Combine Solicitation – Dental Assistant
Federal Information & News Dispatch, Inc. |
Notice Type: Combine Solicitation
Posted Date:
Office Address:
Subject: Dental Assistant
Classification Code: Q - Medical services
Solicitation Number: F2X4A23211AG01
Contact: Eldrae A. Perdue, Contract Specialist, Phone 334-953-4745, Fax 334-953-3527, Email [email protected] -
Setaside: Total Small BusinessTotal Small Business
Place of Performance (address): Maxwell Ambulatory Healthcare Center 42d MEDICAL GROUP
Place of Performance (zipcode): 36112
Place of Performance Country: US
Description:
Air Education and Training Command
GENERAL INFORMATION
This announcement constitutes the only notice. A written solicitation will not be issued. This requirement is issued as a request for proposal (Reference-Number F2X4A23211AG01). The solicitation document and incorporated provisions and clauses are those in effect the Federal Acquisition Circular 2005-69 and Defense Acquisition Circular 20130808 effective date
A Firm Fixed Priced Award will be made in accordance with the following:
NAICS Code: 621210, size standard
The Defense Priorities and Allocations System rating is S10.
"Notice to Offeror(s)/Supplier(s): Funds are not presently available for this effort. No award will be made under this solicitation until funds are available. The Government reserves the right to cancel this solicitation, either before or after the closing date. In the event the Government cancels this solicitation, the Government has no obligation to reimburse an offeror for any costs."
NATURE OF ACQUISITION:
SCHEDULE OF SUPPLIES/SERVICES:
The contractor shall provide the service listed below, which is to be performed on Maxwell, AFB.
Total: $_________
*All work is to be performed in accordance with (IAW) the attached Performance Work Statement (PWS).
PROPOSAL PREPARATION INSTRUCTIONS
To ensure timely and equitable evaluation of proposals, offerors must comply with instructions contained herein. Proposals must be complete, self-sufficient, and respond directly to the requirements of this RFP. a. The offeror must submit dated proposal on company letterhead with unit prices and extended prices in response to this solicitation. In doing so and without taking any exception to the requirements of this synopsis/solicitation, including specification, "Schedule of Supplies/Services" and terms and conditions, the offeror accedes to all solicitation requirements. Offerors may submit proposals by email as responses to this solicitation. E-mail proposals are subject to the same rules as paper proposals. Typing shall be double spaced, in Times New Roman, and not be less than 12 pitch. Offerors must clearly identify any exception to the solicitation terms and conditions and provide complete accompanying rationale.
b. If offerors ORCA Representations and Certifications are not current, then they must include a completed copy of the provisions at FAR 52.212-3, and Alternate I, Offeror Representations and Certifications - Commercial Items
c. Interested parties capable of providing the requirement must submit a written proposal to include discount terms, tax identification number, cage code, and DUNS.
d. To be eligible to receive an award resulting from this RFP, contractors must be registered in the DoD Systems for Award Management database, no exceptions. To register, please visit http://www.sam.gov or by calling 1-866-606-8220.
IMPORTANT NOTE: This Dental requirement is a 100% small business set-aside. Neither multiple Offerors nor Multiple Awards will be considered. A single award will be made in the resultant contract.
BASIS FOR AWARD
Award will be based on technical acceptability and price. An offer will be determined technically acceptable if the offeror:
a) submits a dated proposal on company letterhead with unit prices and extended prices in response to this solicitation.
b) takes no exception to the requirements of this synopsis/solicitation, including specification, "Schedule of Supplies/Services" and terms and conditions
CONTRACT TERMS AND CONDITIONS: The following provisions and clauses apply:
By reference:
The following provisions are included:
52.204-7, System for Award Management 52.212-1, Instructions to Offerors- Commercial Items 52.212-2, Evaluation - Commercial Items 52.212-3 and Alt 1, Offeror Representations and Certifications - Commercial Items 52.217-5, Evaluation of Options 252.204-7004 Alt A, System for Award Management 252.209-7999 Representation by Corporations Regarding an Unpaid Delinquent Tax Liability or a Felony Conviction under any Federal Law
The following clauses are included:
52.203-3, Gratuities 52.204-9, Personal Identity Verification of Contractor Personnel 52.204-13, System for Award Management Maintenance. 52.212-4, Contract Terms and Conditions-Commercial Items. 52.212-5, Contract Terms and Conditions Required to Implement Statutes Or Executive Orders-Commercial Items The following FAR Clauses cited in this clause also applies: 52.203-6, Restrictions on Subcontractor Sales to the Government 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards 52.209-6, Protecting the Government's Interest when Subcontracting with Contractor's Debarred, Suspended, or Proposed for Debarment. 52.219-6, Notice of Total Small Business Set-Aside 52.219-8, Utilization of Small Business Concerns 52.219-13, Notice of Set-Aside on Orders 52.219-14, Limitations on Subcontracting 52.219-28, Post Award Business Program Representation 52.222-3, Convict Labor 52.222-21, Prohibition of Segregated Facilities 52.222-26, Equal Opportunity 52.222-35, Equal Opportunity for Veterans 52.222-36, Affirmative Action for Workers with Disabilities 52.222-37, Employment Reports on Special Disabled Veterans,
DFARS Clauses:
252.203-7000, Requirements Relating to Compensation of Former DOD Officials 252.203-7002, Requirement to Inform Employees of Whistleblower Rights 252.204-7000, Disclosure of Information 252.232-7003, Electronic Submission of Payment Requests 252.225-7012, Preference for
By Full Text:
Clause 52.217-8 Option to Extend Services (
The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only because of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 15 Days.
Clause 52.217-9 Option to Extend the Term of the Contract (
(a) The Government may extend the term of this contract by written notice to the Contractor within 15 days provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days before the contract expires. The preliminary notice does not commit the Government to an extension.
(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.
(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 66 months.
52.252-1,
This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): http://farsite.hill.af.mil/
52.252-2,
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): http://farsite.hill.af.mil/
(End of Clause)
AFFARS Clauses:
5352.201-9101 OMBUDSMAN (
(a) An ombudsman has been appointed to hear and facilitate the resolution of concerns from offerors, potential offerors, and others for this acquisition. When requested, the ombudsman will maintain strict confidentiality as to the source of the concern. The existence of the ombudsman does not affect the authority of the program manager, contracting officer, or source selection official. Further, the ombudsman does not participate in the evaluation of proposals, the source selection process, or the adjudication of protests or formal contract disputes. The ombudsman may refer the party to another official who can resolve the concern.
(b) Before consulting with an ombudsman, interested parties must first address their concerns, issues, disagreements, and/or recommendations to the contracting officer for resolution. Consulting an ombudsman does not alter or postpone the timelines for any other processes (e.g., agency level bid protests, GAO bid protests, requests for debriefings, employee-employer actions, contests of OMB Circular A-76 competition performance decisions).
(c) If resolution cannot be made by the contracting officer, concerned parties may contact the Center/MAJCOM or AFISRA ombudsmen, Primary: Mr.
(d) The ombudsman has no authority to render a decision that binds the agency. (e) Do not contact the ombudsman to request copies of the solicitation, verify offer due date, or clarify technical requirements. Such inquiries shall be directed to the Contracting Officer.
(End of clause)
AF 5352.223-9001 HEALTH AND SAFETY ON GOVERNMENT INSTALLATIONS (
(a) In performing work under this contract on a Government installation, the contractor shall:
(1) Comply with the specific health and safety requirements established by this contract;
(2) Comply with the health and safety rules of the Government installation that concern related activities not directly addressed in this contract;
(3) Take all reasonable steps and precautions to prevent accidents and preserve the health and safety of contractor and Government personnel performing or in any way coming in contact with the performance of this contract; and
(4) Take such additional immediate precautions as the contracting officer may reasonably require for health and safety purposes.
(c) The contracting officer may, by written order, direct Air Force Occupational Safety and Health Standards (AFOSH) and/or health/safety standards as may be required in the performance of this contract and any adjustments resulting from such direction will be in accordance with the Changes clause of this contract.
(d) Any violation of these health and safety rules and requirements, unless promptly corrected as directed by the contracting officer, shall be grounds for termination of this contract in accordance with the Default clause of this contract. (End of clause)
5352.242-9000 CONTRACTOR ACCESS TO AIR FORCE INSTALLATIONS (
(a) The contractor shall obtain base identification and vehicle passes, if required, for all contractor personnel who make frequent visits to or perform work on the
(b) The contractor shall submit a written request on company letterhead to the contracting officer listing the following: contract number, location of work site, start and stop dates, and names of employees and subcontractor employees needing access to the base. The letter will also specify the individual(s) authorized to sign for a request for base identification credentials or vehicle passes. The contracting officer will endorse the request and forward it to the issuing base pass and registration office or security police for processing. When reporting to the registration office, the authorized contractor individual(s) should provide a valid driver's license, current vehicle registration, valid vehicle insurance certificate, and to obtain a vehicle pass.
(c) During performance of the contract, the contractor shall be responsible for obtaining required identification for newly assigned personnel and for prompt return of credentials and vehicle passes for any employee who no longer requires access to the work site.
(d) When work under this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with citing the appropriate paragraphs as applicable.
(e) Upon completion or termination of the contract or expiration of the identification passes, the prime contractor shall ensure that all base identification passes issued to employees and subcontractor employees are returned to the issuing office.
(f) Failure to comply with these requirements may result in withholding of final payment.
(End of clause)
5352.242-9001 COMMON ACCESS CARDS (CACs) FOR CONTRACTOR PERSONNEL (
(a) For installation(s)/location(s) cited in the contract, contractors shall ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel who meet one or both of the following criteria:
(1) Require logical access to
(b) Contractors and their personnel shall use the following procedures to obtain CACs:
(1) Contractors shall provide a listing of personnel who require a CAC to the contracting officer. The government will provide the contractor instruction on how to complete the Contractor Verification System (CVS) application and then notify the contractor when approved.
(2) Contractor personnel shall obtain a CAC from the nearest Real Time Automated Personnel Identification Documentation System (RAPIDS) Issuing Facility (typically the local Military Personnel Flight (MPF)). (c) While visiting or performing work on installation(s)/location(s), contractor personnel shall wear or prominently display the CAC as required by the governing local policy.
(d) During the performance period of the contract, the contractor shall:
(1) Within 7 working days of any changes to the listing of the contract personnel authorized a CAC, provide an updated listing to the contracting officer who will provide the updated listing to the authorizing government official;
(2) Return CACs in accordance with local policy/directives within 7 working days of a change in status for contractor personnel who no longer require logical or physical access;
(3) Return CACs in accordance with local policy/directives within 7 working days following a CACs expiration date; and
(4) Report lost or stolen CACs in accordance with local policy/directives.
(e) Within 7 working days following completion/termination of the contract, the contractor shall return all CACs issued to their personnel to the issuing office or the location specified by local policy/directives.
(f) Failure to comply with these requirements may result in withholding of final payment.
(End of clause)
SPECIAL INSTRUCTION 45 REQUIRED INSURANCE Reference FAR clause 52.228-5 entitled "Insurance..." the Contractor shall, at its own expense, procure and thereafter maintain the following kinds of insurance with respect to performance under the contract. a. Workmen's
SPECIAL INSTRUCTION 119 WAWF-ELECTRONIC SUBMISSION OF INVOICE
Reference DFARS Clause 252.232-7003 "ELECTRONIC SUBMISSION OF PAYMENT REQUESTS."
Invoices shall be submitted and accepted using Wide Area Workflow (WAWF) web-based system at https://wawf.eb.mil. For information on WAWF including web-based training, visit the web-site and click on "About WAWF". The web-site also contains detailed instructions for setting up your computer to achieve the best results with the system. If you have additional questions contact the WAWF-RA Customer Helpdesk at (866) 618-5988, Option 2 The following information codes will be required to submit your invoices correctly through WAWF:
SELECT TYPE OF INVOICE: Contract Specialist/Administrator selects only one (1) of the following:
1 Invoice and Receiving Report (Combo) (Creates two documents, an Invoice and a Receiving Report, within one data entry session (Combo). Creating both documents at the same time, rather than separately, is recommended.
0 Construction Invoice (Creates a Construction Payment Invoice from a contract for construction. Both an Inspector and a Contracting Officer must review and accept).
Contract Number: Block 2 of the SF1449 Form (If this is a GSA Delivery Order award, enter the GSA NUMBER)
Delivery Order: Block 4 of (Order Number) of SF1449 No Dashes - (if applicable)
Pay DoDAAC: Block 16a (Payment will be made by) of SF1449 - Pay DoDAAC code is used to route documents to the Defense Finance Accounting office responsible for payment. The accounts payable mailing address can be located in Block 18a of SF1449. You can easily access payment information using the DFAS web site at http://www.dod.mil/dfas. Your contract/purchase order number or invoice will be required to inquire status of your payment.
Issue by DoDAAC: Block 9 (Issued by) of SF1449. Contracting office that issued your contract - WAWF uses the code to route the document to the base.
Admin DoDAAC: Block 16 (Administered by) of SF1449)
Ship-
Inspected by DoDAAC: Block 15 (Deliver to) of SF1449 - If an inspection is called for in the document, then you must provide the DoDAAC/Ext this code identifies the inspector.
Service Acceptor: Block 15 (Deliver to) of SF1449 - It is used to route documents to receiving service acceptor in WAWF.
LPO DoDAAC/Ext: Not a required field for
ADDITIONAL E-MAIL NOTIFICATIONS: The VENDOR and the DFAS Office will automatically receive a notice; after clicking SUBMIT WAWF will prompt for additional email submissions. The following E-Mail addresses MUST be input in order to prevent delays in processing:
Receiver/Acceptor: [email protected]
Contract Specialist: [email protected]
Contracting Officer: [email protected]
In addition to the requirement of this local clause, the Contractor shall meet the requirements of the appropriate payment clauses in this contract when submitting payment requests.
(End of Clause)
SPECIAL INSTRUCTION 114 REQUIRED POSTERS
Please utilize the following website to access and download as appropriate EEO posters, Service Contract posters, and disability posters required in accordance with 52.222-26, 52.222-41, and 52.222-36 respectively.
http://www.dol.gov/osbp/sbrefa/poster/main.htm
(End of Clause)
Points of contact:
Eldrae Perdue Contracting Specialist Phone (334) 953-4745, Fax (334) 953-3527 [email protected]
Kimberly Knott Contracting Officer Phone (334) 953-8552, Fax (334) 953-3527 [email protected]
PERFORMANCE WORK STATEMENT (Dental Assistant): Section 1 GENERAL 1. DESCRIPTION OF SERVICES The Contractor shall provide one (1) Full Time Equivalent (FTE) Dental Hygienist/Dental Assistant for the Maxwell Ambulatory Healthcare Center, also referred to as the "Medical Treatment Facility" (MTF) herein. Performance shall be according to the requirements contained in this Performance Work Statement (PWS), the professional standards of the
ATTACHMENT 1 42D MEDICAL GROUP CREDENTIALING PROCEDURES For Contracting Agencies All required credentialing forms can be obtained from: 42d MEDICAL GROUP CREDENTIALS OFFICE / SGHC 300 S. Twining St. Bldg. 760
2. AF Form 1540, Application for Clinical Privileges. Complete Section I through IX and sign. Please use MM/DD/YYYY format for all dates. In Section IV, please ensure that ALL facilities where you have EVER been granted privileges since qualifying degree are listed. In Section V, please ensure ALL licenses EVER HELD are listed. 3. Privilege List. Review and complete the privileges list for your specialty by placing a # 1, 2, or 4 in the requested column, according to the instructions at the top of the form. DO NOT use "x's" check marks or initials!!! Also DO NOT use a code 3. Place your signature in the "Provider Signature" space. 4. AF Form 1562. Sign and date the top section of each of the AF Forms 1562, (2 Forms are Required). These will be sent to the individuals you list as references on your application. 5. Provide copies of the following documents if needed for your credentials folder (any training certificates, licenses, etc. listed on your application must be presented before privileges will be awarded): 0 Current BLS and, if required for your specialty, ACLS, PALS, ATLS, NRP certification. 0 DEA certificate, (Must comply with
THE PACKET FROM THE CONTRACT COMPANY MUST INCLUDE THE FOLLOWING: 0 All items listed above, as well as 0 Verification of ALL facilities where the provider has EVER been granted privileges (since qualifying degree) A WRITTEN/FAXED verification is PREFERRED. If MUST get a verbal verification, the following information is required: Agency contacted; Phone Number; Date; Time; Name and Title of Person providing verification; What's being verified, Verification Information and who took verification. 0 A List of privileges from each facility where privileges are currently held. If no privileges are currently held, then list of privileges from most recent facility (during past year) 0 Verification of ALL licenses ever held 0 Verification of Board Certification(s) 0 Verification of Professional Education 0 Verification of all training programs (internship/residencies/fellowships, etc.) 0 Proof of malpractice insurance and claims history for the past 10 years. 0 AF Form 1562 from at least two of the professional/peer references listed on the AF Form 1540 a form/letter with comparable information will be accepted. 0 Queries of: 0 NPDB / HIPDB (if available to agency); 0 FSMB (if MD/DO or PA & provider worked prior to '95); 0 Inspection General Sanctions; 0 Tricare Sanctions
1.3.1.1. Initial applications for credentials action history, malpractice history, and completed copies of the below listed documents, shall be submitted to the applicable MTF Credentials Committee in accordance with the Contract Staffing Plan in 1.1. Additionally, the Contractor shall make all proposed healthcare providers available for interview by the applicable MTF during the credentialing process. a. Copy of valid, current, applicable state license or certification as a dental hygienist or dental assistant, shall be submitted. Under a personal services contract, have and maintain an unrestricted license or certification as applicable in one of the 50 States, the
1.4. RELATIONSHIP OF THE PARTIES, PROFESSIONAL LIABILITY RESPONSIBILITY, AND PROCEDURES. 1.4.1. RELATIONSHIP OF THE PARTIES. This is a personal services contract as defined in Federal Acquisition Regulation (FAR) 2.101. The health care provider who furnishes services under this contract is subject to the day-to-day supervision and control of employees of
1.14. CONTINUING EDUCATION (CE) DENTAL REQUIREMENTS. Health care providers registered or certified by national/dental associations shall continue to meet the minimum standards for CE to remain current as prescribed in AFI 41-117, Medical Service Officer Education. CE shall be obtained at no additional cost to the Government and shall be reported to the
1.16. MTF PROVIDER DIRECTORY: Contract providers will provide information necessary for paper and web-based MTF provider directory. Credentialed providers will include information such as name, degree, specialty, board status, office telephone and fax number, and licensing information. A picture of the provider is encouraged, but optional. Additional education and training information completed by the provider may also be included. Educational information and links to health information for the provider's patient population is also encouraged. 1.17. GOVERNMENT COMPUTER ACCESS: The contractor will ensure that all Contract employees comply with the requirement to obtain the minimum personnel security investigations as prescribed by DoDD 5200.2,Personnel Security Program and AFI 31-501,Personnel Security Program Management,, paragraphs 3.27.3.7 to 3.27.3.7.2. The contractor will work with the MTF to ensure that the pre-employment screening process for each employee classified as Automatic Data Processing I, II, III (as defined in DoDD 5200.2-R) includes the appropriate investigations and that each contract employees have the appropriate questionnaires and forms to be completed. All completed forms will be reviewed by the contractor and forwarded to the MTF for processing. The contractor understands that, while the MTF Commander may allow contractor personnel to temporarily occupy non-critical sensitive positions pending National Agency Check (NAC), employee will be immediately removed from the position if at any time the NAC receives unfavorable adjudication, or, if other unfavorable information that would affect the NAC becomes known. 1.18. CUSTOMER COMPLAINTS. Any customer complaints will be documented on the Customer Complaint Record (CCR).
SECTION 2 SERVICES SUMMARY (SS)
Performance Objective PWS Para Performance Threshold Arrange for Replacement Staff 1.2.3. 95% Compliance Work Requirement 4.1.1. thru
SECTION 3.0 GOVERNMENT FURNISHED PROPERTY AND SERVICES
3.1. GENERAL. The Government will provide the following equipment, supplies, and services listed below: 3.1.2. EQUIPMENT/OFFICE FURNITURE. The provider shall have joint use of all available equipment for performing services required by this contract. 3.1.2.1. PAGER. The MTF will provide a cell phone for use by the contract dental hygienist/assistant if required for on-call services. 3.1.2.2. PERSONAL PROTECTIVE EQUIPMENT (PPE). The Government will furnish the provider with appropriate PPE. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat. 3.1.3. FORMS. The MTF will provide required government forms used in the performance of services. 3.1.4. SUPPLIES. The MTF will provide dental and non-dental supplies commonly used in the facility for the care and management of patients. 3.1.5. COMPUTER EQUIPMENT. The MTF will provide computer equipment required to schedule, check in, document, order ancillary services, and maintain appropriate electronic dental information that supports the hard copy dental record. The MTF will provide required training for these systems. The contractor will be required to use the computer systems that are standard for the support of health care delivery at the MTF. 3.2. CONTRACTOR FURNISHED ITEMS AND SERVICES 3.2.1. GENERAL. Except for those items or services specifically stated in Section 3 to be Government furnished, the Contractor shall furnish everything required to perform this contract in accordance with all of its terms and conditions.
SECTION 4 SPECIFIC TASKS 4.1. SPECIFIC PROCEDURES FOR WHICH THE CONTRACTOR SHALL BE RESPONSIBLE. The Contractor shall not introduce services other than those required in this PWS without prior recommendation to, and approval of, the Contracting Officer (CO). If the scope of the contract is changed by new services, the Contracting Officer (CO) will incorporate the change into the contract prior to implementation. The contractor shall provide outpatient dental care as scheduled by the Government. Be subject to the same Quality Control standards as those applied to comparable military or civil service providers. 4.1.1. WORK REQUIREMENT. Provider will be required to see minimum of seven (7) patients per day and a minimum of 35 bookable appointments per week, in accordance with the template manager. If the provider drops below this requirement for four (4) consecutive weeks, without adequate justification, the Chief of Dental Services will review whether continued services will be required from this provider. This requirement will apply to newly hired providers only after sixty (60) days of work has been completed. 4.1.1.1. The duties include but are not limited to the following: 4.1.1.2. The Contractor shall not introduce services other than those required in this PWS without prior recommendation to, and approval of, the CO. If the scope of the contract is changed by new services, the change will be incorporated into the contract by the CO prior to implementation. 4.1.1.3. Provide outpatient dental services for patients as scheduled by the Government. 4.1.1.4. Provide comprehensive oral health and dental hygiene treatment to diverse patient groups with assistance from members of the dental service. 4.1.1.5. Be subject to the same Quality Control standards as those applied to comparable military or civil service dental hygienists/assistants 4.1.1.6.The hygienist of assistant shall be able to perform the full range of dental services commensurate with the dental hygienist and assistant specialty. Duties include the following: 4.1.1.7. Patient Evaluation. Complete an evaluation of every patient and formulate a dental hygiene diagnosis and treatment plan, in collaboration with the dentist and patient. Examine patient's oral cavity including mouth, throat, and pharynx. Record conditions of teeth and surrounding areas. Refer patients with abnormalities to the dentist. Clinical hygienists and assistants usually work alone in a treatment room designed to provide preventive, therapeutic and education services, and work under the supervision of a dentist. 4.1.1.8. Assists dental officer with patient treatment. Receives patient, examines dental record, and prepares patient for treatment. Adjusts dental chair, and selects and arranges instruments and medications. Takes and records blood pressure. Assists in managing emergency procedures. Retracts tissues and maintains clear operating field. Prepares syringe for injection of anesthetics. Prepares materials for making impressions and restoring defective teeth. Records entries in individual dental records indicating oral cavity condition and treatment accomplished. 4.1.1.9. Oral Prophylaxis. Includes seating and draping patients, applying disclosing solution to teeth, supra/sub-gingival scaling, polishing, cleaning and polishing removable dental appliances worn by patients; and placing pit and fissure sealants on teeth when indicated. Perform the following procedures: 4.1.1.10. Adult and child Prophylaxis 4.1.1.11. Topical Fluoride, Professional Application,
5.2 Security Manager Appointment: The contractor shall appoint a security manager for on-base service performance. The security manager may be a full-time position or an additional duty position. The security manager shall provide employees with training required by DoDM 5200.01, DoD Information Security Program, Volume 3, Enclosure 5, and AFI 31-401, Information Security Program Management. The contractor will provide 42d Air Base Wing Information Protection Office with name and telephone number of the security manager.
5.3. Visit Request: Contractors participating in the National Industrial Security Program are authorized to use Joint Personnel Adjudication System (JPAS) in lieu of sending Visitor Authorization Letters (VALs) for classified visit to
b. The contractor shall submit a written request on company letterhead to the contracting officer listing the following: contract number, location of work site, start and stop dates, and names of contractor employees needing access to the base. The letter will also specify the contractor individual(s) authorized to sign requests for base identification credentials. The contracting officer will endorse the request and forward it to the issuing base pass and registration office for processing. When reporting to the base pass and registration office for issue of military identification credentials for access to the installation, contractor individual(s) will need a valid state or federal issued picture identification. To operate a vehicle on base contractor individual(s) will need to provide a valid driver's license, current vehicle registration, and a valid vehicle insurance certificate.
c. During performance of the service, the contractor shall be responsible for obtaining required identification for newly assigned personnel and for prompt return of credentials for any employee who no longer requires access to the work site.
d. Upon completion or termination of the service or expiration of the identification passes, the contractor shall ensure that all base identification passes issued to contractor employees are returned to the issuing office. The issuing office will verify all base identification passes have been returned and/or accounted for. The issuing office will forward a memorandum to the contractor individual authorized to sign request for base identification credentials indicating the badges have been turned in. The DD Form 577 (signature card) for the contractor authorized requestor will be destroyed and the individual will not long be authorized to sign DD Form 1172 (Application for Uniform Services Identification Cards).
e. Failure to comply with these requirements may result in withholding of final payment.
5.5. Pass and Identification Items: The service shall ensure the following pass and identification items required for service performance are obtained for employees: a. DD Form 1172, Application for Uniformed Services Identification Card (AFI 36-3026, Identification Cards For Members of The Uniformed Services, Their Family Members, and Other Eligible Personnel, and AETC Instruction 36-3001, Issue and Control of AETC Civilian Identification (ID) Cards).
b. DoD Common Access Card (CAC), (AFI 36-3026).
c. DBIDS card/pass (AF Form 75 may be used only if DBIDS is inoperable).
d. AF Form 1199, USAF Restricted Area Badge, or locally developed badge, if required.
5.6. Computer and Network Access Requirements: Contractor personnel that required access to unclassified government computers and operations systems (Automated Information Systems - AIS) will be designated as AIS-III - Nonsensitive Positions. Contractor personnel must submit a National Agency Check with Inquiries (NACI) and the NACI be favorability adjudicated before operating government furnished computer workstations or systems that have access to
Appendix I Applicable Publications Appendix II Definitions Appendix III HIPAA Privacy and Security Business Associate Contract Language (
Reference Number Title (and Website, if applicable) Date M/A Applicable Paragraph AETCI 36-3001 Issue and Control of AETC Civilian ID Cards
APPENDIX II DEFINITIONS GENERAL DEFINITIONS. As used throughout this work statement, the following terms shall have the meaning set forth in accordance with the terms of this PWS and the contract. CLINICAL PRIVILEGES. Those inpatient and ambulatory clinical activities permitted the provider in the granting Medical treatment facility (MTF) after evaluation by the credentials function and approved by the Medical center commander. CONTRACTING OFFICER'S REPRESENTATIVE. Those actions taken by the Government to assure services meet the requirements of the contract. CREDENTIALS. Documents providing evidence of education, training, licensure, experience, board certification and expertise of a health care provider. CREDENTIALS COMMITTEE. The professional body set up to review credentials, make recommendations on clinical privileges for providers, and to promote quality control in professional practice. FULL TIME EQUIVALENT (FTE). Provider: 1.0 (One) FTE represents 1920 hours. All 1,920 hours are productive. The Government does not reimburse physicians as independent contractors for Federal Holidays and vacation/sick time. GOVERNMENT. The federal government of
QUALITY CONTROL (QC). Those actions taken by a Contractor to control the quality of output and to ensure that they conform to contract requirements and reasonable standards of dental care. VALID LICENSE. A grant of permission by an official agency of the
Primary Source Verification - The verification in writing or by documented telephone conversation from the original dental or nursing school, training or residency program, licensing or certifying boards, etc. The training and credentials claimed by a health care provider and used in the privileging process.
Appendix III HIPAA Privacy and Security Business Associate Contract Language (
BAA Contractor Access to DoD Systems The contractor shall contact the COR and COTRs after being awarded a contract if access to a DoD system is required. The contractor is responsible for submitting the SF85P and FD 258 for their respective contractor employees if the Contractor employees are required to gain access to a DoD system for performance of this contract. As such, contractor personnel shall undergo appropriate background investigation (Trustworthiness Determination for
Data Use Agreement (DUA) A Data Use Agreement (DUA) is currently used to request and control the disclosure, use, storage and/or destruction of MHS data that is owned and/or managed by TMA to ensure that applicable privacy and security requirements are followed. In addition, research requests for MHS data that include protected health information (PHI) must be reviewed for HIPAA compliance by the TMA Privacy Board. Under DoD 6025.18-R, "DoD Health Information Privacy Program,"
(c) Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with DoD 6025.18-R, DoD 8580.02-R, the HIPAA Privacy Rule or the HIPAA Security Rule. 7.0. ATTACHMENTS: Attachment 1. 42 MDG Credentialing Procedures
Link/URL: https://www.fbo.gov/spg/USAF/AETC/MaxAFBCS/F2X4A23211AG01/listing.html
Copyright: | (c) 2013 Federal Information & News Dispatch, Inc. |
Wordcount: | 16285 |
Combine Solicitation – WRP Preliminary Title Search for Bowie County, Texas
Advisor News
Annuity News
Health/Employee Benefits News
Life Insurance News