SOLICITATION NOTICE
Q -- Mobile Dental Services for Army National Guard soldiers
- Notice Date
- 12/3/2009
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 621210
— Offices of Dentists
- Contracting Office
- USPFO for Montana, P.O. Box 4789, Helena, MT 59604-4789
- ZIP Code
- 59604-4789
- Solicitation Number
- W9124V10T4006
- Response Due
- 12/15/2009
- Archive Date
- 2/13/2010
- Point of Contact
- Brad Willcockson, 4063243407
- E-Mail Address
-
USPFO for Montana
(brad.willcockson@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; proposals are being requested and a written solicitation will not be issued. Montana Army National Guard W9124V-10-T-4006 Request For Quote for Dental Services January 2010 This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in the Federal Acquisition Regulations (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. The NAICS code is 621210 and size standard is less than $7.0 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 1. DESCRIPTION OF SERVICES. The contractor shall provide all management, labor, material, equipment, certifications and supplies necessary to provide dental services at Fort Harrison, MT, Troop Medical Clinic, Bldg, 1009, for the Montana Army National Guard (MTARNG). These services will provide dental treatment and follow-up radiographic studies, and data entry of all records/radiographs 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. 1.1. 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 in Appendix E. 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 14 days of exposure. C) Post treatment data entry into DENCLASS. The contractor shall provide electronic documentation (to include radiographs) in DENCLASS (within 14 days 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. 2.1. 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. 2.2. 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. 2.3. 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. 2.4. 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.. 2.5. PARTNERING AGREEMENT. Project Officer is COL Patricia L. Wood, Deputy State Surgeon, Montana Army National Guard. Please do not contact COL Wood prior to award of a contract see below. 2.6. 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. 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. 4. APPENDICES. A. Requested Services B. Dental Classification C. SF 603A and DA Form 5570 (Dental Classification Module Version) D. Government Furnished Property/Services/Equipment E. Authorized Dental Treatment 2. Source Selection Criteria In accordance with DFAR 52.212-2, Evaluation of Commercial Items (January 1999), the Government will award a contract, resulting from this solicitation, to the vendor whose responsive offer to the solicitation represents the best value to the Government. The best value determination will be made by evaluating the contractors offer in the three areas of Price, Technical Evaluation Factors, and Past Performance. The Technical Evaluation Factors are: (a). The contractors ability to meet technical requirements in the PWS. (b). The contractors ability to properly treat the required number of patients. (c). The contractors ability to provide proper equipment and technically qualified staff. The Past Performance Evaluation Factors are: (a). The contractors experience providing similar dental health care services. (b). The contractors experience with military personnel. Of the three evaluation factors listed above, the weighted scores for each category shall be: Price Evaluation Factor, 50%; Technical Evaluation Factors, 25%; Past Performance Evaluation Factors, 25%; Price is significantly more important than technical or past performance. Technical and Past Performance are equal in importance. 3. Additional Information Contracting Officers Representative (COR): The Contracting Officer shall appoint a CORs to assist in the administration of this contract and its associated Quality Assurance Surveillance Plan. The contractor will receive copies of these appointment letters at the beginning of the contract. Quality Assurance: The contractor shall adopt a quality assurance program that monitors all service activities to ensure contract compliance. The government will monitor the contractors performance in accordance with the Quality Assurance Surveillance Plan. Regulatory Compliance: The contractor shall ensure the requirements of Occupational Safety and Health Administration (OSHA), HIPPA, and other applicable Federal regulations are met. Security Requirements: All contract employees shall adhere to all local and National Guard security regulations and directives. Federal Funding: Funds are not presently available for this acquisition. No contract award will be made until appropriated funds are made available. 4. Submitting a Quote. Information to be submitted with the quotes must include: (a)A firm fixed price fee schedule for dental services to be provided (upon approval of the Deputy State Surgeon or her designees). (b)A firm fixed price quote for all travel associated expenses associated with the above work. (c)A firm fixed price for any equipment rental or set up fees, or other fixed or variable fees not included in the basic treatment costs or optional fee schedule treatments. (d)Information on past performance, including experience with military personnel, if any. (e)Information supporting technical approach, including type of equipment to be used and technical qualifications of staff. (f)The maximum number of typed pages which may be submitted as a quote is ten pages. Font may be no smaller than 12 point, margins no smaller that 1 inch, and paper size must be 8.5x11. (g)Quotes must be submitted electronically to: brad.willcockson@us.army.mil The maximum size of an electronic submission, including attachments, is 5.0 megabytes. (h)Quotes must be received no later than 1700 hours on 15 December 2009, Mountain Standard Time. (i)Questions may be directed by e-mail to MAJ Brad Willcockson at brad.willcockson@us.army.mil. (j)Communicating with individuals employed or affiliated with the Montana National Guard for purposes of obtaining additional information about this requirement, except for the above person, is prohibited. 5. Provisions and Clauses. 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 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 52.219-28 Post-Award Small Business Program Representation JUN 2007 52.222-21 Prohibition of Segregated Facilities FEB 1999 52.222-42 Equivalent Rates for Federal Hires 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 And Other Eligible Veterans SEP 2006 52.222-37 Employment Reports on Special Disabled Veterans, 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 52.252-6 Clause Deviations 252.201-7000 Contracting Officers Representative AUG 1992 252.203-7000 Requirements Relating to Compensation of Former DoD Officials 252.203-7002 Whistleblower Rights 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 252.212-7001 (Dev) Contract Terms and Conditions Required to Implement Statutes or Executive Orders Applicable to Defense Acquisitions of Commercial Items (Deviation) MAR 2008 252.223-7006 Hazardous Material Storage and Disposal 252.225-7001 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 The provisions of DFAR 52.212-3 Alt I, Offeror Representations and Certifications-Commercial Items (April 2002) apply to this RFQ. The provisions of DFAR 52.212-3 Alt I clause need to be completed and a signed copy of this provision submitted with any offer. More information, including complete versions of the above provisions and clauses, is available at: http://farsite.hill.af.mil. Quality Assurance Surveillance Plan This Quality Assurance Surveillance Plan (QASP) has been developed by the Project Officer, COL Patricia L. Wood, Deputy State Surgeon, Fort Harrison, MT for this Dental Services Contract. This contract will be administered through the State Surgeons Office at Fort Harrison Montana, to provide dental health care services to potentially deploying members of the Montana Army National Guard The Customer Point of Contact (POC) will monitor contractor performance and complete the Quality Assurance Worksheet provided below on a daily basis from 22-25 January 2010 and at the conclusion of the event. The Quality Assurance Worksheet will be submitted directly to the Contracting Officer at the conclusion of the services. The Contracting Officer will assume a quality performance rating of Green on all measured deliverables unless otherwise notified. The quality rating may change from Green to Red without notice. We anticipate the POC utilizing the Yellow quality rating to alert the contracting office of quality issues that have the potential for a Red quality rating if corrective action is not taken. At the end of the task order period of performance the POC will be asked to complete a Quality Performance Review to document the quality performance rating during the performance period. This will be submitted to the Contracting Officer. The POC may submit a Quality Assurance Worksheet at anytime and as often as necessary to document quality levels. If Contractor response to an identified quality deficiency is unsatisfactory, the Contracting Officer will contact the appropriate Contractor representative to implement a plan of action to remedy the identified deficiency. The POC referred to in this QAP is COL Patty Wood, Deputy State Surgeon, patricia.l.wood@us.army.mil. The Contracting Officer referred to in this QAP is MAJ Brad Willcockson@us.army.mil, 406-324-3407. RatingDescription GreenYes performance and technical specifications are being met at AQL. YellowYes, performance and technical specifications are currently being met at the minimum AQL, but the following service / deliverable needs contractor attention. The Customer must identify what component of the deliverable and/or service requires attention. RedNo, performance and technical specifications are not being met at AQL and the following service / deliverable needs immediate contractor resolution. The Customer must identify what component of the deliverable and/or service is below the minimum AQL. QUALITY ASSURANCE PLAN WORKSHEET Performance Rating Deliverable/ServiceQuality RatingCausative FactorsEffect on MissionAction Required / Date Class 3A and class 3B dental treatment for Soldiers (as identified by the MTARNG Dental Officers). These services will be completed by using contractor provided portable/mobile dental equipment. GreenComments Unnecessary for Green QA Rating. Yellow Red Post treatment radiologic studies (panoramic). Radiographs should be of diagnostic quality, properly identified and dated. All radiographs provided under this contract will be digital and transferred to the DENCLASS module within 14 days of exposure. GreenComments Unnecessary for Green QA Rating. Yellow Red Post treatment data entry into DENCLASS. The contractor shall provide electronic documentation (to include radiographs) in DENCLASS (within 14 days of exam completion).GreenComments Unnecessary for Green QA Rating. Yellow Red 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. GreenComments Unnecessary for Green QA Rating. Yellow Red Contractor meets minimum requirements during designated operating days and hours as determined in 2.2.GreenComments Unnecessary for Green QA Rating. Yellow Red The objective of this Surveillance Plan is to evaluate provider compliance with contractor task summary requirements outlined in the Performance Work Statement. APPENDIX A Requested Services 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 1.1. 23-26 January 2010: Government will provide all equipment and facilities for dental examinations and pre-treatment radiographs. Contractor must process approximately 40-50 Soldiers for dental treatment and post-treatment radiographs from 23-26 January 2010, operating hours to be determined. Fixed Costs: Set up fees and other non-variable costs. Flexible Costs: Fee schedule for authorized treatments. Optional treatments will not exceed $1000.00 per Soldier without prior written approval from a MTARNG Dental Officer. Vendor is required to track flexible costs to ensure it does not exceed $ 75,000.00 APPENDIX B Department of Defense Oral Health and Readiness Classification System The oral health status of uniformed personnel shall be classified as follows: a. Class 1 (Oral Health): Patients with a current dental examination, who do not require dental treatment or reevaluation. Class 1 patients are worldwide deployable. b. Class 2: Patients with a current dental examination, which require non-urgent dental treatment or reevaluation for oral conditions, which are unlikely to result in dental emergencies within 12 months. Class 2 patients are worldwide deployable. Patients in dental class 2 may exhibit the following: (1) Treatment or follow-up indicated for dental caries or minor defective restorations that can be maintained by the patient. (2) Interim restorations or prosthesis that can be maintained for a 12 month period. This includes teeth that have been restored with permanent restorative materials for which protective cuspal coverage is indicated. (3) Edentulous areas requiring prostheses but not on an immediate basis. (4) Periodotium that: (a) Requires oral prophylaxis (b) Requires maintenance therapy (c) Requires treatment for slight to moderate periodontitis and stable cases of more advanced periodontitis (5) Unerupted partially erupted or malposed teeth that are without historical, clinical or radiographic signs or symptoms of pathosis, but which are recommended for prophylactic removal. (6) Active orthodontic treatment. The provider should consider placing the patient in passive appliances for deployment up to six months. For longer periods of deployment, the provider should consider removing active appliances and placing the patient in passive retention. (7) Temporomandibular disorder patients in remission. The provider anticipates the patient can perform duties while deployed without ongoing care and any medications or appliances required for maintenance will not interfere with duties. c. Class 3: Patients who require urgent or emergent dental treatment. Class 3 patients normally are not considered to be worldwide deployable. (1) Treatment or follow-up indicated for dental caries, symptomatic tooth fracture or defective restorations that cannot be maintained by the patient. (2) Interim restorations or prostheses that cannot be maintained for a 12 month period. (3) Patients requiring treatment for the following periodontal conditions that may result in dental emergencies within the next 12 months. (a) Edentulous areas or teeth requiring immediate prosthodontic treatment for adequate mastication or communication or acceptable esthetics. (b) Active progressive moderate or advanced periodontitis. (c) Periodontontal abscess (d) Progressive mucogingival condition (e) Periodontal manifestations of systemic disease or hormonal disturbances (f) Heavy subgingival calculus (4) Edentulous areas or teeth requiring immediate prosthodontic treatment for adequate mastication or communication or acceptable esthetics. (5) Unerupted, partially erupted or malposed teeth with historical, clinical or radiographic signs or symptoms of pathosis that are recommended for removal. (6) Chronic oral infections or other pathologic lesions including: (a) Pulpal, periapical or resorptive pathology requiring treatment. (b) Lesions requiring biopsy or awaiting biopsy report. (7) Emergency situations requiring therapy to relieve pain, treat trauma, treat acute oral infections or provide timely follow-up care (e.g., drain or suture removal0 until resolved. (8) Acute Temporomandibular disorders requiring active treatment that may interfere with duties. d. Class 4. Patients who require periodic dental examinations or patients with unknown dental classifications. Class 4 patients normally are not considered to be worldwide deployable. APPENDIX C APPENDIX D GOVERNMENT FURNISHED PROPERTY/SERVICES/EQUIPMENT 1. General. The Government will provide the following resources: 2. Facilities, Supplies, and Services. Space for set-up of a dental exam, radiology and administrative area and utilities. 3. 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 SOW. 4. The User Agency will provide initial familiarization/orientation. Standard Operational Procedures will be available to the contractor at the place of performance. APPENDIX E 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 Deputy State Surgeon.
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- Place of Performance
- Address: USPFO for Montana P.O. Box 4789, Helena MT
- Zip Code: 59604-4789
- Zip Code: 59604-4789
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