Exceptional Family Member Program (EFMP) Respite Care Services

Form / Attachment / Pricing Sheet

This document provides estimated workload data relevant to the opportunity.

• Average Number of Active Families Served (per month): 149
• Total Respite Care Hours Provided (per year): 22,000 hours
• Level 3 Respite Care Hours (per year): 9,000 hours
• Level 4 Respite Care Hours (per year): 13,000 hours
• Number of New Family Intakes (per year): 70

This data helps potential bidders understand the scale and nature of the services required for this opportunity, aiding in proposal development and resource planning.

Form / Attachment / Pricing Sheet

This document, titled "Attachment 0005 - Key Servicing Installation Locations," provides a list of various military installations, their corresponding states and counties, a DL WD Number, and an indicator for "High Cost Area." This information is likely intended to inform bidders about the geographical scope and potential cost considerations for an opportunity.

• List of Installations: A comprehensive list of Army installations across the United States.
• Location Data: Includes State, County, and a DL WD Number for each installation.
• High Cost Area Indicator: A 'YES' designation for installations located in high-cost areas, which may impact labor rates or other cost factors.

This attachment is crucial for bidders to understand the potential geographic distribution of work or services required for the opportunity. The "High Cost Area" designation may be particularly important for developing accurate pricing and understanding logistical challenges or requirements associated with specific locations.

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

To provide non-personal Exceptional Family Member Program (EFMP) Respite Care Services (RCS) to eligible military families, offering short-term relief to primary caregivers and supporting family readiness.

• Provide access to authorized respite care services for eligible family members across all Army components.

• Assist families in locating, selecting, and securing funding for services.

• Deliver one-on-one care through qualified and trained personnel.

• Services to be provided throughout the continental United States, Alaska, Puerto Rico, and Hawaii.

• Maintain proof of provider education and required certifications.

• Level III Providers: Assist with daily living activities (meal prep, bathing, feeding, toileting, lifting, positioning, dressing, safety).

• Level IV Providers: Perform Level III duties plus care for complex conditions (seizures, tube feedings, tracheotomy suctioning, home medical equipment monitoring).

• Quality Control: Contractor must maintain an effective quality control system and submit a written Quality Control Plan (QCP) within 30 days of award.

• Performance Standards: Detailed in Technical Exhibit A, including requirements for Program Management Availability, Personnel File Compliance, Pre-Service File Completion, Respite Care Delivery, Provider Matching, Reporting, and Invoicing.

• Acceptable Quality Levels (AQLs): Specific metrics are defined for each performance standard (e.g., 100% compliance for file completion, 98% of scheduled appointments completed successfully).

• Reporting: Weekly, monthly, quarterly, and annual reports are required, detailing service usage, trends, and statistical summaries.

• Invoicing: Monthly invoices due by the 15th of each month via Wide Area Workflow (WAWF), free of errors.

• Period of Performance: Not explicitly stated in this document excerpt, but includes a 30-day phase-in and 30-day phase-out period.

• Place of Performance: Services delivered at the family's residence, a government-operated Child and Youth Services (CYS) facility, or other COR-approved location within the continental United States, Alaska, Puerto Rico, and Hawaii.

• Personnel Qualifications: Specific education, experience, and certifications required for Management Personnel (Program Manager, Alternate Program Manager, Regional Coordinator) and Provider Personnel (Level 3 and Level 4).

• Background Checks: All contractor personnel require a Tier 1 Background Investigation, National Sex Offender Registry check, state/local child abuse registry checks, and a valid CPR Certificate (hands-on assessment required).

• Security: Compliance with installation access control, physical security, and AT Level I Awareness training is required. No formal security clearance is needed.

• Government Furnished Information (GFI): Access to approved service packets containing family and special needs information will be provided.

• Contractor Furnished: Contractor provides all personnel, equipment, supplies, facilities, transportation, tools, materials, and supervision.

• Service Contract Report (SCR): Contractor must report labor hours via the System for Award Management (SAM) annually.

• Applicable Publications: Contractor must comply with listed Army Regulations and DoD Instructions.

Form / Attachment / Pricing Sheet

This document, "Attachment 0007 - CLIN Structure W9124J26RRESP 05 JUNE2026.xlsx", provides a detailed breakdown of the CLIN (Contract Line Item Number) structure for the base year and four option years. It outlines the estimated quantities, units, pricing arrangements, and amounts for various services and supplies.

• Base Year: Includes line items for Program Manager, Regional Coordinator, Respite Care Provider (Levels 3 and 4, Standard and High Cost), Service Contract Reporting (SCR), Travel, and Phase-In. The total base year price is $50,000.00, primarily driven by the travel not-to-exceed amount.
• Option Years (1-4): Each option year mirrors the structure of the base year, with identical line items and estimated quantities. The total price for each option year is also $50,000.00, again largely due to the travel not-to-exceed.
• Pricing Arrangements: Most services are Firm Fixed Price with zero dollar amounts listed, except for Travel which is Cost (Not to Exceed) at $50,000 per year. Service Contract Reporting is listed as Not Separately Priced (NSP).
• Grand Total: The combined total for the base year and all four option years is $250,000.00.

This attachment is crucial for bidders to understand the proposed contract's financial structure and the estimated costs associated with each CLIN. It details the scope of services and the pricing basis, particularly highlighting the significant allocation for travel and the zero-dollar pricing for most labor categories, which may indicate these costs are incorporated elsewhere or are subject to specific contract terms not detailed here. Bidders should use this information to formulate their pricing proposals and assess the overall value of the opportunity.

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation for commercial services to procure non-personal Exceptional Family Member Program (EFMP) Respite Care Services for the U.S. Army Installation Management Command (IMCOM). The government intends to award a single-award, Firm-Fixed-Price (FFP) contract with a Cost-Reimbursable CLIN for travel.

• The contractor shall provide all personnel, management, and resources necessary to deliver EFMP Respite Care Services in accordance with the attached Performance Work Statement (PWS).

• Contract Type: Firm-Fixed-Price (FFP) with a Cost-Reimbursable CLIN for travel.

• Period of Performance: One-year base period with four (4) one-year option periods.

• Anticipated Award Date: July 17, 2026.

• Performance Start Date: Immediately upon award.

• Proposal Submission Deadline: July 1, 2026, at 12:00 PM CST. Submit electronically via email.

• Questions Deadline: June 15, 2026, at 12:00 PM CST. Submit in writing via email.

• Proposal Volumes:

  • Volume I: Scenario-Based Problem Solving & Technical (no price information).
  • Volume II: Past Performance (3-5 references).
  • Volume III: Price Proposal (using Attachment 0007 - CLIN Structure).
  • Volume IV: Solicitation Documents & Certifications.

• Evaluation Factors (in descending order of importance):

  1. Scenario-Based Problem Solving (Most Important)
  2. Technical
  3. Past Performance
  4. Price

• Source Selection Strategy: Best Value Tradeoff. Non-price factors combined are significantly more important than price. A rating of "Acceptable" or higher is required for Factors 1 and 2 to be considered for award.

• This acquisition is a 100% Small Business Set-Aside.

• NAICS Code: 624190 – Other Individual and Family Services (Small Business Size Standard: $16 Million).

• PSC Code: R499 – Support - Professional: Other.

• Offerors must be registered and active in SAM.gov at the time of proposal submission.

• This announcement constitutes the only solicitation; no separate written solicitation document will be issued.

• Key attachments include the PWS, Technical Exhibit C, Estimated Workload Data, Solicitation Provisions and Clauses, Key Servicing Installation Locations, Sample Respite Care Packet, and CLIN Structure.

Forms / Attachments / Pricing Sheets

This document is an "Installation EFM Document Checklist" that outlines the required documents for a submitted file related to the Exceptional Family Member Program (EFMP) Respite Care. It serves as a guide for bidders to ensure they have all necessary components for their submission.

• Garrison Commander's Letter (dated and signed)
• Respite Care Panel Report (dated, including family's civilian email if possible)
• DA FORM 5189 (Application – all fields completed)
• DA FORM 4700 (Signed and stamped by PCM)
• Family Needs Assessment
• Authorization For Transferring EFMP Respite Care Files (accompanies all documents transferred to GenRev)

This checklist is crucial for bidders to understand the specific documentation required to be included in their submission package for the EFMP Respite Care opportunity. Failure to include all listed documents may result in an incomplete or non-responsive bid.

Form / Attachment / Pricing Sheet

This document, "Attachment 0004: Provisions and Clauses," serves as an addendum to FAR 52.212-1, "Instructions to Offerors—Commercial Products and Commercial Services." It provides specific instructions for offerors responding to this acquisition.

• Proposal Submission: Offerors must submit proposals in four volumes: Volumes I, II, and IV in searchable PDF format, and Volume III in Microsoft Excel format with formulas intact.
• Proposal Copies: Two copies of Volume I (Technical Proposal) are required: one unredacted and one redacted. The redacted copy must remove all identifying information to ensure an unbiased technical evaluation.
• Volume I - Scenario-Based Problem Solving & Technical: This volume should not contain pricing information. It is divided into two parts:
  • Part 1 - Factor 1: Scenario-Based Problem Solving: Requires written responses (max 2 pages per scenario) to three hypothetical scenarios, detailing step-by-step processes for resolving issues and ensuring continuity of care.
  • Part 2 - Factor 2: Technical: Evaluates the offeror's approach to meeting PWS requirements, divided into three subfactors: Technical Approach, Phase-In Plan, and Key Personnel.
• Volume II - Past Performance: Requires a minimum of three and a maximum of five recent and relevant contract references.
• Volume III - Price Proposal: Must contain all pricing information, completed using Attachment 0007 - CLIN Structure.xlsx. A Not-to-Exceed (NTE) plug number of $50,000 is provided for the Travel CLIN.
• Basis for Award: Award will be made using a Best Value Tradeoff process, considering four factors in descending order of importance: Scenario-Based Problem Solving, Technical, Past Performance, and Price. Non-price factors are significantly more important than price. Factors 1 and 2 must receive at least an "Acceptable" rating to be considered for award.

This attachment is critical for bidders as it outlines the specific structure, content, and evaluation criteria for their proposals. It details how proposals will be assessed, emphasizing scenario-based problem-solving and technical approach. Understanding these requirements is essential for preparing a compliant and competitive bid.

Form / Attachment / Pricing Sheet

This document serves as a checklist for the "C-1 Packet Cover Sheet" and outlines the required forms, documents, and qualifications for potential Respite Care Providers. It details the necessary steps for application, background checks, and training.

• Core Application & Declaration: Includes forms for application, federal employment declaration, and basic criminal history.
• Supporting Personal & Work History Documents: Requires a resume/application detailing relevant experience, a residency history worksheet, and proof of citizenship/employment eligibility (e.g., Passport, Birth Certificate).
• Verifications & Screenings: Mandates consent for release of treatment information, a background check request, and verification from at least two professional references.
• Qualifications & Mandatory Training: Specifies requirements for proof of education/license (e.g., RN/LPN, CNA), CPR certification, and current training certificates for AT Level I, OPSEC, and iWATCH (within the last 12 months).

This checklist is critical for bidders to understand the complete set of documentation and qualifications needed to be considered for the Respite Care Provider opportunity. It guides the preparation of the "C-1 Packet" and ensures all requirements are met for submission.

Form / Attachment / Pricing Sheet

This document is the Installation Management Command (IMCOM) Background Check Request (BCR) Form, IMCOM FORM 30, dated May 2022. It is used for personnel in child services positions supporting Army programs and activities, requiring background checks as per Army Directive 2014-23 and DODI 1402.05.

• Applicant Information: Collects SSN, name, date/place of birth, contact details, and address.
• Request Type: Specifies the type of request (e.g., Initial) and personnel category (e.g., IHCP-Respite Care), functional area (ACS), and special focus program (ACS- EFMP RESPITE).
• Requesting Office Information: Details for the office submitting the request, including requester name, contact information, and the Directorate/Organization (DFMWR/ACS/EFMP).
• Transfer Section: To be completed if the request involves a transfer.
• Volunteers, Contractors, and Other Categories: Section for fingerprinting details.
• Centralized Contract: Section for contract companies submitting fingerprints.
• Family Child Care/Emergency Placement Care: Requires listing all household members aged 12 and up, including their Name, SSN, Birth Date, and Birth Place, for initial or re-verification.
• Remarks: Space for special requests or additional information.
• Signatures and Dates: Fields for the Functional Manager and CDE, along with submission and received dates.

This form is likely required for individuals or entities bidding on opportunities involving child services or positions requiring regular contact with children within Army programs supported by IMCOM. Bidders may need to ensure their personnel complete this form accurately as part of the pre-employment or onboarding process if awarded a contract. It outlines the specific information and documentation required for background checks.

Form / Attachment / Pricing Sheet

This document, DD Form 2981, is the "Basic Criminal History and Statement of Admission" for Department of Defense Child Care Services Programs. It is used for the initial certification and annual updates for prospective or current employees, volunteers, DoD contractors, Family Child Care (FCC) providers, and adults residing in FCC homes who will work with children.

• Collects personal information including name, date of birth, and date of hire.
• Requires disclosure of any past or current apprehensions, arrests, charges, or convictions for federal, state, or local law violations, including specific categories like child abuse/neglect, sex crimes, domestic violence, violent crime, and drug/alcohol offenses.
• Requires disclosure of awareness of current allegations or investigations related to child abuse/neglect or domestic violence, or involvement with the Family Advocacy Program for such incidents.
• Includes an authorization and release certification for obtaining criminal history records.
• Requires annual certifications for the most recent year.
• For applicants under 18, parental/legal guardian consent is required.

This form is a mandatory requirement for individuals seeking to work in or provide services within DoD Child Care Services Programs. Bidders whose personnel will be involved in these programs must ensure their staff complete and submit this form accurately as part of the suitability and fitness determination process for working with children.

Form / Attachment / Pricing Sheet

This document, "Declaration for Federal Employment*" (Optional Form 306), is used to assess an individual's fitness for federal employment or federal contract employment. It collects information to determine suitability and may be used in conjunction with other forms for security clearance investigations.

• Personal Information: Name, Social Security Number, place and date of birth, citizenship, other names used, and phone numbers.
• Selective Service Registration: For males born after December 31, 1959, to confirm registration status.
• Military Service: Details of any prior U.S. military service, including branch, dates, and type of discharge.
• Background Information: Questions regarding convictions, imprisonment, probation, parole, current charges, job terminations, and federal debt delinquencies.
• Additional Questions: Inquiries about relatives working for the government and receipt of retirement pay or pensions.
• Certifications: Applicant and appointee certifications regarding the truthfulness of the information provided, understanding that false statements can lead to non-hiring or firing, and consent to investigations.
• Appointee Specifics: Questions for individuals previously employed by the Federal Government regarding life insurance elections.

Potential bidders or individuals applying for federal positions or federal contracts will need to complete this form accurately. The information collected is used to determine eligibility and suitability for employment. Failure to provide truthful and complete information can result in disqualification from consideration.

Form / Attachment / Pricing Sheet

This document, DA Form 5018-R, is a "Client's Consent Statement for Release of Treatment Information." It is used to obtain voluntary consent from an individual for the release of their Army record information related to alcohol or other drug abuse education, training, treatment, rehabilitation, or research.

• Section A (Consent): Details the information to be released, the recipient (HQDA ASAP, Child/Youth Svcs Suitability Prog), and the purpose (completing a background check requirement in accordance with DoD Instruction 1402.05 and Army Directive 2014-23).
• Section B (Expiration/Revocation): Outlines conditions for consent expiration and revocation, including automatic expiration upon disclosure or after 60 days, and specific conditions related to confinement, probation, or parole.
• Section C (Approval Authority): Requires judgment from a MEDCEN/MEDDAC Commander or designated representative regarding the potential harm of releasing the client's status in an alcohol or other drug program.
• Signature blocks for the client, witness, and approving authority are included.

This form is likely an attachment to a solicitation or other opportunity document. Bidders may need to understand its purpose if they are involved in processes requiring background checks or the release of sensitive client information related to substance abuse programs. It indicates a requirement for handling protected health information and obtaining proper consent.

Form / Attachment / Pricing Sheet

This document is a checklist for requesting background checks (BCR) for various provider types within the Family Child Care (FCC) program, including FCC Substitute, Respite Care, and Emergency Placement Care (EPC) providers, as well as their family/household members. It outlines the required documentation for initial background checks and subsequent re-verifications.

• Provider Information: Fields for Provider's Name, Household Member Name, Garrison Name, and Functional Manager Name.
• Initial and Re-Verification Document Requirements: Lists required forms such as IMCOM Worksheet 30A, DA Form 5018-R, IMCOM Form 30, and DD Form 2981.
• Additional Document Requirements (Initial): Details specific documents needed for In-Home Care Providers (IHCP) and Family/Household Members, categorized by FCC/Substitute, Respite/EPC, and Family/Household members (FCC/EPC Only). This includes Position Description, Application or Resume, Reference Checks, OF-306, Residency History Worksheet, and Proof of Citizenship.
• IHCP Annual Re-verification & Family/Household 5-Year Re-verification: Outlines requirements for ongoing verification processes.
• Transfer Requirements: Specifies documents needed when transferring providers.
• Note on Re-verification Frequency: Emphasizes that re-verifications must occur annually and checks should not be older than 12 months, with submission required within 75 days of the previous date.

This checklist is crucial for any bidder involved in the FCC program. It clearly defines the specific forms and documentation required for background checks and re-verifications for all individuals associated with the care provision. Understanding these requirements is essential for ensuring compliance and timely processing of personnel, directly impacting the ability to operate within the program.

Form / Attachment / Pricing Sheet

This document is a "Residency History Worksheet" required for individuals seeking a T1 or higher clearance (with SCHR), OFI86C (SCHR), or INTERPOL. It is used to collect information about an individual's past residences and federal service history.

• Personal information: Name, Maiden/Former Name, Sex, Email Address, Place of Birth.
• Federal Service History: Questions regarding past or current federal employment and the last date worked.
• Residency History: A detailed listing of places lived, starting with the current address and going back 5 or 10 years, including dates, full street address, city, state, zip code, and country.
• Instructions specify not to use Post Office Boxes unless stationed overseas (use APO/FPO instead) and that TDY locations under 90 days can be omitted.

This worksheet is a required form for potential bidders to complete if they are individuals requiring a specific security clearance level. It is crucial for understanding the personal background investigation requirements associated with the opportunity.