) has, ( ) has not, participated in a previous contract or subcontract subject either to the Equal Opportunity
clause of this solicitation, the and

(ii) It ( ) has, ( ) has not, filed all required compliance reports.
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(2) Affirmative Action Compliance. The offeror represents that--

(i) It ( ) has developed and has on file, ( ) has not developed and does not have on file, at each establishment,
affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR Subparts 60-1 and
60-2), or

(ii) It ( ) has not previously had contracts subject to the written affirmative action programs requirement of the rules
and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352). (Applies only if the
contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge
and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of
Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any
resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on
behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB
Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not
report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were
made.

(f) Buy American Act Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1,
Buy American Act --Supplies, is included in this solicitation.)

(1) The offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic
end product and that for other than COTS items, the offeror has considered components of unknown origin to have
been mined, produced, or manufactured outside the United States. The offeror shall list as foreign end products
those end products manufactured in the United States that do not qualify as domestic end products, i.e., an end
product that is not a COTS item and does not meet the component test in paragraph (2) of the definition of
―domestic end product.‖ The terms ―commercially available off-the-shelf (COTS) item,‖ ―component,‖ ―domestic
end product,‖ ―end product,‖ ―foreign end product,‖ and ―United States‖ are defined in the clause of this solicitation
entitled ―Buy American Act--Supplies.‖
(2) Foreign End Products:

Line Item No.:---------------------------------------------------------
Country of Origin:-----------------------------------------------------

(List as necessary)

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)(1) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate. (Applies only if the clause at FAR
52.225-3, Buy American Act-Free Trade Agreements-Israeli Trade Act, is included in this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (g)(1)(iii) of this
provision, is a domestic end product and that for other than COTS items, the offeror has considered components of
unknown origin to have been mined, produced, or manufactured outside the United States. The terms ―Bahrainian,
Moroccan, Omani, or Peruvian end product,‖ ―commercially available off-the-shelf (COTS) item,‖ ―component,‖
―domestic end product,‖ ―end product,‖ ―foreign end product,‖ ―Free Trade Agreement country,‖ ―Free Trade
Agreement country end product,‖ ―Israeli end product,‖ and ―United States‖ are defined in the clause of this
solicitation entitled ―Buy American Act-Free Trade Agreements-Israeli Trade Act.‖
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(ii) The offeror certifies that the following supplies are Free Trade Agreement country end products (other than
Bahrainian, Moroccan, Omani, or Peruvian end products) or Israeli end products as defined in the clause of this
solicitation entitled ``Buy American Act--Free Trade Agreements--Israeli Trade Act'':

Free Trade Agreement Country End Products (Other than Bahrainian, Moroccan, Omani, or Peruvian End Products)
or Israeli End Products:

                                 Line Item No.
                            --------------------
                            --------------------
                            --------------------

[List as necessary]




(iii) The offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii)
of this provision) as defined in the clause of this solicitation entitled "Buy American Act-Free Trade Agreements-
Israeli Trade Act." The offeror shall list as other foreign end products those end products manufactured in the United
States that do not qualify as domestic end products, i.e., an end product that is not a COTS item and does not meet
the component test in paragraph (2) of the definition of ―domestic end product.‖

Other Foreign End Products:


 Line Item No.        Country of Origin

______________ _________________

______________ _________________

______________ _________________


[List as necessary]


(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.
(2) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate, Alternate I (Jan 2004). If Alternate I to
the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph
(g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this
solicitation entitled "Buy American Act-Free Trade Agreements-Israeli Trade Act":

Canadian End Products:


                  Line Item No.
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_______________________________________

_______________________________________

_______________________________________


[List as necessary]


(3) Buy American Act-Free Trade Agreements-Israeli Trade Act Certificate, Alternate II (Jan 2004). If Alternate II
to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for
paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as
defined in the clause of this solicitation entitled "Buy American Act-Free Trade Agreements-Israeli Trade Act":

Canadian or Israeli End Products:


 Line Item No.        Country of Origin

______________ _________________

______________ _________________

______________ _________________


[List as necessary]

(4) Trade Agreements Certificate. (Applies only if the clause at FAR 52.225-5, Trade Agreements, is included in
this solicitation.)

(i) The offeror certifies that each end product, except those listed in paragraph (g)(4)(ii) of this provision, is a U.S.-
made or designated country end product, as defined in the clause of this solicitation entitled "Trade Agreements."

(ii) The offeror shall list as other end products those end products that are not U.S.-made or designated country end
products.

Other End Products:


 Line Item No.        Country of Origin

______________ _________________

______________ _________________

______________ _________________
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(List as necessary)


(iii) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25. For line
items covered by the WTO GPA, the Government will evaluate offers of U.S.-made or designated country end
products without regard to the restrictions of the Buy American Act. The Government will consider for award only
offers of U.S.-made or designated country end products unless the Contracting Officer determines that there are no
offers for such products or that the offers for such products are insufficient to fulfill the requirements of the
solicitation.

(h) Certification Regarding Responsibility Matters (Executive Order 12689). The offeror certifies, to the best of its
knowledge and belief, that --

(1) The offeror and/or any of its principals ( ) are, ( ) are not presently debarred, suspended, proposed for
debarment, or declared ineligible for the award of contracts by any Federal agency,

(2) ( ) Have, ( ) have not, within a three-year period preceding this offer, been convicted of or had a civil judgment
rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to
obtain, or performing a Federal, state or local government contract or subcontract; violation of Federal or state
antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or
receiving stolen property; and

(3) ( ) are, ( ) are not presently indicted for, or otherwise criminally or civilly charged by a Government entity with,
commission of any of these offenses enumerated in paragraph (h)(2) of this clause; and

(4) ( ) Have, ( ) have not, within a three-year period preceding this offer, been notified of any delinquent Federal
taxes in an amount that exceeds $3,000 for which the liability remains unsatisfied.

(i) Taxes are considered delinquent if both of the following criteria apply:

(A) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not
finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the
liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(B) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax
liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection
action is precluded.

(ii) Examples.

(A) The taxpayer has received a statutory notice of deficiency, under I.R.C. Sec. 6212, which entitles the taxpayer
to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax
liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has
exercised all judicial appeal rights.

(B) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been
issued a notice under I.R.C. Sec. 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals
contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the
course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no
prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the
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taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal
rights.

(C) The taxpayer has entered into an installment agreement pursuant to I.R.C. Sec. 6159. The taxpayer is making
timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the
taxpayer is not currently required to make full payment.

(D) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection
action is stayed under 11 U.S.C. 362 (the Bankruptcy Code).


(i) Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126). [The
Contracting Officer must list in paragraph (i)(1) any end products being acquired under this solicitation that are
included in the List of Products Requiring Contractor Certification as to Forced or Indentured Child Labor, unless
excluded at 22.1503(b).]

(1) Listed end products.



      Listed End Product                           Listed Countriesof Origin




(2) Certification. [If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1)
of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.]

[ ] (i) The offeror will not supply any end product listed in paragraph (i)(1) of this provision that was mined,
produced, or manufactured in the corresponding country as listed for that product.

[ ] (ii) The offeror may supply an end product listed in paragraph (i)(1) of this provision that was mined, produced,
or manufactured in the corresponding country as listed for that product. The offeror certifies that it has made a good
faith effort to determine whether forced or indentured child labor was used to mine, produce, or manufacture any
such end product furnished under this contract. On the basis of those efforts, the offeror certifies that it is not aware
of any such use of child labor.
(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of
manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of
manufacture of the end products it expects to provide in response to this solicitation is predominantly—

(1) o In the United States (Check this box if the total anticipated price of offered end products manufactured in the
United States exceeds the total anticipated price of offered end products manufactured outside the United States); or

(2) o Outside the United States.
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(j) Place of manufacture. (Does not apply unless the solicitation is predominantly for the acquisition of
manufactured end products.) For statistical purposes only, the offeror shall indicate whether the place of
manufacture of the end products it expects to provide in response to this solicitation is predominantly--

(1) ( ) In the United States (Check this box if the total anticipated price of offered end products manufactured in the
United States exceeds the total anticipated price of offered end products manufactured outside the United States); or

(2) ( ) Outside the United States.

(k) Certificates regarding exemptions from the application of the Service Contract Act. (Certification by the offeror
as to its compliance with respect to the contract also constitutes its certification as to compliance by its subcontractor
if it subcontracts out the exempt services.)

[The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.]

[ ] (1) Maintenance, calibration, or repair of certain equipment as described in FAR 22.1003-4(c)(1). The offeror
o does o does not certify that—

(i) The items of equipment to be serviced under this contract are used regularly for other than Governmental
purposes and are sold or traded by the offeror (or subcontractor in the case of an exempt subcontract) in substantial
quantities to the general public in the course of normal business operations;

(ii) The services will be furnished at prices which are, or are based on, established catalog or market prices (see FAR
22.1003-4(c)(2)(ii)) for the maintenance, calibration, or repair of such equipment; and

(iii) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract
will be the same as that used for these employees and equivalent employees servicing the same equipment of
commercial customers.

[ ] (2) Certain services as described in FAR 22.1003-4(d)(1). The offeror o does o does not certify that—

(i) The services under the contract are offered and sold regularly to non-Governmental customers, and are provided
by the offeror (or subcontractor in the case of an exempt subcontract) to the general public in substantial quantities
in the course of normal business operations;

(ii) The contract services will be furnished at prices that are, or are based on, established catalog or market prices
(see FAR 22.1003-4(d)(2)(iii));

(iii) Each service employee who will perform the services under the contract will spend only a small portion of his
or her time (a monthly average of less than 20 percent of the available hours on an annualized basis, or less than 20
percent of available hours during the contract period if the contract period is less than a month) servicing the
Government contract; and
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(iv) The compensation (wage and fringe benefits) plan for all service employees performing work under the contract
is the same as that used for these employees and equivalent employees servicing commercial customers.

(3) If paragraph (k)(1) or (k)(2) of this clause applies—

(i) If the offeror does not certify to the conditions in paragraph (k)(1) or (k)(2) and the Contracting Officer did not
attach a Service Contract Act wage determination to the solicitation, the offeror shall notify the Contracting Officer
as soon as possible; and

(ii) The Contracting Officer may not make an award to the offeror if the offeror fails to execute the certification in
paragraph (k)(1) or (k)(2) of this clause or to contact the Contracting Officer as required in paragraph (k)(3)(i) of
this clause.

(l) Taxpayer Identification Number (TIN) (26 U.S.C. 6109, 31 U.S.C. 7701). (Not applicable if the offeror is
required to provide this information to a central contractor registration database to be eligible for award.)

(1) All offerors must submit the information required in paragraphs (l)(3) through (l)(5) of this provision to comply
with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041,
6041A, and 6050M, and implementing regulations issued by the Internal Revenue Service (IRS).

(2) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the
offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment
reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to
verify the accuracy of the offeror's TIN.

(3) Taxpayer Identification Number (TIN).

( ) TIN: --------------------.

( ) TIN has been applied for.

( ) TIN is not required because:

( ) Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively
connected with the conduct of a trade or business in the United States and does not have an office or place of
business or a fiscal paying agent in the United States;

( ) Offeror is an agency or instrumentality of a foreign government;

( ) Offeror is an agency or instrumentality of the Federal Government.

(4) Type of organization.

( ) Sole proprietorship;

( ) Partnership;

( ) Corporate entity (not tax-exempt);
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( ) Corporate entity (tax-exempt);

( ) Government entity (Federal, State, or local);

( ) Foreign government;

( ) International organization per 26 CFR 1.6049-4;

( ) Other ----------.

(5) Common parent.

( ) Offeror is not owned or controlled by a common parent;

( ) Name and TIN of common parent:

Name --------------------.
TIN --------------------.

(m) Restricted business operations in Sudan. By submission of its offer, the offeror certifies that the offeror does not
conduct any restricted business operations in Sudan.

(n) Prohibition on Contracting with Inverted Domestic Corporations.

(1) Relation to Internal Revenue Code. A foreign entity that is treated as an inverted domestic corporation for
purposes of the Internal Revenue Code at 26 U.S.C. 7874 (or would be except that the inversion transactions were
completed on or before March 4, 2003), is also an inverted domestic corporation for purposes of 6 U.S.C. 395 and
for this solicitation provision (see FAR 9.108).

(2) Representation. By submission of its offer, the offeror represents that it is not an inverted domestic corporation
and is not a subsidiary of one.

(o) Sanctioned activities relating to Iran.

(1) Unless a waiver is granted or an exception applies as provided in paragraph (o)(2) of this provision, by
submission of its offer, the offeror certifies that the offeror, or any person owned or controlled by the offeror, does
not engage in any activities for which sanctions may be imposed under section 5 of the Iran Sanctions Act of 1996.

(2) The certification requirement of paragraph (o)(1) of this provision does not apply if—

(i) This solicitation includes a trade agreements certification (e.g., 52.212-3(g) or a comparable agency provision);
and

(ii) The offeror has certified that all the offered products to be supplied are designated country end products.


(End of provision)

								
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