SOLICITATION NOTICE
R -- Orthodontist Services
- Notice Date
- 10/8/2004
- Notice Type
- Solicitation Notice
- NAICS
- 541990
— All Other Professional, Scientific, and Technical Services
- Contracting Office
- Department of the Navy, Bureau of Medicine and Surgery, NMC San Diego, Bldg 1 38400 Bob Wilson Drive, San Diego, CA, 92134-5000
- ZIP Code
- 92134-5000
- Solicitation Number
- N00259-05-T-0002
- Response Due
- 10/11/2004
- Archive Date
- 10/26/2004
- Small Business Set-Aside
- Total Small Business
- Description
- This is a combined synopsis/solicitation for non-personal services of an orthodontist, prepared in accordance with the format in FAR subpart 12.6 as supplemented with additional information included in this notice. This announcement constitutes only solicitation, quotations are being requested and a written solicitation will not be issued. The solicitation number, N00259-05-T-0002 is issued as a request for quotation (RFQ). The proposed contract action is for services which the Naval Medical Center San Diego intends to solicit for a non-personal services of an orthodontist under the authority of FAR 6.302. Interested contractors/persons may identify their interest and capability to respond to the requirement or submit quotations. This notice of intent is not a request for competitive quotations. However, all quotes received by October 11, 2004, 3:00PM Pacific Standard Time, will be considered by the Government. A determination by the Government not to compete with this proposed contract based upon responses to this notice is solely within the discretion of the Government. The North American Industry Classification System (NAICS) Code for this acquisition is 541990, Size: 6.0. This procurement is a small purchase, small business set-aside solicitation. Clin 0001. Contractor shall provide On-site Non-personal services contract of an Orthodontist IAW Statement of Work, October 13, 2004 through November 30, 2004. QTY:119 Unit of Issue: Visits $______ = $ ______. Clin 0002 Contractor shall provide On-site Non-personal services contract of an Orthodontist IAW Statement of Work, October 13, 2004 through November 30, 2004. QTY: 56 Unit of Issue: Hours: $_______ = $_______. Statement of Work may be obtained by contacting the Government POC: JOCELYN P. PUGEDA TEL: (619) 532-5933 FAX: (619) 532-5596 EMAIL: JPPUGEDA@NMCSD.MED.NAVY.MIL STATEMENT OF WORK ? ORTHODONTIST I. INTRODUCTION/SCOPE. The Government is seeking to place under contract, an individual or a business entity who can provide the nonpersonal services of an individual who holds a current, unrestricted license to practice as a dentist in any one of the fifty States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands. The contractor must meet all the requirements contained herein. Nonpersonal services shall be provided at the Naval Medical Center San Diego, CA or Branch Medical Clinics. All medical clinics are within a 35-mile commuting range of the medical center. The use of ?Commanding Officer? herein means the Commanding Officer, Naval Medical Center San Diego, CA or the designated representative (e.g. Contracting Officer?s Representative, Technical Liaison, or the Department Head). The contractor shall normally provide services for an 8-hour period per workday. The contractor shall be on duty in the assigned clinical area 0730-1600 one weekday each week including an uncompensated 30-minute meal break. Specific hours will be scheduled 30 days in advance by the Commanding Officer. Any changes in the schedule will be coordinated between the contractor and the Government. The contractor shall arrive for each scheduled shift in a well-rested condition and shall have had at least six hours of rest from all other duties as a dentist. Contractor services will not be required on the following federally established paid holidays: Veteran?s Day and Thanksgiving Day. The Government will NOT compensate the contractor for these periods of planned absence. This requirement is for an interim period beginning on 13 October 2004 and ending on 30 November 2004. II. DUTIES AND RESPONSIBILITIES. 1. GENERAL. The contractor shall perform a full range of orthodontic, orthognathic, craniofacial, hemi-facial microsomia and/or, cleft lip/cleft palate orthodontic services, within the scope of clinical privileges granted by the Commanding Officer, on site using government-furnished supplies, facilities and equipment. Workload occurs as a result of scheduled and unscheduled requirements for care. The contractor?s actual clinical performance shall be a function of the Commanding Officer's credentialing process and the overall demand for care to include the following: The diagnosis and treatment of orthognathic conditions including corrective jaw surgery, repositioning misaligned jaws and, injury to the jaw or birth defects that affect jaw alignment, orthognathic conditions related to skeletal discrepancies; The diagnosis and treatment of cranial, facial, cleft lip/cleft palate disorders; Service as a member of the Cleft Lip and Palate Team; Corrections of difficulties in chewing, biting or swallowing, facial pain, speech problems, chronic jaw or TMJ pain, open bite, protruding jaw and/or, breathing problems; Management and treatment of facial trauma including facial lacerations, lip lacerations, intra oral lacerations, fractured teeth, avulsed teeth, fractured facial bones and/or, fractured jaws (upper and lower jaw); and Participation in and involvement with formal teaching to colleagues and the MTF staff. The contractor shall be responsible for the delivery of treatment within the personnel and equipment capabilities of the Medical Treatment Facility, provision of mandated surveillance and preventive services, and the quality and timeliness of treatment records and reports required to document procedures performed and care provided. In all cases, the processes and procedures of the MTF will apply to the services that the contractor renders under this contract. The contractor shall be subject to guidelines set forth in the Command's quality assurance and risk management instructions. The contractor shall perform administrative duties that include maintaining statistical records of clinical workload, participating in medical education programs, preparing documentation for boards, and participating in clinical staff continuous quality functions at the prerogative of the Commanding Officer, consistent with the same level of care provided by the other orthodontists. The contractor?s performance will be evaluated for adherence to the requirements of the contract. The Government reserves the right to evaluate contractor performance as required. Additional (i.e. special) evaluations may be performed to correct clinical or other performance deficiencies identified by the Government. The totality of scheduled performance evaluations, any special evaluations, and any other documentation generated by the Government will constitute complete evaluation. 2. ADMINISTRATIVE AND TRAINING REQUIREMENTS. The contractor shall provide training and/or direction to supporting Government employees during the performance of clinical procedures. Such direction and interaction will comply with Government and professional clinical standards and accepted protocols. The contractor shall participate in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. The contractor shall participate in the provision of in-service training to non-healthcare practitioner members of the clinical and administrative staff on subjects germane to medical care. The contractor shall attend annual renewal of Government-provided training requirements for family advocacy, disaster training, infection control, sexual harassment, bloodborne pathogens and fire safety. The contractor shall participate in the implementation of the Command?s Family Advocacy Program as required. The contractor shall perform administrative functions such as attending board and committee meetings and providing continuing education, including, but not limited to the orthognathic treatment conference, typically held each Wednesday from 1600-1800. Both the Government and the contractor will collaborate to adjust schedules for attending this conference. The contractor shall attend training in the data systems used by the MTF. This Government provided training is estimated at a minimum of 4 hours, and up to a maximum of 40 hours. This requirement may be waived by the Government if the contractor has received this training. The contractor shall obtain and maintain certification in the American Heart Association?s Basic Life Support (BLS) for Healthcare Providers, the American Heart Association?s Healthcare Provider Course, and the American Red Cross?s Cardio Pulmonary Resuscitation (CPR) for the Professional Rescuer or equivalent. In the event the contractor is otherwise qualified but does not possess or cannot maintain this certification, and the Government elects to provide it, the Government reserves the right to deduct 4 hours of compensated service as consideration. Consideration will be based upon the contractor?s hourly rate. 3. CLINICAL SERVICES. Routine workload is scheduled by the treatment facility. Primary workload is a result of appointments generated by patient activity through the department or scheduled through the MTF. The contractor shall have full responsibility for diagnostic examinations, the development of comprehensive treatment plans, and the delivery of treatment within the personnel, equipment, and supply capabilities of the facility. In addition, the contractor shall have full responsibility for the quality and timeliness of the preparation of records and reports for procedures performed and care provided. Patients frequently have overlapping, multiple symptoms and often require multi-discipline, long-term treatment. The contractor shall refer patients to staff specialists for consultative opinions and continuation of care and shall see the patients of other staff health care providers for consultation and treatment. The work environment involves risks typically associated with the performance of clinical procedures. The contractor may be exposed to contagious disease and infections requiring the wearing of personal protection equipment such as scrub attire, gloves, masks, and eye protection. The contractor?s actual clinical performance will be a function of the Commanding Officer's credentialing process and the overall demand for orthodontic services. The contractor?s productivity is expected to be comparable with that of other orthodontists assigned to the same facility and scope of practice. The contractor may be assigned other duties consistent with the normal duties of an orthodontist including, but not limited to, participating in command quality improvement and assurance meetings. 4. ORIENTATION. The contractor shall undergo on-site orientation. Orientation will include familiarization with the facility, introduction to the Quality Improvement Program, introduction to MTF rules and regulations, introduction to military protocol such as military structure, time and rank, parking permits, infection control protocols and clarification of rights and responsibilities. 5. CREDENTIALS AND PRIVILEGING. Upon award, the contractor shall complete a PPIS (Personal and Professional Information Sheet and other supporting documentation required to complete an ICF (Individual Credentials File) prior to the performance of services. The ICF, maintained at the facility, contains specific information regarding the qualifying educational degree(s) and professional licensure, past professional experience and performance, education and training, health status, and competency as defined in Appendix (F) of BUMEDINST 6320.66C and subsequent revisions, and higher directives. A copy of this instruction may be obtained from the World Wide Web at http://navymedicine.med.navy.mil/instructions/external/6320.66c.pdf. III. MINIMUM CONTRACTOR QUALIFICATIONS. To qualify, the contractor individual must: A. Possess a doctorate degree in dentistry from a college accredited by the Council on Dental Education of the American Dental Association; B. Have completed a postgraduate training program in dentistry accredited by the Council on Dental Accreditation of the American Dental Association; C. Have a current, unrestricted license to practice dentistry in any one of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands; D. Have 5 years experience within the last 10 years in the orthodontic management of craniofacial development anomalies and traumatic injuries including, but not limited to, cleft/lip palate, hemi-facial microsomia and/or, orthognathic surgical cases (maxillary and/or mandibular growth disturbances requiring surgical correction; E. Possess a current Drug Enforcement Agency certification (DEA number); G. Be eligible for U.S. employment; H. Represent an acceptable malpractice risk to the Navy; I. Submit a fair and reasonable price that has been accepted by the Government; J. Submit experience information by resume; K. Submit three letters of recommendation written within the last two years attesting to clinical skills. A minimum of one of the letters must be from a physician or dentist supervisor (allopathic or osteopathic). The other letters must be from either clinic or hospital administrators, or practicing dentists or physicians (allopathic or osteopathic). Reference letters shall attest to the contractor individual?s communication skills and ability to relate to patients as well as professional and other interpersonal skills among staff members and must include name, title, phone number, date of reference, address and signature of the individual providing reference. To be completely relevant to the requirements contained herein, the letters must specifically address experience providing orthognathic, craniofacial, hemi-facial microsomia, and cleft lip/cleft palate services. NOTE: The Government reserves the right to interview the contractor prior to the award of a contract as coordinated by the Contracting Officer or his/her designee. The Government further reserves the right to conduct interviews by telephone, video teleconference, or in person. IV. QUALIFICATION REQUIREMENTS. The contractor must submit: A. A completed resume or curriculum vitae; B. Proof of identity and U. S. employment eligibility; and C. At least three letters of recommendation. V. OTHER REQUIREMENTS. Upon contract notification, the contractor will be required to obtain a physical examination at the contractor?s expense. A physician must complete the contractor?s physical certification. The contractor shall indemnify the Government for any liability producing act or omission by the contractor, its employees and agents during contract performance. The contractor will also be required to obtain and maintain medical liability insurance. Before commencing work the contractor shall notify the Contracting Officer in writing that the required insurance has been obtained. RESUME/ CURRICULUM VITAE 1. After contract award, all the information the contractor provides will be verified during the credentialing process. The following documentation will be required for verification: Professional education degree, a release of information, an application for clinical privileges which will result in an Individual Credentials File (ICF), all medical licenses held within the preceding 10 years, a copy of American Heart Association?s CPR Health Care Provider Course Certification card (or equivalent), continuing education certificates, and employment eligibility documentation. If the contractor submits false information, either: (a) The contract may be terminated for default. This action may initiate the suspension and debarment process, which could result in the determination that the contractor is no longer eligible for future Government contracts, and/or (b) The contractor may lose clinical privileges. If that occurs, an adverse credentialing action report will be forwarded to the contractor?s state licensing bureau and the National Practitioners Databank. 2. Health Certification. Contractor individuals providing services under Government contracts are required to undergo a physical exam no more than 60 days after beginning performance of services. This includes a record of required immunizations/tests. Maintaining current immunizations/test status is the contractor?s responsibility. By signing this form, the contractor has acknowledged this requirement. PRIVACY ACT STATEMENT Under 5 U.S.C. 552a and Executive Order 9397, the information provided is part of my response to and for use in the consideration of a Government contract; disclosure of the information is voluntary; failure to provide information may result in the denial of the opportunity to enter into a contract. ______________________________ Signature and Date 3. Resume/Curriculum Vitae. Every item on the resume outline must be addressed. Please sign and date at the end of your resume. Any additional information required may be provided on a separate sheet of paper. A. General Information. At a minimum, include: Your name (Last/First/Middle); Your Social Security Number; Your current address (address/city/state/zip code); Telephone numbers where you may be reached (including area code); and Email address(es) where you may be reached. B. Professional Education. At a minimum, include: The name of the college/university accredited by the Council on Dental Education of the American Dental Association that conferred your Doctorate Degree in Dentistry and the date of that degree, or a copy of your permanent certification by the Educational Commission for Foreign Medical Graduates (ECFMG), and Evidence that you have completed a postgraduate training program in Dentistry accredited by the Council on Dental Accreditation of the American Dental Association, and Evidence that you possess 5 years experience within the last 10 years in the orthodontic management of craniofacial development anomalies and traumatic injuries including, but not limited to, cleft/lip palate, hemi-facial microsomia and/or, orthognathic surgical cases (maxillary and/or mandibular growth disturbances requiring surgical correction. All current, unrestricted licenses to practice dentistry in any one of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands, (including state of issuance, date of issuance and, date of expiration), and Evidence that you possess a current Drug Enforcement Agency certification (DEA number). C. Continuing Education: Evidence that you have successfully completed at least 50 hours of continuing dental education within the last 24 months. Provide the course name, course dates and, CEU/CME hours received. D. BLS: Provide evidence of current certification in American Heart Association?s Basic Life Support (BLS) for Healthcare Providers; American Heart Association?s Healthcare Provider Course; American Red Cross?s Cardiopulmonary Resuscitation (CPR) for the Professional Rescuer or equivalent. Provide the training type listed on the card and the expiration date. A copy of both sides of the card shall be submitted. DO NOT SUBMIT THE ORIGINAL CARD. E. Professional Employment: List your current and preceding employers for the past 10 years, even if they are not related to your experience as a dentist. Provide the name and address of each employer, the dates of employment and a general description of the work performed/major duties/organizational position. For the most recent 2 employers, provide the name, address and, telephone number of your workplace supervisor. If you are you currently employed on a Navy contract, please disclose the location of your current contract, the position you hold, and the contract expiration date. F. Employment Eligibility: Provide the documentation that demonstrates that you meet the requirements for U.S. Employment Eligibility. If you do not, please provide an explanation. A contract will not be awarded to any individual in violation of the Immigration and Naturalization laws of the United States. G. Professional References: Provide three letters of recommendation written within the last two years attesting to your clinical skills. A minimum of one of the letters must be from a clinical supervisor. The other letters must be from either clinic or hospital administrators, or practicing physicians or dentists. Reference letters shall attest to your communication skills and ability to relate to patients as well as professional and other interpersonal skills among staff members and must include name, title, phone number, date of reference, address and signature of the individual providing reference. To be completely relevant to the requirements contained herein, your letters must specifically address your experience providing orthognathic, craniofacial, hemi-facial microsomia, and cleft lip/cleft palate services. H. Required Immunizations/Screening Tests: Provide evidence of Hepatitis B Series (including dates) and PPD (including date of last reading and sero-conversion status). I. Military Experience. Provide any MTF or military experience within the last 10 years that may enhance your ranking. If you have prior military experience, provide a copy of your form DD214. J. Additional Information: Provide any additional information you feel may enhance your ranking based on the ranking criteria that have been listed in descending order of importance, such as your resume, curriculum vitae, commendations or documentation of any awards you may have received, etc. I hereby certify the above information to be true and accurate: __________________________________ Signature and Date The solicitation document and incorporated provisions and clauses are those in effect through FAC 2001-24. This acquisition incorporates the following FAR clauses: 52.212-1 Instruction to Offerors-Commercial Item (JAN 2004) 52.212-3 Offeror Representations and Certification--Commercial Items , JAN 2004 52.212-4 Contract Terms and Conditions--Commercial Items OCT 2003 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items, JAN 2004 52.217-8 Option to Extend Services NOV 1999 52.222-3 Convict Labor , JUN 2003 52.222-19 Child Labor -- Cooperation with Authorities and Remedies JAN 2004 52.222-21 Prohibition Of Segregated Facilities FEB 1999 52.222-26 Equal Opportunity, APR 2002 52.222-35 Equal Opportunity For Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans DEC 2001 52.222-36 Affirmative Action For Workers With Disabilities JUN 1998 52.222-37 Employment Reports On Special Disabled Veterans, Veterans Of The Vietnam Era, and Other Eligible Veterans DEC 2001 52.237-2 Protection Of Government Buildings, Equipment, And Vegetation APR 1984 52.237-3 Continutiy of Services JAN 1991 52.252-2 Clauses Incorporated By Reference FEB 1998 252.204-7004 Alt A Required Central Contractor Registration Alternate A, NOV 2003 252.212-7001 Contract Terms and Conditions Required to Implement Statutes or Executive Orders Applicable to Defense Acquisitions of Commercial Items DEC 2003 252.225-7002 Qualifying Country Sources As Subcontractors APR 2003 252.232-7003 Electronic Submission of Payment Requests DEC 2003 52.212-2, Evaluation ? Commercial Items (JAN 2004) All interested bidders must submit quotation to Jocelyn P. Pugeda, Naval Medical Center San Diego, Material Management Dept., Acquisitions Division, 34800 Bob Wilson Drive, San Diego, CA 92134, or by FAX (619) 532-5596 or by e-mail to jppugeda@nmcsd.med.navy.mil.
- Place of Performance
- Address: 34800 Bob Wilson Drive, San Diego, CA
- Zip Code: 92134
- Country: USA
- Zip Code: 92134
- Record
- SN00691996-W 20041010/041009085032 (fbodaily.com)
- Source
-
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