SOLICITATION NOTICE
Q -- PEDIATRIC DENTIST - FAR provision 52.212-3
- Notice Date
- 10/9/2012
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 621210
— Offices of Dentists
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Billings Area Office, 2900 4th Avenue North, PO Box 36600, Billings, Montana, 59107
- ZIP Code
- 59107
- Solicitation Number
- RFP-244-13-0003-REL
- Archive Date
- 11/7/2012
- Point of Contact
- Rita E Langager, Phone: 406.247.7293
- E-Mail Address
-
rita.langager@ihs.gov
(rita.langager@ihs.gov)
- Small Business Set-Aside
- Total Small Business
- Description
- Federal Acquisition Regulation (FAR) 52.212-3, Offeror Representations and Certifications - Commercial Items (APR 2012) that must be completed and submitted with the offer. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. The procurement is being conducted pursuant to the authority of FAR Part 15, Contracting by Negotiation; FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994 (Public Law 103-355)); and FAR 37.104, Personal Services Contracts (Public Law 103-332, Department of the Interior and Related Agencies Appropriation Act, Title II, September 30, 1994, 108 Stat. 2530 as implemented by 25 U.S.C. 1638c). This announcement constitutes the only solicitation; therefore, a written solicitation will not be issued. The Billings Area Indian Health Service (IHS) intends to award a fixed-price commercial item contract in response to Request for Proposal (RFP) 244-13-0003-REL. The solicitation is restricted to 100% Small Business concerns. The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-61. The associated North American Industry Classification System code is 621210 and the small business size standard is $7.0 million. PRICE SCHEDULE - PEDIATRIC DENTIST: BASE YEAR: 100 DAYS @ $_______________ per day = $____________________; OPTION YEAR ONE: 100 days @ $_______________ per day = $____________________; OPTION YEAR TWO: 100 days @ $_______________ per day = $____________________; OPTION YEAR THREE: 100 days @ $_______________ per day = $____________________. GRAND TOTAL: $____________________. PERIOD OF PERFORMANCE: The performance of this contract shall be for 11 months from November 1, 2012, through September 30, 2013, with three 12-month options. INTRODUCTION AND PURPOSE OF THE CONTRACT: The purpose of this contract is to acquire comprehensive care for pediatric and handicapped patients at the Blackfeet Service Unit and schools located on the Blackfeet Indian Reservation, Browning, Montana. The contract will provide secondary care to adult patients as needed. WORK SCHEDULE: The work schedule will be coordinated with the Chief Dental Officer. The 100 days will be scheduled intermittently and will be performed during the week from 8:00 am to 4:30 pm. STATEMENT OF WORK: (1) Makes clinical and radiographic examinations of the oral hard and soft tissues, and a diagnosis of pathological or irregular conditions. (2) Maintains patient's record of treatment. Records oral conditions of teeth and surrounding. tissues, progress and therapy notes, appointments, and the number of patient treated and type of treatment administered. (3) Performs endodontic, prosthodontic, operative, and preventive orthodontic services to predominantly minor age children. Works with difficult patients due to behavior problems either in clinic setting or quiet rooms utilizing passive restraint systems, local anesthetic and nitrous oxide. Or, in operating room situations, utilizing more profound forms of anesthesia for the children too young to be treated in the clinic with major dental reconstruction needs. (4) Performs simple, compound, and complex restorations on both adult and minor patients, with over 50% being performed on minor patients. Complex restorations are those that include but not limited to: multiple multi-surface decayed teeth such as those seen in baby bottle caries which would require extensive endodontic procedures to retain and would need fall coverage with crowns, unerupted teeth, ankylosed teeth, and supernumerary teeth both in primary and adult dentition requiring extensive knowledge of eruption patterns as related to skeletal tooth relationship, and behavior problems associated with treating children who need the services mentioned above which would require restraint, through use of papoose board, or conscious sedation or IV sedation in a clinic or hospital environment. (5) Administers local anesthesia, nitrous oxide, and credentialed to deliver dental services in operating room situations when general anesthesia is administered by a credentialed nurse anesthetist or anesthesiologist. (6) Studies results of examination and determines types of services required and develops an acceptable treatment plan on both simple and complex cases, which would include the planning of guidance of unerupted teeth, supernumerary teeth, ankylosed teeth, baby bottle caries teeth, and the behavior management of minor children to accomplish their restoration through the use of behavior modification, papoose board, conscious sedation, or IV sedation either in a clinic or hospital environment. (7) Performs routine and complex tooth extractions and removal of residual root tips in both simple and complex situations. Complex extractions are those that involve supernumerary teeth, ankylosed teeth, teeth that have failed exfoliate and are blocking the guidance of adult teeth into position, and extensively decayed teeth requiring surgical extraction by flap placement and/or removal of bone next to developing adult teeth. (8) Performs root canal therapy and other pulpal therapy on the anterior and posterior teeth. (9) Treats diseases of salivary glands and their ducts by non-invasive means such as medication or invasive procedures requiring surgery and follow up treatment to ensure proper salivary function. (10) Performs dental care for patients with behavioral problems. These problems include baby bottle caries in children under 5 who require extensive endodontic procedures and crowns to retain their teeth but are unable due to behavior to do these procedures in a normal clinic or quiet room setting requiring a deeper level, of anesthesia such as conscious sedation or IV sedation. Other problems include other minor patients who due to lack of parental control would not otherwise allow a dentist to perform restorative procedures. These patients may be controlled through the use of premeditation, restraint devices, or other means deemed suitable and allowed under I.H.S. guidelines for minor patient treatment. (11) Informs the patient about good dental health practices. These may include, but are not limited to, information given to the parent in situations related to unerupted, ankylosed, or supernumerary and their relation to the adult dentition and its care. Informing the parent or guardian on avoiding traumatic injuries in sports, etc., which could result in the fracture or avulsion of primary or adult teeth. (12) Aids Dental Officers in their treatment planning and treatment of more complex dental problems with minor children. (13) Approaches each patient encounter with the perspective of a specialist in Pediatric Dentistry, in that they will not need to consult other specialists or dental health care givers to examine, diagnose treatment plan, and complete treatment on all minor children, except in the most extreme cases which involve other specialties of dentistry or medicine. (14) Working with the community hygienist and Health Promotion/Disease Prevention (HP/DP) assistant helps supervise preventive programs by helping in their conception, implementation and review both at the clinic and offsite; e.g., satellites, schools, fluoride application and sealant programs. (15) Serves as a clinical dental specialist in the area of Pediatric Dentistry for the Dental Service Unit with responsibilities for performing a variety of unusual and complex professional tasks without the benefit of close guidance. In this area the pediatric dentist shares supervisory control with the Chief Dental Officer in consideration of the best care that may be given to the minor child through the facilities that are available from I.H.S. (16) Serves as a specialty consultant to field dentists in the Browning region and the Billings Area. Helps coordinate area activities relative to the specialty of Pediatric Dentistry including, but not limited to, the examination of; diagnosis of, treatment planning of, and treatment of, or guidance of treatment by other dentists of the primary dentition of patients who have unerupted, supernumerary or ankylosed primary or adult teeth; the treatment of minor patients with extensive baby bottle caries requiring due to age of patient and behavior problems treatment using deeper levels of anesthesia; or other complex dental procedures requiring the knowledge of a Pediatric Dentist to ensure the proper development of the primary dentition and diseases of the primary dentition as it effects the adult dentition of developing minor patients. (17) Advises the National Clinical Pediatric Dental consultant and the Chief of the local dental program regarding policy development in the area of Pediatric Dentistry. Coordinates studies, surveys and other research in the area of Pediatric Dentistry for the area/region. Independently establishes criteria, formulates approaches and evaluates service provision. Proper judgment is required to prevent delays in status of individuals and the population served and reduces wasted efforts and resources. Provides dental services of a scope, quality and quantity consistent with PHS and IHS policies. KNOWLEDGE REQUIRED BY THE POSITION: (1) Requires a Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree and a current state license to practice dentistry. (2) Extensive professional knowledge of dentistry sufficient to perform work in a specialized area. (3) Professional knowledge of principles, practices and theories of dentistry sufficient to treat and diagnose very difficult cases with very little or no guidance or consultation. (4) Extensive knowledge and skill sufficient to diagnose and treat very difficult cases that include handling patients with special behavior problems and dealing with out of the ordinary patient-management problems. (5) Ability to communicate orally. (6) Skill in diagnosis and treatment planning. (7) Knowledge of dental/surgical instruments and materials. (8) Ability to teach oral health education. (9) Skill to develop, execute and evaluate a preventive dentistry program. (10) The contractor may be required to provide on-call emergency dental treatment during non-duty work hours on a scheduled rotating basis. SUPERVISION: Works under the general supervision of the Chief Dental Officer. Contractor works with very little or no guidance or consultation. Occasionally consultation with an expert (e.g., board certified oral surgeon or prosthodontist) is sought only in exceptionally difficult cases. Work is reviewed for overall efficiency and effectiveness. SUPERVISOR: Gary Pannabecker, DDS. GUIDELINES: Guidelines are in the form of Indian Health Service and installation/dental activity policies, which provide parameters of standards and policy guidance, as well as professional publications, which define professional performance standards. Contractor works within broadly stated professional standards that are non-specific as to action to be taken in individual cases. COMPLEXITY: Assignments involve diagnosis and treatment for the full range of dental cases or pediatric dentistry for a preponderance if time. Work involves diagnosis and treatment of very difficult cases and dealing with both patient-behavior and patient-management problems. SCOPE AND EFFECT: The purpose of the work is to diagnose and treat the full range of very difficult dental problems in pediatric dentistry and manages patients with special behavior problems and deal with patient-management problems. The work affects the health and well-being of the population served. PERSONAL CONTACTS: Personal contacts are with patients and other professional, technical, and staff personnel of the installation/dental activity/medical treatment facility. PURPOSE OF CONTACTS: Contacts with patients are to provide diagnosis and treatment of difficult problems, relieve fears, develop realistic goals, and teach health maintenance techniques. Contacts with other professional personnel are to exchange information. Contacts with family members and significant others are to provide information on patient's condition and provide emotional support. PHYSICAL DEMANDS: The assignment requires some physical exertion such as long periods of standing, stooping and bending. It also requires above average agility and dexterity. WORK ENVIRONMENT: Work involves regular and recurring exposure to potential hazards of communicable diseases. Employee is required to wear personal protective equipment and follow appropriate protective measures. Work is performed in a Dental Clinic and hospital setting and off site locations on the Blackfeet Reservation including public schools, private schools, Headstart and Early Start Centers. AGES OF PATIENTS TO WHOM SERVICES ARE PROVIDED: Care is primarily provided to child patients ages 0-18 but is provided also to adult and geriatric patients; i.e., patients of all ages. FEDERAL TORT CLAIMS ACT COVERAGE: The Federal Tort Claims Act coverage for medical related claims is extended to the individual providing pediatric dental services. However, the services must have been performed within the scope of the personal services contract. SPECIAL CONTRACT REQUIREMENTS: Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation, therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. The Privacy Act of 1974 mandates that the Contractor maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention or knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse action. All IHS regulations and policies applicable to these Acts shall be enforced. The Contractor shall comply with IHS facility infection control and safety procedures, practices, and standards. GOVERNMENT FURNISHED PROPERTY: The Department will provide orientation to the Contractor as to their specific duties and responsibilities. The Department will provide the Contractor with standard and specialized equipment and supplies needed for the performance and delivery of services including the use of a computer. The Department is responsible for getting the Contractor access and clearances to all pertinent computer services necessary to carry out his/her duties. The Department must provide the Contractor with direction and proper workloads, which are appropriate with the normal day-to-day operations in the Department. COMPUTER SECURITY: Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including contractors, volunteers, students, and summer externs. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, "Personal Identity Verification of Federal Employees and Contractors," and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel. Access/clearance to all pertinent computer systems, including completing a Business Partner Interconnection Security Agreement (BPISA), should be coordinated with the Site Manager. CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer. CONTRACTING OFFICER'S REPRESENTATIVE (COR): The COR shall be responsible for: (1) Monitoring the Contractor's technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract. INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoice to the Chief Dental Officer at the Blackfeet Service Unit, PHS Indian Hospital, P.O. Box 760, Browning, Montana 59417. The Contractor agrees to include the following information on each invoice: (1) Contractor's name, address and telephone number; (2) Contract Number; (3) Invoice number and date; (4) Cost or price; (5) Dates of Service including the number of days worked; and (6) Remit to address. Payment shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107. REPORTING REQUIREMENTS: The Contractor shall provide the Contracting Officer with evidence that payment of employment taxes have been made 15 days after each quarter. PRO-CHILDREN ACT OF 1994: The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where federally funded children's services are provided. CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI). A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, require the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The Service Unit will conduct the character and background investigations. Fingerprints must also be taken as part of the pre-employment process and must be completed before the pediatric dentist is allowed to work. The fingerprints can also be done at the Service Unit. PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1 Instructions to Offerors Commercial Items; and 52.212-3 Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2 EVALUATION - COMMERCIAL ITEMS (JAN 1999): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: (1) UNRESTRICTED STATE LICENSE (Offerors must submit current unrestricted State license) = 15 POINTS; (2) DENTAL RESIDENCY (Offerors must submit evidence for completion of pediatric dental residency) = 20 POINTS; (3) GENERAL ANESTHESIA EXPERIENCE (Offerors must submit experience with treating children in operating room under general anesthesia) = 20 POINTS; (4) RESUME OR CURRICULUM VITAE (Offerors must submit copy of resume or curriculum vitae) = 15 POINTS; and (5) PAST PERFORMANCE INFORMATION = 30 POINTS. The offeror must demonstrate its record of successful performance in past contracts and/or jobs, Government and/or commercial. Each offeror will be evaluated on its performance under existing and prior contracts/jobs. The offeror must list at least three contracts/jobs and include the following information. (1) Name of Government agency/Company; (2) Contract number, if applicable; (3) Dates of Service/Employment; (4) Total contract value/Hourly wage; (5) Description of contract work/Job duties; (6) Contracting Officer/Company Manager and telephone number; (7) Program Manager and telephone number, if applicable. Technical and past performance, when combined, are considered approximately equal to cost or price. (b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.204-7, 52.204-9, 52.212-4, 52.212-5, 52.215-5, 52.217-8, 52.217-9, 52.223-5, 52.223-6, 52.224-1, 52.224-2, 52.225-25, 52.227-14, 52.227-17, 52.228-5, 52.229-3, 52.232-3, 52.232-18, 52.237-2, 52.237-3, 52.242-15, 52.242-17, 52.245-1, 52.249-12, 352.201-70, 352.202-1, 352.203-70, 352.215-1, 352.215-70, 352.222-70, 352.223-70, 352.224-70, 352.227-70, 352.231-71, 352.237-70, 352.237-71, 352.237-72, 352.239-72, 352.239-73, 352.242-71, 352.242-72, 352.242-73, 352.270-2 and 352.270-3. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.204-10, 52.209-6, 52.209-10, 52.219-6, 52.219-8, 52.219-28, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-40, 52.222-54, 52.223-18, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at https://www.acquisition.gov/ and http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=3524d214210697effd2fd5c77848a806&rgn=div5&view=text&node=48:4.0.1.8.33&idno=48. PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer. Contractors intending to conduct business with the Federal Government must register with the System for Award Management (SAM). SAM replaces the Department of Defense's Central Contractor Registration (CCR) database. SAM is now the primary Government repository, which retains information on Government contractors. You may register via the Internet at www.sam.gov. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 304, Billings, Montana 59101, no later than 2:00 p.m., on October 23, 2012. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your company's name and address. Offers will also be accepted by e-mail at Rita.Langager@ihs.gov or by fax at (406) 247-7108. ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.
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