SOLICITATION NOTICE
Q -- Medical and dental services for PHA and SRP events.
- Notice Date
- 12/20/2007
- Notice Type
- Solicitation Notice
- NAICS
- 621498
— All Other Outpatient Care Centers
- Contracting Office
- USPFO for Missouri, 7101 Military Circle, Jefferson City, MO 65101-1200
- ZIP Code
- 65101-1200
- Solicitation Number
- W912NS-08-R-0001
- Response Due
- 12/27/2008
- Archive Date
- 2/25/2009
- Point of Contact
- Mary Lea, (573) 638-9575
- E-Mail Address
-
Email your questions to USPFO for Missouri
(mary.lea@mo.ngb.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 ncluded in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. The Missouri Army National Guard has requirements for PHA and SRP events 5-6 January and 12-13 January 2008 at five (5) locations throughout the state of Missouri. Please see attached sta tement of work for each location: The quantities and locations are as follow: CLIN 0001 - 100 persons, Jefferson City, MO; CLIN 0002 - 300 persons, St. Joseph, MO; CLIN 0003- 160 persons, Cape Girardeau, MO; CLIN 0004- 400 persons, Springfield, MO; CLIN 0005 - 23CLIN 0001 Contractor will provide a price for minimum delivery quantities for each of the services listed. Contractor will provide incremental unit pricing for additional quantities up to 100 pax for each service listed. Contractor will pro vide event management services to ensure that all services are delivered in an efficient manner and meet the Commanders time schedule. Setup Date: 4 January 2008 Service Delivery Date: 5 January 2008 Start Time: 0700 5 January 2008 End Tim e: Mission Complete on 5 January 2008 Suspense Date for All Records to be updated with Delivered Services: 11 January 2008 Address, Bldg #, and Location of Event: 2302 Militia Drive, Jefferson City, MO 65101-1203 Services Needed: 1. Health S creening with provider (All Soldiers) a. 2 Providers(can be MD, DO, PA or NP) for interviews b. All males 40,45,50,55 require prostate exam * Record date of administration on DD Form 2766 if available 2. Profiles (Select Soldiers) a. Initiate paperwork if temporary is needed b. Enter into Medically Non-Deployable module at https://apps.mods.army.mil/mnd/ if issued profile. Computer station and account access provided by the State Surgeons Office. 3. Dental Exam *Saturday Only * a. 1 Dentist for exams b. Dental Exam (All Soldiers) 4. Hearing (DOEHRS) *Saturday Only* a. Baseline recorded on DD2215 if needed b. Periodic recorded on DD2216 if needed c. Enter all DD2216/2215 results into the DOHERS Data Bas e within 48 hours of the eventconclusion. * Record date of administration on DD Form 2766 if available 5. MEDPROS Entry by (Date 11 January 2008) (enter results from event at https://apps.mods.army.mil/MEDPROS/Secured/) 6. At the event scre en the soldiers individual medical readiness report printout or medical record to ensure duplications of procedures do not occur. 7. Additional Reference: a. AR 40-501 b. Department of Army Personnel Policy Guidance (Chapter 7) UNIT POC:<B R>Medical POC: SSG Kemna, Eric 573 638 9500, ext 7482 CLIN 0002 Contractor will provide a price for minimum delivery quantities for each of the services listed. Contractor will provide incremental unit pricing for additional quantities up to 2 60 pax for each service listed. Contractor will provide event management services to ensure that all services are delivered in an efficient manner and meet the Commanders time schedule. Setup Date: 4 January 2008 Service Delivery Date: 5-6 Janu ary 2008 Start Time: 0700 5 January 2008 End Time: Mission Complete on 6 January 2008 Suspense Date for All Records to be updated with Delivered Services: 11 January 2008 Address, Bldg #, and Location of Event: 301 N Woodbine Rd Saint Josep h, MO 64506 Services Needed: 1. Vitals (All Soldiers) a. Blood Pressure (if greater than 140/90, do two additional readings and record) b. Height c. Weight * Record date of administration on DD Form 2766 if available 2. Lab (Se lect Soldiers) a. Fasting Blood Sugar/Lipid panel/H&H for ages 30,35,40,45,50,55 b. HIV (every 5 years for M-day soldier, every 2 years for active duty soldier, within 2 years if a soldier is going to be on orders for over 30 days (Example ADSW), within a year if deploying. c. Using DNA cards provided by the unit, contractor will take DNA samples and provide them to the State Medical Representative for entry into the database of record for those service members requiring same. d. Conduct PSA for ages 40, 45, 50, and 55, Turn Sample and Requisition over to the State for processing. * Record date of administration on DD Form 2766 if available <BR >3. Pregnancy Test (done prior to immunizations) * Record date of administration/results on SF 600/PHA form. 4. Pap Smear (if SRP female soldier does not provide a lab cytology report that has been done with the last 12 months, does not involve PH A female soldiers). Provide PAP exam either on-site or through arrangement at local clinic during the SRP during event time. * Record date of administration on DD Form 2766 if available 5. Immunizations (Select Soldiers) a. Needles b. Hep A/B, Tetanus/Diphtheria, Flu shot (will only need personnel to administer, vaccine will be supplied by the National Guard.) * Record date of administration on SF 601 and if available DD Form 2766 6. Dental Exam (Digital Machine, separate techni cian for each machine provided) * Bring enough personnel and equipment to run two teams a. Dental Exam (All Soldiers) c. Bite Wings (Select Soldiers) d. Complete a DA 5570, SF 603 to include classification, PSA, and Risk Factors for each serv ice member examined. Enter DD2813 into Dental Record if furnished by the service member. e. Enter examination results into Denclass. Upload panograph and bitewings performed to Denclass f. Ensure dental record has been initiated to include DA Fo rm 5570, SF 603 and or DD 2813, Pano in record that is of adequate quality for diagnostic purposes g. Class 3 identified soldiers need to fill out The Army National Guard Class 3 Dental Examination form. * Record date of administration on DD For m 2766 if available 7. Pano (Select Soldiers) 8. Vision Screening a. Distance vision screening (all soldiers) b. Near vision screening (over 45 years of age) * Results to be documented and input into MEDPROS 9. Health Screening wit h provider (All Soldiers) a. 3 Providers(can be MD, DO, PA or NP) for interviews b. All males 40,45,50,55 require prostate exam * Record date of administration on DD Form 2766 if available 10. Profiles (Select Soldiers) a. Initiate pa perwork if temporary is needed b. Enter into Medically Non-Deployable module at https://apps.mods.army.mil/mnd/ if issued profile. Computer station and account access provided by the State Surgeons Office. 11. Cardiovascular Screening (Soldiers o ver 40 years of age) a. Fasting blood sugar b. Fasting lipid panel (total cholesterol, LDL, HDL, Triglycerides) c. EKG d. Smoking History e. Blood Pressure 12. Hearing (DOEHRS) a. Baseline recorded on DD2215 if needed b. Periodic recorded on DD2216 if needed c. Enter all DD2216/2215 results into the DOHERS Data Base within 48 hours of the event conclusion. * Record date of administration on DD Form 2766 if available 13. MEDPROS Entry by (Date 11 Ja nuary 2008) (enter results from event at https://apps.mods.army.mil/MEDPROS/Secured/) 14. At the event screen the soldiers individual medical readiness report printout or medical record to ensure duplications of tests, procedures, and immunizations do not occur. 15. Additional Reference: a. AR 40-501 b. Department of Army Personnel Policy Guidance (Chapter 7) UNIT POC: Medical POC: SSG Kemna, Eric 573 638 9500, ext 7482 Unit POC SSG Brooke 573 638 9500, ext 3541 CLIN 0003 Contractor will provide a price for minimum delivery quantities for each of the services listed. Contractor will provide incremental unit pric ing for additional quantities up to 160 pax for each service listed. Contractor will provide event management services to ensure that all services are delivered in an efficient manner and meet the Commanders time schedule. Setup Date: 4 January 200 8 Service Delivery Date: 5-6 January 2008 Start Time: 0700 5 January 2008 End Time: Mission Complete on 6 January 2008 Suspense Date for All Records to be updated with Delivered Services: 11 January 2008 Address, Bldg #, and Location of Event: 2626 Independence Street, Cape Girardeau 63703-5738 Services Needed: 1. Dental Exam (Digital Machine, separate technician for each machine provided) a. Dental Exam (All Soldiers) c. Bite Wings (Select Soldiers) d. Complete a DA 557 0, SF 603 to include classification, PSA, and Risk Factors for each service member examined. Enter DD2813 into Dental Record if furnished by the service member. e. Enter examination results into Denclass. Upload panograph and bitewings performed to D enclass f. Ensure dental record has been initiated to include DA Form 5570, SF 603 and or DD 2813, Pano in record that is of adequate quality for diagnostic purposes g. Class 3 identified soldiers need to fill out The Army National Guard Class 3 D ental Examination form. * Record date of administration on DD Form 2766 if available 2. Pano (Select Soldiers) 3. Health Screening with provider (All Soldiers) a. 2 Providers(can be MD, DO, PA or NP) for interviews b. All males 40, 45,50,55 require prostate exam * Record date of administration on DD Form 2766 if available 4. Profiles (Select Soldiers) a. Initiate paperwork if temporary is needed b. Enter into Medically Non-Deployable module at https://apps.mods.army. mil/mnd/ if issued profile. Computer station and account access provided by the State Surgeons Office. 5. Hearing (DOEHRS) a. Baseline recorded on DD2215 if needed b. Periodic recorded on DD2216 if needed c. Enter all DD2216/2215 results into the DOHERS Data Base within 48 hours of the event conclusion. * Record date of administration on DD Form 2766 if available 6. MEDPROS Entry by (Date 11 January 2008) (enter results from event at https://apps.mods.army.mil/MEDPROS/Sec ured/) 7. At the event screen the soldiers individual medical readiness report printout or medical record to ensure duplications of procedures do not occur. 8. Additional Reference: a. AR 40-501 b. Department of Army Personnel Policy Guid ance (Chapter 7) UNIT POC: Medical POC: SFC Halter, Michael 573 638 9500, ext 6231 CLIN 0004 Contractor will provide a price for minimum delivery quantities for each of the services listed. Contractor will provide incremental unit pr icing for additional quantities up to 400 pax for each service listed. Contractor will provide event management services to ensure that all services are delivered in an efficient manner and meet the Commanders time schedule. Setup Date: 11 January 2008 Service Delivery Date: 12-13 January 2008 Start Time: 0700 12 January 2008 End Time: Mission Complete on 13 January 2008 Suspense Date for All Records to be updated with Delivered Services: 18 January 2008 Address, Bldg #, and Loca tion of Event: 1400 North Fremont, Springfield, MO 65802-2093 Services Needed: 1. Dental Exam (Digital Machine, separate technician for each machine provided) * Bring enough personnel and equipment to run two teams a. Dental Exam (All Soldie rs) c. Bite Wings (Select Soldiers) d. Complete a DA 5570, SF 603 to include classification, PSA, and Risk Factors for each service member examined. Enter DD2813 into Dental Record if furnished by the service member. e. Enter examination result s into DENCLASS. Upload panograph and bitewings performed to DENCLASS f. Ensure dental record has been initiated to include DA Form 5570, SF 603 and or DD 2813, Pano in record that is of adequate quality for diagnostic purposes g. Class 3 identified soldiers need to fill out The Army National Guard Class 3 Dental Examination form. * Record date of administration on DD Form 2766 if available 2. Pano (Select Soldiers) 3. Health Screening with provider (All Soldiers) a. 3 Providers(can be MD, DO, PA or NP) for interviews b. All males 40,45,50,55 require prostate exam * Record date of administration on DD Form 2766 if available <B R>4. Profiles (Select Soldiers) a. Initiate paperwork if temporary is needed b. Enter into Medically Non-Deployable module at https://apps.mods.army.mil/mnd/ if issued profile. Computer station and account access provided by the State Surgeons O ffice. 5. Hearing (DOEHRS) a. Baseline recorded on DD2215 if needed b. Periodic recorded on DD2216 if needed c. Enter all DD2216/2215 results into the DOHERS Data Base within 48 hours of the event conclusion. * Record date of admi nistration on DD Form 2766 if available 6. MEDPROS Entry by (Date 18 January 2008) (enter results from event at https://apps.mods.army.mil/MEDPROS/Secured/) 7. At the event screen the soldiers individual medical readiness report printout or me dical record to ensure duplications of procedures do not occur. 8. Additional Reference: a. AR 40-501 b. Department of Army Personnel Policy Guidance (Chapter 7) UNIT POC: Medical POC: SFC Neely, Darlene 573 638 9500, ext 3632 C LIN 0005 Contractor will provide a price for minimum delivery quantities for each of the services listed. Contractor will provide incremental unit pricing for additional quantities up to 235 pax for each service listed. Contractor will provide event management services to ensure that all services are delivered in an efficient manner and meet the Commanders time schedule. Setup Date: 11 January 2008 Service Delivery Date: 12-13 January 2008 Start Time: 0700 12 January 2008 End Time: Mission Complete on 13 January 2008 Suspense Date for All Records to be updated with Delivered Services: 18 January 2008 Address, Bldg #, and Location of Event: 375 Commercial Ave. Saint Clair, MO 63077-1352 Services Needed: 1. Vitals (All So ldiers) a. Blood Pressure (if greater than 140/90, do two additional readings and record) b. Height c. Weight * Record date of administration on DD Form 2766 if available 2. Lab (Select Soldiers) a. Fasting Blood Sugar/Lipid panel /H&H for ages 30,35,40,45,50,55 b. HIV (every 5 years for M-day soldier, every 2 years for active duty soldier, within 2 years if a soldier is going to be on orders for over 30 days (Example ADSW), within a year if deploying. c. Using DNA cards prov ided by the unit, contractor will take DNA samples and provide them to the State Medical Representative for entry into the database of record for those service members requiring same. d. Conduct PSA for ages 40, 45, 50, and 55, Turn Sample and Requisi tion over to the State for processing. * Record date of administration on DD Form 2766 if available 3. Pregnancy Test (done prior to immunizations) * Record date of administration/results on SF 600/PHA form. 4. Pap Smear (if SRP female sol dier does not provide a lab cytology report that has been done with the last 12 months, does not involve PHA female soldiers). Provide PAP exam either on-site or through arrangement at local clinic during the SRP during event time. * Record date of administration on DD Form 2766 if available 5. Immunizations (Select Soldiers) a. Needles b. Hep A/B, Tetanus/Diphtheria, Typhoid, Meningococcal, Flu shot (will only need personnel to administer, vaccine will be supplied by the National Guard .) * Record date of administration on SF 601 and if available DD Form 2766 6. Dental Exam (Digital Machine, separate technician for each machine provide d) * Bring enough personnel and equipment to run two teams a. Dental Exam (All Soldiers) c. Bite Wings (Select Soldiers) d. Complete a DA 5570, SF 603 to include classification, PSA, and Risk Factors for each service member examined. Enter D D2813 into Dental Record if furnished by the service member. e. Enter examination results into DENCLASS. Upload panograph and bitewings performed to DENCLASS f. Ensure dental record has been initiated to include DA Form 5570, SF 603 and or DD 281 3, Pano in record that is of adequate quality for diagnostic purposes g. Class 3 identified soldiers need to fill out The Army National Guard Class 3 Dental Examination form. * Record date of administration on DD Form 2766 if available 7. P ano (Select Soldiers) 8. Vision Screening a. Distance vision screening (all soldiers) b. Near vision screening (over 45 years of age) * Results to be documented and input into MEDPROS 9. Health Screening with provider (All Soldiers) a. 2 Providers(can be MD, DO, PA or NP) for interviews b. All males 40,45,50,55 require prostate exam c. DD 2795 Pre-Deployment Health Assessment Questionnaire (All Soldiers) * Record date of administration on DD Form 2766 if available 10. Profiles (Select Soldiers) a. Initiate paperwork if temporary is needed b. Enter into Medically Non-Deployable module at https://apps.mods.army.mil/mnd/ if issued profile. Computer station and account access provided by the State Surgeons Offic e. 11. Cardiovascular Screening (Soldiers over 40 years of age) a. Fasting blood sugar b. Fasting lipid panel (total cholesterol, LDL, HDL, Triglycerides) c. EKG d. Smoking History e. Blood Pressure 12. Hearing (DOEHRS) a. Baseline recorded on DD2215 if needed b. Periodic recorded on DD2216 if needed c. Enter all DD2216/2215 results into the DOHERS Data Base within 48 hours of the event conclusion. * Record date of administration on DD Form 2766 if avai lable 13. MEDPROS Entry by (Date 18 January 2008) (enter results from event at https://apps.mods.army.mil/MEDPROS/Secured/) 14. At the event screen the soldiers individual medical readiness report printout or medical record to ensure duplicati ons of tests, procedures, and immunizations do not occur. 15. Additional Reference: a. AR 40-501 b. Department of Army Personnel Policy Guidance (Chapter 7) UNIT POC: Primary Medical POC: SFC Halter, Michael 573 638 9500 ext. 6231< BR>Secondary Medical POC: 2LT Dier 573 638 9649 660 351 2712 eric.dier@us.army.mil Unit POC: 1LT Keith, Mollie 636 629 2180 5 persons, Saint Clair, MO. The statement of work per locations is attached. The following provisions a nd clauses are applicable: 52.204-4, 520204-9, 52.212-1, 52.214-22, 52.219-8, 52.219-14,52.228-5, 52.233-3, 52.237-2, 52.242-13, 52.242-15, 52.253-1, 252.203-7004 Alt A, 252.209-7004, 252.223-7006, 252.225-7001, 252.225-7002, 252.225-7012, 252.232-7010, 2 52.243-7001, 252.243-7002, 252.247-7023, 252.247-7024, the following in full text - 52.203-2, 52.209-5, 52.212-3, 52.212-4, 52.212-5, 52.222-22,52.222-25, 52.252-1, 52.252-2, 52.252-5, 52.252-6, 252.204-7006, 252.212-7001, 52.212-2 Evaluation - The Gove rnment shall award a contract to the offeror that can demonstrate they have the technical capability (personnel and equipment) to provide the services requested. Provide list of medical/technical personnel anticipated to provide service with qualification s. Provide anticipated equipment necessary to complete the services required. Past Performance shall be evaluated based upon available information and list of three (3) references of previously contracted similar services to include the DOD agency name, address and telephone number. Provided the name of an individual that has direct knowledge of your performance as well as the Contracting Officer name and tel ephone number. Pricing to include multiple award evaluation and economic preferences identified.Technical and past performance, when combined, are equal to price in determining the source selected to perform the services. The Government intends to award the contract without conducting discussion unless the Contracting Officer determines discussions to be necessary.
- Place of Performance
- Address: USPFO for Missouri 7101 Military Circle, Jefferson City MO
- Zip Code: 65101-1200
- Country: US
- Zip Code: 65101-1200
- Record
- SN01474146-W 20071222/071220225858 (fbodaily.com)
- Source
-
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