Loren Data's SAM Daily™

FBO DAILY ISSUE OF JUNE 24, 2009 FBO #2767
SOLICITATION NOTICE

Q -- REQUEST FOR QUOTATION FOR MOBILE DENTAL SERVICE, GOWEN FIELD, ID28 July 2009 3 August 2009

Notice Date

6/22/2009
 

Notice Type

Combined Synopsis/Solicitation
 

NAICS

621999 — All Other Miscellaneous Ambulatory Health Care Services
 

Contracting Office

Department of the Army, National Guard Bureau, USPFO for Montana, USPFO for Montana, P.O. Box 4789, Helena, MT 59604-4789
 

ZIP Code

59604-4789
 

Solicitation Number

W9124V-09-T-5002
 

Response Due

7/3/2009
 

Archive Date

9/1/2009
 

Point of Contact

Bryan Baldwin, 406 324 3410<br />
 

E-Mail Address

USPFO for Montana
(bryan.j.baldwin@us.army.mil)
 

Small Business Set-Aside

N/A
 

Description

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotations are being requested and a written solicitation will not be issued. The NAICS code is 621999 and size standard is less than $10.0 million. The incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-26, Effective 1 June 2008 & Class Deviation 2005-00001. PERFORMANCE WORK STATEMENT This Performance Work Statement (PWS) will outline the requirements of authorized dental treatment and post-treatment radiographs as required for the Montana Army National Guard (MTARNG). Contractor will provide all dental class 3A and class 3B treatment and supporting radiographs as defined in section 1. 28 July-3 August 2009: Government will provide all equipment and facilities for dental examinations and pre-treatment radiographs. Contractor must process approximately 200 Soldiers for dental treatment and post-treatment radiographs from 28 July to 3 August, between the hours of 0800-1700. Fixed Costs: Per Contractor. Flexible Costs: Per Soldier, per treatment. Treatment will not exceed $1000.00 per Soldier without prior written approval from a MTARNG Dental Officer. 1. DESCRIPTION OF SERVICES. The contractor shall provide all management, labor, material, equipment, certifications and supplies necessary to provide dental services at Gowen Field, Idaho, Joint Soldier Readiness Processing Center, for the Montana Army National Guard (MTARNG). These services will provide dental treatment and follow-up radiographic studies, and data entry of all records into the DENCLASS system, as necessary to meet Department of the Army standards of medical and dental readiness and deployability. The contractor will insure that their agents are appropriately trained and have access to the Medical Operational Data System (MODS), specific module, DENCLASS. BASIC SERVICES. The contractor shall provide customized comprehensive dental readiness services to include: A) Class 3A and class 3B dental treatment for Soldiers (as identified by the MTARNG Dental Officers). Dental treatment authorized is outlined AUTHORIZED DENTAL TREATMENTsection. These services will be completed by using contractor provided portable/mobile dental equipment. B) Post treatment radiologic studies (panoramic). Radiographs should be of diagnostic quality, properly identified and dated. A panoramic radiograph of adequate quality for diagnostic/identification purposes is required to be part of the dental record. All radiographs provided under this contract will be digital and transferred to the DENCLASS module within 24 hours of exposure. C) Post treatment data entry into DENCLASS. The contractor shall provide electronic documentation (to include radiographs) in DENCLASS (within 24 hours of exam completion) D) Prescriptions for pharmaceuticals and controlled substances necessary for the care and treatment Soldiers throughout the event, to include but not limited to analgesics and antibiotics. 2. GENERAL INFORMATION. QUALITY ASSURANCE. The contractor shall adopt a quality assurance program that monitors all service activities and ensures the highest quality customizable dental services available. The government will periodically evaluate the contractors performance in accordance with the Quality Assurance Surveillance Plan. The contractor shall also ensure the requirements of Occupational Safety and Health Administration (OSHA) and applicable Federal regulations are met. HOURS OF OPERATION. The contractor shall have the capability of providing dental services seven days a week within the core operating hours of 0800-1700. SECURITY REQUIREMENTS. The contractor is required to have a CAC to access DENCLASS. All contract employees shall also adhere to all local security regulations directives. SPECIAL QUALIFICATIONS. Contractor must maintain appropriate credentialing files on all employees to include but not limited to Licensure, National Provider Data Base Query results and HIPPA certification. All providers must be licensed in the state in which they are providing services.. PARTNERING AGREEMENT. Project Officer is COL Patricia L. Wood, Deputy State Surgeon, Montana Army National Guard, P.O. Box 4789, Fort Harrison, MT 59636-4789, 406-324-3283. CONTRACTORS WILL ENSURE COMPLIANCE WITH THE FOLLOWING REQUIREMENTS PRIOR TO UTILIZING ANY X-RAY PRODUCING DEVICE ON SOLDIERS. A) Have established written policies and procedures to assure compliance with applicable Federal, State, DOD, and Army radiation safety regulations and directives. These documents include staff emergency reaction plans, as necessary, and procedures for investigating and reporting radiation accidents or incidents, possible radiation overexposures to Soldier patients or contractor staff, and provisions to ensure the safe use of x-ray producing devices on humans. B) Upon request by the Deputy State Surgeon, the contractor will provide documentation regarding the Contractor's employee radiation safety training commensurate with potential radiation hazards with the x-ray producing devices they are using. C) Upon request by the Deputy State Surgeon, the contractor will provide copies of a Qualified Health Physics Expert's acceptance test and most recent health physics survey of each diagnostic x-ray machine. The acceptance test and the most recent survey include tests of electrical, mechanical, image quality and radiation (output) dose tests or measurements. This also includes verification of the adequacy of radiation protection shielding in and around the x-ray machine and x-ray facility (e.g., mobile van). 3. GOVERNMENT FURNISHED PROPERTY/SERVICES/EQUIPMENT GENERAL. The Government will provide the following resources: A) Space for set-up of a dental exam, radiology and administrative area and utilities. INFORMATION. The Government will provide the following information: A) Manuals, texts, briefs, and other materials associated with the hardware/software and mission areas noted in this PWS. THE USER AGENCY WILL PROVIDE INITIAL FAMILIARIZATION/ORIENTATION. Standard Operational Procedures will be available to the contractor at the place of performance. 4. AUTHORIZED DENTAL TREATMENT 1. The following dental procedures are authorized: (a) Diagnostic Services which are funded through NG6H 2065 Medical Readiness Funding: D0120-Periodic Oral Evaluation D0150-Comprehensive Oral Evaluation D0330-Panoramic Film D0272-Bitewings-Two Films D0274-Bitewings-Four Films D0220/D0230- Periapical (limited) (b) Restorative Services which are funded through the VFRE 2020 Dental Treatment Funding (provided only to soldiers alerted to an OCONUS Mission): D2140-Amalgam-One Surface D2150-Amalgam-Two Surfaces D2160-Amalgam-Three Surfaces D2161-Amalgam-Four or More Surfaces D2330-Composite-One Surface D2331-Composite-Two Surfaces D2332-Composite-Three Surfaces Posterior composites will be authorized only when a posterior composite is necessary to provide a quality restoration and no other alternative is available. D2335-Composite-Four or More Surfaces D2391-Composite-One Surface D2392-Composite-Two Surfaces D2393-Composite-Three Surfaces D2394-Composite-Four or More Surfaces D2799-Provisional Crown D2931-Prefabricated Stainless Steel Crown D2950-Core Buildup, including any pins D2954-Prefabricated Post and Core (c) Endodontic Services which are funded through the VFRE 2020 Dental Treatment Funding (provided only to Soldiers alerted to an OCONUS Mission): D3310-Anterior Root Canal Therapy D3320-Bicuspid Root Canal Therapy D3330-Molar Root Canal Therapy D3346-Anterior Root Canal Retreatment D3347-Bicuspid Root Canal Retreatment D3348-Molar Root Canal Retreatment (d) Periodontal Services which are funded through the VFRE 2020 Dental Treatment Funding (provided only to Soldiers alerted to an OCONUS Mission): D4355-Full Mouth Debridement D4342-Periodontal Scaling and Root Planing, 1 to 3 teeth per quadrant Periodontal scaling and root planing is authorized only when a periodontal abscess is present. (e) Prosthodontic Services which are funded through the VFRE 2020 Dental Treatment Funding (provided only to Soldiers alerted to an OCONUS Mission): D5110-Complete Denture-Maxillary D5120-Complete Denture-Mandibular D5211-Maxillary Partial Denture-Resin Base D5212-Mandibular Partial Denture-Resin Base (f) Oral Surgery Services which are funded through the VFRE 2020 Dental Treatment Funding (provided only to Soldiers alerted to an OCONUS Mission): D7140-Extraction, Erupted Tooth or Exposed Root D7210-Surgical Removal of Erupted Tooth D7220-Romoval of Impacted Tooth, Soft Tissue D7230-Removal of Impacted Tooth, Partial Bony D7240-Removal of Impacted Tooth, Completely Bony (g) Orthodontic Services which are funded through the VFRE 2020 Dental Treatment Funding (provided only to Soldiers alerted to an OCONUS Mission): D8680-Orthodontic Retention 2. The following dental procedures are not authorized: Bridges and/or implants Removal of Asymptomatic third molars Routine Prophylaxes (cleanings) Restorations for aesthetics only Restorations for small (non-class 3) caries Extensive Root plane/scaling Osseous Surgery Other diagnostic services The above listings are guides to assist the State Dental Officer or his/her designee in determining treatment to be authorized. The treatment provided by the ARNG is to get the Soldier from a dental class 3 to a dental class 2 only. Comprehensive Treatment (to dental class I) is not authorized. 3. If a Soldier needs all of his/her remaining teeth in an arch extracted and a denture placed, the Soldier will not be available for deployment for at least 6 months and shall be disqualified from immediate deployment. However, if the Soldier is otherwise deployable (passes all medical, personnel and training requirements) and, after extraction and placement of prosthesis, would be deployable, the dental treatment could be provided and the Soldier could be considered as a replacement at a later date. 4. If a Soldier will have a number of teeth extracted to the extent mastication and speech are adversely affected, then an acrylic removable partial denture will be authorized if there is sufficient time for healing and construction of the partial denture prior to departure to Mobilization Station. 5. Soldiers requiring extensive periodontal treatment will be disqualified from deployment and educated on the TRICARE Dental Program. If he/she obtains the required therapy (from his/her private dental provider) and reaches a maintenance level, then he/she would become deployable. 6. The State Dental Officer (or designated representative) will review any dental treatment plan for dental care which exceeds $1000 to insure that the above clinical guidelines are met. Exceptions can be made, but they must be coordinated with the State Surgeon. 5. APPLICABLE REGULATIONS: A. TITLE 21, Code of Federal Regulations (FOOD AND DRUGS), CHAPTER I, (FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES ), SUBCHAPTER H--MEDICAL DEVICES, PART 872, DENTAL DEVICES. B. TITLE 21, Code of Federal Regulations (FOOD AND DRUGS), CHAPTER I, (FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICE), SUBCHAPTER J C. AR 11-9, The Army Radiation Safety Program, 28 May 1999. D. AR 40-5, Preventive Medicine, 22 July 2005. E. TB MED 52, Occupational and Environmental Health, Management and Control of Diagnostic, Therapeutic, and Medical Research X-Ray Systems and Facilities, 26 February 2002. The provision of 52.212-3 Alt I, Offeror Representations and Certifications-Commercial Items (April 2002) applies to this RFQ. 52.212-3 Alt I clause needs to be completed and a signed copy of this provision shall be submitted with any offer. 52.212-2, Evaluation-- Commercial Items (January 1999). The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will represent the best value to the Government. The best value determination will be made by evaluating the contractors offer based on Price, Past Performance and the following technical factors in descending order of importance: 1) The contractors ability to meet the requirements in the above Performance Work Statement; 2) Contractors experience with and knowledge of Army National Guard dental operations and regulations; 3) Contractors ability to meet the requirements listed in section 1 of the PWS. The technical evaluation factors listed above, and past performance, when combined are approximately equal in value to Price. Offerors shall ensure that the above technical factors are addressed in their proposals. The following Federal Acquisition Regulation (FAR) and its supplements DFAR and AFAR provisions and clauses apply to this acquisition; 52.203-3 Gratuities APR 1984 52.203-6 ALT 1 Restrictions on Subcontractor Sales to the Government OCT 1995 52.204-4 Printed on Copied-Double Sided on Recycled Paper AUG 2000 52.204-7 Central Contractor Registration APR 2008 52.204-9 Personal Identity Verification of Contractor Personnel SEP 2007 52.212-1 Instructions to Offerors - Commercial Items JUN 2008 52.212-2 EvaluationCommercial Items JAN 1998 52.212-3 ALT I Offeror Representations and Certifications--Commercial Items APR 2002 52.212-4 Contract Terms and Conditions--Commercial Items FEB 2007 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items JUN 2008 52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns JUL 2005 52.219-8 Utilization of Small Business Concerns MAY 2004 52.219-28 Post-Award Small Business Program Representation JUN 2007 52.222-21 Prohibition of Segregated Facilities FEB 1999 52.222-3 Convict Labor JUN 2003 52.222-19 Child Labor Cooperation with Authorities and Remedies FEB 2008 52.222-21 Prohibition of Segregated Facilities FEB 1999 52.222-26 Equal Opportunity MAR 2007 52.222-35 Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and other Eligible Veterans SEP 2006 52.222-37 Employment Reports on Special Disabled Veterans, Veterans of the Vietnam Era, and other Eligible Veterans SEP 2006 52.222-39 Notification of Employee Rights Concerning Payment of Union Dues or Fees DEC 2004 52.222-36 Affirmative Action for Workers with Disabilities JUN 1998 52.222-41 Service Contract Act of 1956 NOV 2007 52.222-50 Combating Trafficking in Persons AUG 2007 52.222-54 Employment Eligibility Verification 52.223-5 Pollution Prevention and Right to Know Information AUG 2003 52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.228-5 InsuranceWork on a Government Installation JAN 1997 52.232-33 Payment by Electronic Funds Transfer--Central Contractor Registration OCT 2003 52.233-2 Service of Protest SEP 2006 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 Vegetation OCT 1995 52.252-2 Clauses Incorporated by Reference FEB 1998 252.201-7000 Contracting Officers Representative AUG 1992 252.203-7000 Requirements Relating to Compensation of Former DoD Officials 252.204-7004 Alt A Central Contractor Registration (52.204-7) Alternate A SEP 2997 252.207-7001 Disclosure of Ownership or Control by the Government of a Terrorist Country 252.211-7003 Item Identification and Valuation AUG 2008 252.212-7001 (Dev) Contract Terms and Conditions Required to Implement Statutes or Executive Orders Applicable to Defense Acquisitions of Commercial Items (Deviation) MAR 2008 252.225-7000 Buy American ActBalance of Payments Program Certificate JUN 2005 252.225-7012 Preference for Certain Domestic Commodities MAR 2008 252.232-7010 Levies on Contract Payments DEC 2006 252.243-7002 Requests for Equitable Adjustment MAR 1998 252.247-7023 Transportation of Supplies by Sea MAY 2002 You can visit the website at http://farsite.hill.af.mil/ for the provisions and clauses needed for this synopsis/solicitation. Offers may be submitted by hard copy to the USPFO for Montana, ATTN: CPT Bryan Baldwin, Purchasing and Contracting, 1956 Mt Majo Street, Post Office Box 4789, Fort Harrison, Montana 59636-4789, no later than July 3, 2009 by 4:00 P.M. Mountain Standard Time. Offers may also be submitted electronically to bryan.j.baldwin@us.army.mil with the same deadline. If you have any questions, please contact CPT Bryan Baldwin at 406-324-3410 or email bryan.j.baldwin@us.army.mil.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/USA/NGB/DAHA24/W9124V-09-T-5002/listing.html)
 

Place of Performance

Address: USPFO for Montana P. O. Box 4789 Helena MT<br />

Zip Code: 59604-4789<br />
 

Record

SN01852489-W 20090624/090622235951-f4774e72cd8a8e55763e3f125bde8a7d (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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