SOLICITATION NOTICE
Q -- Physician - W9 - Vendor Questionnaire
- Notice Date
- 9/30/2015
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 621111
— Offices of Physicians (except Mental Health Specialists)
- Contracting Office
- Department of Labor, Employment Training Administration, Exeter Job Corps Center, 162 Main Street, Exeter, Rhode Island, 02822
- ZIP Code
- 02822
- Solicitation Number
- EXPHY1516
- Archive Date
- 10/24/2015
- Point of Contact
- Annette L. Burgess, Phone: 4012686010
- E-Mail Address
-
burgess.annette@jobcorps.org
(burgess.annette@jobcorps.org)
- Small Business Set-Aside
- N/A
- Description
- Brief description of business W9 form This is a Subcontracting Opportunity with Exeter Job Corps Center / Adams & Associates Inc. and not with the U.S. Department of Labor. Scope of Work for: #EXPhysician1516 Exeter Job Corps Center Exeter, RI 02822 Operated by Adams and Associates, Inc. For the U.S. Department of Labor Mailing Address: Exeter Job Corps 162 Main St Exeter, RI 02822 Proposal Due Date: Friday, October 9, 2015 at 5:00 pm Submission of Proposals: Exeter Job Corps Center Attn: Annette Burgess burgess.annette@jobcorps.org Fax: 401-268-6080 SCOPE OF SERVICES The Center Physician agrees to provide students of the Exeter Job Corps Center with the services stated herein. Such services will be provided as authorized by the Center Director or his/her representative. The Center and the Center Physician hereby agree that the services to be provided will include, but will not be limited to those health and wellness services specified in the Job Corps Federal Regulations (Title 20, Code of Federal Regulations 638.510; the Job Corps Policy and Requirements Handbook, Chapter 6, Section 6.10, R1; and applicable Technical Assistance Guides). These services include: •A. The development, implementation, and monitoring of the total center health and wellness program, to help students become and stay employed, including: •· Advising the Center Director and Wellness Services staff on the all medical and health related matters. This shall include staffing requirements; the advisability of medical separations, including the furnishing of diagnosis, prognosis, and recommendations for future care; the utilization and cost of services; the personalization of patient care; and any other health areas deemed appropriate by the Center Physician and the Center Director. •· Consulting with center staff on ordering, accounting for, and safeguarding health equipment, supplies, and medications. •· With due regard for Job Corps requirements, the Center Physician will prioritize health needs and set program direction accordingly. To accomplish this, the Center Physician should confer with the health and wellness manager (HWM), the center dentist, and center mental health consultant (CMHC), and meet with the Center Director or administrative officer on a monthly basis to review policies and expenditures for that period and establish restraints, if necessary, to stay within budgetary guidelines. The Center Physician may involve the regional health consultants in this process, if needed. •· Developing a system to promote the coordination and integration of the health components (medical, oral health, mental health, environmental health, and health education) with other center activities. This will be done in cooperation with the HWM, center dentist, and CMHC. •· Providing advice and assistance to health education instructors on the implementation of the health and wellness program and promoting health and wellness outside the clinic walls (i.e., out on center) to enhance employability of the total student population. •· Ensuring the maintenance, confidentiality, and safeguarding of all health records. •· Issuing and maintaining signed and dated Health Care Guidelines for medical care in accordance with PRH requirements. •· Staying current on Job Corps policies and procedures via frequent communication with the center's HWM and review of the Job Corps health and wellness website. •B. Providing direct medical services to students, including: •· A cursory medical inspection for each student within the first 48 hours after arrival on center, and a definitive medical examination and health history using Job Corps approved history and physical forms of each student, within 14 days of arrival on center. The medical examination will include the interpretation of all routine laboratory tests. Although much of this work may be delegated, the Center Physician maintains the ultimate responsibility for the quality of work performed. •· Diagnosis and treatment of illness and injury, including the Center Physician's availability on center for acute illness and injury visits. •· Arrangements for preventive immunizations and detection and control of communicable diseases as specified in PRH-6: Appendix 601 and TAG B: Immunization and Communicable Disease Control. •· Provision of all necessary referrals for specialist and institutional care and assisting in reviewing follow up information from such off-center referrals. •· Providing a system of 24-hour emergency back-up coverage/referral. The Center Physician agrees to adhere to the policies, procedures, and guidelines established by Job Corps. The Center Physician will have primary responsibility to implement the program outlined above and may be assisted by the Job Corps National Office and/or health consultants. The Center Physician, with the concurrence of the Center Director, may delegate by written and dated health care guidelines any of his/her responsibilities set forth in this scope of work to appropriate qualified staff. The Center Physician may delegate professional responsibilities set forth in this scope of work to another full or part-time physician only with the Center Director's prior concurrence and a prior review of the secondary physician's qualifications by the regional director and regional medical consultant. It is understood that the medical services provided by the Center Physician are subject to monitoring and review by Job Corps. The Center Physician may contact the regional medical consultant with any questions/concerns. OBLIGATIONS OF THE PROFESSIONAL In the performance of the above duties and responsibilities, the Center Physician: •1. Agrees to maintain malpractice insurance to cover the professional services to students, with the limits consistent with the medial service industry, but in no case less than $1 million per occurrence. •2. Agrees to make no public statements regarding its activities under this scope of work, or to disclose any information regarding Job Corps students or Job Corps activities without prior written approval of the Center Director or his/her designated representative. Unauthorized release of student records is a federal crime punishable by fine and/or imprisonment. •3. Shall be responsible for finding and arranging for a professionally qualified replacement/substitute during temporary periods of absence of more than one calendar week. •4. Shall be personally and financially liable for the cost of any patient referral outside the Center without prior written approval of the Center Director. •5. Certifies its intent to comply with all equal employment opportunity practices and affirmative action policies as required by law and agrees not to discriminate against any student, employee and/or contractor because of race, religion, color, gender, age or national origin. •6. Shall provide current copies of all professional licenses, certifications, professional and auto liability insurance documents required by the Center. •7. Agrees that all research projects and/or publications relating to Job Corps health activities will first be cleared through the National Office of Job Corps, Washington, D.C. Physician Services will be provided in the amount of four hours per week for 48 weeks - December 1, 2015 through November 30, 2016. This is a one year subcontract contingent on funding and subcontract performance. Evaluation Criteria Evaluation Criteria Point Value Price: Responsible Contractor who can perform effective services at the lowest reasonable price. 60 pts. 60 Quality: Demonstrated experience and knowledge capabilities; Technical Excellence; Management Capabilities; Personnel qualification; Quality of the Tender packages; Technical excellence including where necessary, technical drawings, blue prints. 20 pts 20 Past Performance : Past services to center or list of references for verification purposes. 10 pts 10 Schedule: Explanation on how services will be carried out and the delivery timeframe. 10 pts 10 TOTAL POINTS 100 Award will be made to the offeror who provides Best Value to the Center when all Evaluation Criteria are considered. Lowest Price does not guarantee award of Sub Contract. Adams and Associates retains the right to reject any and all bids. Solitication #: EXPHY1516 Bid Package Location: Exeter Job Corps, 162 Main Street, Exeter, RI 02822 Bids Due: Due on Bidder's letterhead by 5:00 pm on Friday, October 9, 2015. Procurement Officer: Annette Burgess, burgess,annette@jobcorps.org Specific Requirements: The Physician must maintain malpractice insurance with limits consistent with the medical service industry, but in no case less than $1 million per occurrence, worker's compensation insurance and auto insurance. Provide current copies of all professional licenses, certifications and professional liability insurance, auto insurance, and worker's compensation documents required by the Center. Applicant must complete and submit W9 and Vendor Questionnaire (attached). Payment Terms: Net 30 days Contract is awarded based on: Price - lowest reasonable price Quality - demonstrated through experience and knowledge Past Performance - past services to center or list of references Schedule: Described in Scope of Work.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/DOL/ETA/Exeterjcc/EXPHY1516/listing.html)
- Place of Performance
- Address: Exeter Job Corps, 162 Main Street, Exeter, Rhode Island, 02822, United States
- Zip Code: 02822
- Zip Code: 02822
- Record
- SN03910443-W 20151002/151001000339-72d66784d28c74397a4adcca7defa954 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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