BPA Master Agreement: Medical Surveillance Exams

Statement of Work (SOW) / Performance Work Statement (PWS)

To provide job-related Medical Surveillance Examinations and Occupational Health Services to dual-status technicians of the Michigan Army National Guard (MIARNG) and temporary personnel who are or could potentially be exposed to health hazards in the work environment. This includes personnel assigned to positions requiring specific physical fitness standards.

• Provide all necessary personnel, equipment, tools, materials, and supervision for Medical Surveillance Services.

• Conduct medical surveillance examinations and occupational health services.

• Services include, but are not limited to:

  • Medical Surveillance Examinations
  • Job Functional Analysis or Kraus-Weber tests
  • Audiograms (for personnel exposed to occupational noise > 85 dBA or 140 dBA impact noise)
  • Pulmonary Function Tests (PFTs) (for employees exposed to respiratory hazards)
  • Quantitative fit testing for respirators
  • Vision screenings
  • Laboratory tests (Blood Chemistries, Liver Function)
  • Dermatological examinations
  • Chest X-rays (for asbestos-exposed employees)
  • Infectious waste disposal
  • Medical reports and recordkeeping

• Contractor performance will be evaluated in accordance with the Quality Assurance Surveillance Plan (QASP).

• Key performance areas include:

  • Timely provision of qualified personnel with maintained insurance and licenses.
  • Equipment certification.
  • Timely and compliant medical surveillance, infectious waste disposal, and medical reporting.

• Acceptable Quality Levels (AQLs) are defined for each performance area.

• Period of Performance: Five years.

• Place of Performance: Contractor's site.

• Contractor must provide Board Certified Occupational Health Physician(s).

• Services must comply with applicable OSHA, NIOSH, and other relevant standards.

• Contractor must maintain medical liability insurance.

• Contractor must ensure subcontractors comply with indemnification and medical liability insurance requirements.

• Contractor must adhere to a zero-tolerance policy regarding trafficking in persons.

• Contractor travel is not authorized.

• Government-furnished property, material, equipment, and services will not be provided.

• Contractor must identify all medical records with employee's full name, social security number, date of birth, job code, and workplace.

• Contractor must ensure employees sign the Privacy Act Statement (DD Form 2005).

• Scheduling of examinations will be a joint effort between the Occupational Health Manager and the Contractor.

• Estimated workload: 840 personnel to be examined (subject to increase or decrease).

Form / Attachment / Pricing Sheet

This document is a pricing sheet for Medical Surveillance Services related to solicitation W912JB26QA030. Bidders are instructed to fill in the current price per exam and test. Pricing must be valid for 60 days and should be as low as or lower than prices charged to the bidder's most favored customers, including any discounts for prompt payment.

• Physical Exam: Performed per Michigan Army National Guard specifications.
• OSHA Respirator Questionnaire Review and Determination
• Audiogram by Certified Hearing Conservationist Physician
• Vision: Titmus Test and Amisier Grid
• Fecal Occult Blood (for patients over 40 yrs)
• Chest Xray (PA/LAT VIEWS)
• Pulmonary Function Testing (Spirometry) performed by licensed physician - 3 Trials
• Quantitative Fit Testing - Army National Guard to supply mask
• Laboratory Testing including:
  • Urine Specific Gravity (Microscopic Urine)
  • Heavy Metals (Blood & Urine) - Cadmium, Arsenic, Mercury, Lead
  • Comprehensive Panel
  • Lipid Profile
  • CBC with Differential
  • Beta 2 Microglobulin
  • Liver Panel (Alk PO4, SGOT, SGPT and GGTP)
  • Benzene (Blood)
  • Lead/ZPP
• Fields for "Prices effective until:", "Quote submitted by:", "Name & Title:", "Date", and Company Information (Name, Address, Phone, Point of Contact, CAGE, UEI, Tax Identification No.) are provided for completion.

This document is critical for bidders to understand the specific medical surveillance services required and to provide their pricing. Accurate and competitive pricing in this sheet is essential for proposal preparation and evaluation.

Form / Attachment / Pricing Sheet

This document, "Attachment C - Solicitation Clauses," lists the standard clauses that will be incorporated into the award of the contract. It serves as a reference for potential bidders to understand the legal and regulatory requirements that will govern the contract.

• Incorporated by Reference: A comprehensive list of Federal Acquisition Regulation (FAR) and Defense Federal Acquisition Regulation Supplement (DFARS) clauses that apply to the solicitation. These clauses cover a wide range of topics including:
  • System for Award Management (SAM) registration
  • Contractor personnel requirements
  • Safeguarding of covered contractor information systems
  • Contract terms and conditions for commercial items
  • Labor standards (e.g., Service Contract Labor Standards, Child Labor)
  • Representations and certifications
  • Payment instructions (e.g., Electronic Submission of Payment Requests and Receiving Reports via WAWF)
  • Buy American Act and Trade Agreements
  • Prohibition on contracting with entities engaging in certain activities relating to Iran and Sudan
• In Full Text: Specific provisions that are included in their entirety within this document, such as "Instructions to Offerors -- Commercial Items" (FAR 52.212-1) and "Evaluation -- Commercial Items" (FAR 52.212-2).

Bidders must review these clauses to understand their contractual obligations and to ensure their proposals comply with all applicable regulations. Key areas of focus include:

• SAM Registration: Ensure your entity is registered in SAM.
• Representations and Certifications: Be prepared to complete all required representations and certifications, many of which are detailed in FAR 52.212-3.
• Payment Procedures: Understand the requirements for submitting payment requests and receiving reports through the Wide Area WorkFlow (WAWF) system.
• Buy American/Trade Agreements: Be aware of any restrictions or requirements related to the origin of goods.
• Compliance: Ensure your company's practices align with all listed clauses, particularly those related to labor, data security, and ethical conduct.