SOLICITATION NOTICE
Q -- physical examination similar to a pre-employment screening.
- Notice Date
- 6/20/2005
- Notice Type
- Solicitation Notice
- NAICS
- 621511
— Medical Laboratories
- Contracting Office
- Corporation for National and Community Service, Procurement, Atlantic Service Center, 801 Arch Street, Suite 103, Philadelphia, PA, 19107
- ZIP Code
- 19107
- Solicitation Number
- AT-NCCC-07-07-10-1
- Response Due
- 7/10/2005
- Archive Date
- 7/22/2005
- Description
- AmeriCorpsNCCC SE Region Campus Charleston, South Carolina Statement of Work For PHYSICAL EXAMINATIONS AmeriCorps*NCCC is a residential national service program operated by the Corporation for National and Community Service. The AmeriCorps*NCCC mission is to strengthen communities and develop leaders through team-based national and community service. Built on the legacy of the Civilian Conservation Corps of the 1930s, AmeriCorps*NCCC is premised on the belief that civic responsibility is an inherent duty of all citizens and that national service can effectively solve local problems while providing opportunities to learn practical skills and engender a life-long commitment of service to others. Based on five campuses in Sacramento, CA; Denver, CO; Charleston, SC; Perry Point, MD; and Washington, D.C.; the AmeriCorps*NCCC engages young people ages 18 ? 24 in team based service on projects in local communities throughout designated regions of the country. The Southeast Region Campus is located at 2231 South Hobson Avenue, Charleston, SC 29405 and serves local community projects, as well as projects in 10 states in the southeast region. In case of disaster relief, members may be sent to other state locations. During August and September 2005 approximately 286 members (male and female) will arrive at the Southeast Region Campus with the understanding that each will have to take a physical examination similar to a pre-employment screening upon program entry. Our program is rigorous with several essential work functions that make it imperative to assess each member?s fitness to perform safely in the program. Therefore, a health care provider is needed to conduct a physical examination on each member. The physical exams will be conducted during two phases and includes several component parts in addition to a 10 panel drug test and ?PPD testing? for tuberculosis. Phase I On August 3, 2005, 33 team leaders arrive on campus. We would like to arrange for a physical examination for these members at the provider?s facility on Saturday, August 6, 2005. Phase II On September 7, 2005, we will have 253 additional members arrive on campus. We would like to arrange for a physical examination for these members at the provider?s facility on Saturday, September 10, 2005. We are requesting sufficient medical personnel be provided to insure the adequate, timely processing of approximately 253 members within a 12 hour day. If some of the examination requirements cannot be provided on-site, the provider may submit alternatives for completing all requirements. In addition, we require the results of the drug testing within 24 hours of the last test. TB PPD skin tests are to be read within 48-72 hours following the application. Medically trained personnel will read and evaluate the members TB skin results. If Corps Members have medical conditions considered dangerous to their health if left untreated (e.g. previously unknown glucosuria or proteinuria, hypertension, possibility of malignancy, or any other defect that may jeopardize the Corps Member?s health), physicians will inform them orally of the problem and advise them to seek medical attention. The physician will document the findings and notify the NCCC staff liaison. The requirements of the provider to perform the physical examination process are as follows: All medical providers (Doctors (M.D.s, D.O.s); Physician Assistants; Nurse Practitioners) performing or overseeing the performance of the physical examinations must have current, appropriate professional licenses to practice medicine. If Certified Physician Assistants and/or Certified Nurse Practitioners are utilized, an Internal Medicine Physician and/or Family Practitioner must also be on the premises performing or overseeing the performance of the medical examinations. When the examining physician is of the opposite sex or when a member requests it, same-sex chaperones must be provided (there are significantly more female members than males ? it is important that a sufficient number of female chaperones be made available). A. THE SCOPE OF THE PHYSICAL EXAMINATIONS: A medical provider in a private one-on-one session will examine the mouth, eyes, lymph nodes, lungs, heart, breasts (females only), abdomen, and/or inguinal hernia/testicular exam (males only) of each member. Dental review (determine acceptability only) Urine-albumin and sugar (reagent strips) Urine pregnancy tests (all females) Ortho/Neuro (excluding a duck-walk) exam. Omit Ortho/Neuro exams for pregnant females. Height and weight recording Hair and eye color recording Blood pressure and pulse recording Vision, color vision and depth perception reading and recording Hearing/audiometer (visualize tympanic membrane) Tuberculosis testing (PPD) 10 panel drug screening, with GCMS confirmation testing for positive results and a Medical Review Officer (MRO). The drugs to be screened for are: - Opiate Metabolites - Cocaine Metabolites - Amphetamines - PCP (Phencyclidine) - Cannabis/THC - Benzodiazepines - Barbiturates - Methadone - Methaqualone - Prophyphene Physician recommendations for follow-up, as needed. B. DOCUMENTATION OF FINDINGS: Agency physicians and technicians will document all findings on an agreed upon medical form that will be in the members medical chart to address the component parts of the physical examinations. The physician will document if the examined member has any abnormalities that may preclude him/her from participating in rigorous physical activity and/or performing in the AmeriCorps*NCCC program. The provider will give the documented charts to AmeriCorps*NCCC Personnel, identified as the AmeriCorps*NCCC Liaison. C. OTHER RESPONSIBILITIES OF THE PROVIDER To review the AmeriCorps Medical/Mental Health Information Form on all members prior to the examination. To come to the campus on Thursday, August 4, 2005 for Phase 1 and Thursday September 8, 2005 for Phase 2 to complete members medical forms and Red Cross medical questionnaires prior to conducting physicals. To follow the prescribed Physical Examination for AmeriCorps*NCCC members. The physical exam elements will not exceed those mentioned in the scope of work and be consistent for both the team leaders and members. To ensure injured or acutely ill members receive emergency medical treatment in the event of such emergency during their course of stay at the vendor?s facility, if the exams are not conducted on campus. After applying measures necessary to sustain life and to reduce the possibility of further injury, the providers? staff will, if necessary, call an ambulance. All such cases will be reported immediately to the AmeriCorps*NCCC Liaison. D. EQUIPMENT, SUPPLIES AND FACILITIES: The provider will provide all equipment and supplies necessary to perform all services (including patient gowns and drapes). Regardless of where the physical exam is held, member privacy must be maintained and adequate space must be provided in the performance of all services. E. THIRD PARTIES: It is recognized that some services such as laboratory testing for drug screens may be sub-contracted out by the contractor. All sub-contracted facilities must be properly credentialed to provide the service. The contractor must include all costs associated with third party examination requirements. F. RESPONSIBILITIES OF THE PARTIES: There will be two parties to carry out the terms of this procurement. The parties are: The medical provider and AmeriCorps*NCCC. 1. The medical provider will ensure the completion of the following components: the examination, the assessment, and all documentation. The medical provider must identify a representative with contract signature authority and a contact person who will be responsible for coordinating the examination process, having sufficient qualified medical personnel to complete the process in a manner consistent with industry-acceptable quality assurance standards. 2. AmeriCorps National Civilian Community Corps (AmeriCorps*NCCC) will be responsible for identifying the members, providing the medical files and transporting members to and from the examination during both Phase I and II, if the provider?s facility is used. The AmeriCorps*NCCC liaisons are: James McClurg will have signature authority for the service agreement. Cynthia Amundsen, Campus Counselor, will serve as the AmeriCorps*NCCC liaison. G. BILLING: The AmeriCorps*NCCC liaison, during the examination process, will ensure that all physical examination services are documented on a billing spreadsheet. After all examinations are completed, a copy of the spreadsheet will be submitted to the agency for verification. The billing spreadsheet with member signatures will then be forwarded to the Campus Resource Manager for payment processing. The invoice should be inclusive of all components of the examination process and reflect fees of third parties, if necessary; and all other fees associated with the process. Documentation justifying each component and fee shall be made available at the request of the Government. H. RESPONDING TO THE STATEMENT OF WORK: All written responses must reflect the following: Name, address, telephone number and contact person of the agency. Name, title of the person with signature authority and address if different from the agency address. Size of the facility, indicating the number of private examination rooms and waiting room space. The number of medical personnel that will be used to complete the medical examination for the (number) Team Leaders on or about (date). Capability to process (number) members within the maximum of a 12 hour day on or off campus during Phase II. We are requesting that the contractor conduct the physical examinations on (day and date). If some or all of the examination requirements cannot be provided on-site, the provider may submit alternatives for completing all requirements. List the licenses and certifications for all personnel and facilities involved in the physical examinations. Response to all components of the exam process (A-D). Identify the type of equipment to be used for the vision and hearing tests. Describe the drug testing process including names of third parties, if necessary. Explain the process to complete the PPD Tuberculosis test, i.e., recommendation as to when and where testing and reading results will occur. Names and addresses of any third parties proposed as a part of the submission. Itemization of costs. Total cost of (number) physical exams (including drug testing), based on a per member exam basis. The bid must include the bidders Tax/Employer Identification Number (TIN/EIN), DUNN (Dun and Bradstreet) number and proof they are registered in the Business Partner Network Central Contractor Registration (CCR) system. You can register in the CCR at the following web site: http:/www.bpn.gov. FAILURE TO PROVIDE THIS INFORMATION WILL AUTOMATICALLY DISQUALIFY YOU. Register in the Central Contract Registry (CCR) In order to help centralize information about grant recipients and provide a central location for grant recipients to change organizational information, the government will be using the Central Contractor Registry (CCR) for grant applicants and recipients. Use of the CCR is to provide one location for applicants and recipients to change information about their organization and enter information on where government payments should be made. The registry will enable recipients to make a change in one place and one time for all Federal agencies to use. General Information Organizations should register on how they want to do business. A separate registration in the CCR may be required if an organization wants to have a single unit conduct business and it has a direct payment flow to that organization, it would require a separate DUNS number specified for that unit (if a different address from the parent organization). If the same address, the organization could use the DUNS + 4 found in the CCR. For example, a university that wants to have its payment information flow through one central point for grants should register as the entity doing business with the government. This registration would require a specific DUNS number for that business. Instructions for Registering Information for registering in the CCR and online documents can be found at www.ccr.gov. Before registering applicants and recipients should review the Central Contractor Registration Handbook (March 2003). In the handbook is a Registration Worksheet. It is recommended that registrants print this worksheet and gather the needed information prior to starting the online registration process. The fastest and easiest method to register is by computer. To register via the computer, click on ?Start New Registration.? Registering in the CCR should be first preparation step in the submission for a grant. Allow a minimum of 5 days to complete the CCR registration. Organizations can register independently of submitting a grant application. Registration Worksheet for Grant Applicants/Recipients General Information: Enter all information that has an M placed next the line meaning Mandatory or Required. Prior to registering in the CCR, an applicant organization must receive a DUNS number. This can be done by telephone and the numbers are on the bottom of the worksheet. Many of the items are self-explanatory. Identified below are some items that may not be familiar to grant applicants and recipients. Cage Code: For U.S. applicants, do not enter a Cage Code, one will be assigned. For foreign applicants, follow the instructions in the CCR. Legal Business Name: Enter the name of the business or entity as it appears on legal documents. Business Name: Enter the name of the organization/entity under which it is applying for a grant. Annual Revenue: For some organizations/entities this can be an annual budget. Type of Organization: In this section, indicate whether the organization/entity is Tax Exempt or Not. Indicate what type or how the organization is recognized. Use ?Other? if the organization does not fit in the designated categories. Owner Information: Fill-in if a sole proprietorship. Business Types: As indicated, check all that apply. Check the ones that are the closest description to your organization. Most grant applicants can use ?Nonprofit Institution? plus any other type that may fit the description. (The listing is being revised to include grant applicants business types.) Party Performing Certification: Enter information only if the organization has a certification from SBA. Most grant recipients and applicants do not fall into this category. Goods and Services: This section is required. It will require the grant applicant/recipient to look up a code and enter the ones that best fit the type of services the organization provides. It is not required to fill-in all the spaces provided for the codes. NAICS Code: Is required. Follow the instructions. SIC Code: Is required. Follow the instructions. Financial Information: Follow the instructions found in the CCR Handbook on page 14. Registration Acknowledgement and Point of Contact Information This section is very important and needs to have names and telephone numbers put in for specific purposes. For grant applicants and recipients the M fields are required. CCR Point of Contact: Mandatory. Enter the name of the person that knows and acknowledges that the information in the CCR is current, accurate and complete. The person named here will be the only person within the registering organization to receive the Trading Partner Identification Number (TPIN) via e-mail or U.S. mail services. The registrant and the alternate are the only people authorized to share the information with the CCR Assistance Center personnel. An email address is required. An alternate is also required for registration. Government Business Point of Contact: Not mandatory; review CCR Handbook. Electronic Business Point of Contact: Mandatory. Grant applicants/recipients must provide a name of an individual who will be responsible for approving the Role Manager for the organization. The Role Manager will be required to approve individuals who are authorized to submit grant applications on behalf of the organization. Email and telephone number are required. An alternate is required. Past Performance Point of Contact: Not required. Marketing Partner ID (MPIN): Mandatory for Grants.gov submission. This is a self-defined access code that will be shared with authorized electronic partner applications. The MPIN will act as your password in other systems. The MPIN must be nine positions and contain at least one alpha character, one number and no spaces or special characters. Registration Notification: Once the registration is completed, a TPIN will be emailed or sent via the U.S. Postal Service to the organization?s point of contact. If registration is done electronically, notification will be sent via email within five days of registration. Obtaining a Data Universal Numbering System number (DUNS) We request that your organization obtain a DUNS number as preparation for doing business electronically with the Federal Government. The DUNS number is a unique nine-character identification number provided by the commercial company Dun & Bradstreet (D&B). You may call D&B at 1-800-333-0505 to register and obtain a DUNS number. The process to request a DUNS number takes about 10 minutes and is free of charge. Please use the following instructions to navigate through the voice prompts: 1. Enter "3" to register your business and obtain a DUNS number 2. Enter "2" for assistance 3. Enter "1" to create a new listing 4. Enter "1" for Federal Registration. At this point, a service representative will answer, and suggest that you buy the Credit Builder Service. This is not necessary to do business with the Government. If you want to do business with other vendors outside the government, this is an optional service that allows you to do business using a line of credit. 5. Provide answers to the following questions: a) Name of business b) Business address c) Local phone number d) Name of the CEO/business owner e) Legal structure of the business (corporation, partnership, proprietorship) f) Year business started g) Primary line of business h) Total number of employees (full and part time) You may also register for your DUNS number at Dun & Bradstreet's web site: https://www.dnb.com/product/eupdate/requestOptions.html. Be sure to click on the link that reads, ?DUNS Number only? at the right hand, bottom corner of the screen to access the free registration page. Please note that registration via the web site may take up to 14 business days to complete. Responses to this RFQ are due at the office listed at the bottom of this RFQ by COB 7/10/05. This solicitation document and the incorporated provisions and clauses are those in effect through Federal Acquisition Circular 97-27. The NAICS Code for this requirement is 62151 and the small business size standard is 11.5M. The provisions at 52.212-1, Instructions to Offerors-Commercial, applies to this Acquisition. Offeror must include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications Commercial Items with its offer. This is a best value procurement and evaluations of offers will be based on quality, past performance and price. The clause 52.212-4, Contract Terms and Conditions-Commercial Items applies to this acquisition. The clause 52212-5, Contract Terms and Conditions Required to Implement Statues or Executive Orders-Commercial Items applies to this acquisition. The following clauses listed in 52212-5(b) and (c) are included by reference: 52.222-21; 52.222-22; 52.222-23; 52-222-41; 52.225-3; and 52.232-34. The solicitation number is AT-NCCC-07-07-10-1 and is issued as a request for a quotation (RFQ). Proposals must be submitted in writing, signed by a person authorized to negotiate on behalf of the proposer with the Government and sent to the address in this announcement. Due to delays in delivery of regular USPS mail to government offices, there is no guarantee that your quotation will arrive in time to be considered. Therefore we suggest they you use USPS Priority mail services or a commercial overnight delivery service. Any proposals received after the due date will not be considered. Bids should be submitted to Dorothy L. White, Regional Resource Manager, Corporation for National and Community Service, AmeriCorps*NCCC, 2231 South Hobson Avenue, Charleston, South Carolina 29405-2430(843) 743-2600 ext. 3002 (voice); (843) 743-2606 (fax) Not later than: July, 10, 2005. Only facilities within 25 mile radius of Charleston, South Carolina area need apply. Contract award is subject to availability of funds. Responses to this RFQ are due at the above office by COB 7/10/2005.
- Place of Performance
- Address: AmeriCorps*NCCC, NCCC SE Campus, 2231 Hobson Avenue, Charleston, SC
- Zip Code: 29405-2430
- Country: USA
- Zip Code: 29405-2430
- Record
- SN00832407-W 20050622/050620211519 (fbodaily.com)
- Source
-
FedBizOpps.gov Link to This Notice
(may not be valid after Archive Date)
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