Dept. of Veterans Affairs Medical Center, 10000 Brecksville Road, Brecksville, OH 44141

G -- INITIAL EVALUATION INTAKE SERVICES SOL 541-34-99 DUE 011299 POC Jeanelle Wright, Contract Specialist, (440) 838-6091 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 notice shall constitute the only solicitation and a written solicitation will not be issued. This Basic Ordering Agreement shall provide initial evaluation intake services for veterans who establish basic eligibility under Chapter 31, Title 38, U.S.C. as authorized by a case manager from the Vocational Rehabilitation and Counseling (VR&C) Division of the Veterans Administration Regional Office, Cleveland, Cincinnati and Columbus Ohio. Services include but not limited to taking a client history, evaluating the veterans rehabilitation assets and liabilities; making recommendations regarding appropriate rehabilitation services and expected outcomes, and summarizing all information, evaluations and recommendations in a comprehensive report. The client history will include, but will not be limited to the following: personal and familial history; education/training history; military service record; employment history; current financial circumstances; service connected and non-service -connected disability conditions; any potential barriers to successful vocational rehabilitation. Contractor shall provide names and qualifications of individuals who will perform services under this contract to the Contract Specialist with submission of their proposal. Contractor shall report and submit for approval any proposed changes in personnel providing services under this contract to the Contract Specialist. All staff changes will be subject to evaluation criteria specified in the solicitation. Contractor shall schedule the initial intake counseling session within seven (7) calendar days of the date of authorization by the VA Case Manager. Multiple awards shall be made from this solicitation based on contractor's place of business. Contractor's place of business shall be based in Ohio. Contract to be awarded for services in Cuyahoga counties; contract to be awarded for services in Montgomery; contract to be awarded for services in Summit, Stark, and Mahoning counties and contiguous counties at locations designated by a VA Case Manager. VA Case Manager or designee are authorized to visit the premises of the contractor during business hours for purposes of evaluation and auditing which may include inspection of records. Period of performance shall be from January 19, 1999 through September 30, 1999 with one (1) year renewal option from October 1, 1999 through September 30, 2000. Proposals must include pricing for Base Year (1-19-99/9-30-99) and Option Year 10-1-99/9-30-2000). This procurement is a 100% small business set aside. SIC for this procurement is 8331. Proposals shall be evaluated on the following criteria and evidence to support the evaluation criteria must be submitted with your proposal. (1) Previous experience and present expertise in vocational rehabilitation counseling, and initial evaluation of disabled veterans. To include: Number of disabled veterans seen previously for counseling, and initial evaluation; types of services provided; approximate date (by year) of cases by category of service provided; Agency or counseling setting in which such services were provided; average number of sessions by type of services provided; an indication of the length of time services were provided, by case; relevant other special information regarding prior services provided should be briefly mentioned. The offeror should indicate any prior experience as a federal government contractor and performance history in connection with such contract(s). (100 points). (2) A commitment in principle to providing services to disabled veterans as evidenced by its bylaws, mission statement, or established statement of goals and procedures. (10 points) (3) An established program, described in writing for providing disabled veterans the following services: Recording the client history; evaluating the client's rehabilitation assets and liabilities; making recommendations regarding appropriate rehabilitation services and expected outcomes. The contractor must be able to directly furnish the services described above. (50 points) (4) The use of individualized plans for rendering service to clients. Documentation might include a detailed description of and any forms used in recording the client history, evaluating the veterans rehabilitation assets and liabilities, making recommendations regarding appropriate rehabilitation services and expected outcomes and summarizing all information, evaluations and recommendations in a comprehensive report. (10 points) (5) Demonstrated procedures to safeguard records to include detailed documentation describing the system for maintaining the physical security of records and prevention of disclosure of the records, reports, or other private information of clients, except with client's informed written consent. (10 points) (6) Contractor's personnel performing under this contract shall meet the following minimum education requirements: (a) A doctoral degree in vocational rehabilitation counseling, counseling, psychology, social work, or another closely related field from an accredited educational institution; or (b) A master's degree in psychology, counseling, social work or another closely related field from an accredited educational institution and the professional credentials of Certified Rehabilitation Counselor (CRC) from the Commission on Rehabilitation Counselor Certification; or Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Professional Social Worker from the State of Ohio Counselor and Social Work Board. A detailed vitae including a description of any formal training and education in the areas of taking client's histories, evaluating veterans rehabilitation assets and liabilities and making appropriate recommendations for rehabilitation services and expected outcomes must be submitted with proposal. (100 points) The Department of Veterans Affairs Medical Center will award Basic Ordering Agreement(s) in rank order with the first award going to the offeror that receives the highest number of points during the evaluation process. The proposal with the lowest price may not necessarily be awarded. The following provisions apply to this solicitation and may be requested in writing to the Contract Specialist listed above. Provisions are 52.212-1, Instructions to Offerors-Commercial; 52.212-2, Evaluation-Commercial Items; 52.212-3, Offeror Representations and Certifications; 52.212-4, Contract Terms and Conditions-Commercial Items and 52.212-5, Contract Terms and Conditions required to Implement Statutes or Executive Orders. 52.232-33, Mandatory Information for Electronic Funds Transfer Payment (AUG 1996), 52.242-13, Bankruptcy (JUL 1995) Two (2) copies of proposals shall be submitted to the Contract Specialist listed above. Faxed copies will not be accepted. Proposal shall include price per initial evaluation intake services. Posted 12/30/98 (W-SN284075). (0364)

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