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Extending Option Periods for healthcare services on behalf of NHCCC, NHJ and NHP

General Information

Document Type:PRESOL
Posted Date:Aug 23, 2017
Category: Medical Services
Set Aside:N/A

Contracting Office Address

Department of the Navy, Bureau of Medicine and Surgery, Naval Medical Logistics Command, 693 Neiman Street, FT Detrick, Maryland, 21702-9203, United States

Description

JUSTIFICATION FOR AN EXCEPTION TO FAIR OPPORTUNITY 1. Identify the agency and contracting activity. This justification is executed by the Naval Medical Logistics Command, Fort Detrick, Maryland on behalf of Naval Health Clinic Corpus Christi, TX (NHCCC), Naval Hospital Jacksonville (NHJ) and Naval Hospital Pensacola (NHP) hereafter referred to as the medical treatment facility (MTF). 2. Nature/description of the action/contract type. TIST Corporation, Inc (TIST) under current contract N62645-14-D-5027 is providing firm fixed priced task orders for Nursing medical services in support of the identified MTFs. 3. Description of supplies/services. TIST is currently providing Licensed Practical Nurse (2 Individuals) services in support of NHP under current task order N62645-14-D-5027-0001 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse (1 Individual) services in support of NHJ under current task order N62645-14-D-5027-0002 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse (1 Individual) services in support of NHJ under current task order N62645-14-D-5027-0003 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse (3 Individuals) services in support of NHP under current task order N62645-14-D-5027-0004 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Certified Registered Nurse Anesthetist (1 Individual) services in support of NHP under current task order N62645-14-D-5027-0005 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse (1 Individual) services in support of NHP under current task order N62645-14-D-5027-0006 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse Case Manager (1 Individual) services in support of NHP under current task order N62645-14-D-5027-0007 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse Case Manager (1 Individual) services in support of NHP under current task order N62645-14-D-5027-0008 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse Case Manager (1 Individual) services in support of NHP under current task order N62645-14-D-5027-0009 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Family Nurse Practitioner (1 Individual) services in support of NHCCC under current task order N62645-14-D-5027-0010 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Licensed Vocational Nurse (1 Individual) services in support of NHCCC under current task order N62645-14-D-5027-0011 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse Case Manager (3 Individuals) services in support of NHCCC under current task order N62645-14-D-5027-0012 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse (1 Individual) services in support of NHCCC under current task order N62645-14-D-5027-0013 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse (1 Individual) and Licensed Practical Nurse (1 Individual) services in support of NHCCC under current task order N62645-14-D-5027-0014 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse (2 Individuals) services in support of NHCCC under current task order N62645-14-D-5027-0015 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Licensed Practical Nurse/Licensed Vocational Nurse (1 Individual) services in support of NHCCC under current task order N62645-14-D-5027-0016 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Certified Registered Nurse Anesthetist (1 Individual) services in support of NHJ under current task order N62645-14-D-5027-0018 with a current period of performance of 15 December 2016-30 September 2017. TIST is currently providing Registered Nurse (2 Individuals) services in support of NHJ under current task order N62645-14-D-5027-0019 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse (1 Individual) services in support of NHP under current task order N62645-14-D-5027-0020 with a current period of performance of 01 October 2016-30 September 2017. TIST is currently providing Registered Nurse (1 Individual) Registered Nurse Case Manager (1 Individual) and Licensed Practical Nurse (1 Individual) services in support of NHJ under current task order N62645-14-D-5027-0021 with a current period of performance of 01 September 2016-31 August 2017 and an option period of 01 September 2017-30 September 2017. The government intends to execute a bilateral modification to the aforementioned task orders by adding option periods to allow for the healthcare services to continue at the Medical Treatment Facilities while the successor contracts are being awarded to align with the base contract ordering period extension. A modification will be completed to add these options at the task order level in lieu of creating separate task order proposal requests (TOPRs). In addition to the inclusion of these options at the task order level, FAR clause 52.217-9 is currently included in the task orders. Further, the added option period will be exercised under the aforementioned task orders. This modification will be executed bilaterally utilizing the changes clause under FAR 52.243-1 (Alt. 1). The estimated value of adding options for the aforementioned services is $3,350,957.54. 4. Identification of the exception to fair opportunity. Furthermore, FAR 16.505(B)(2)(i)(C) states that, "The order must be issued on a sole-source basis in the interest of economy and efficiency because it is a logical follow-on to an order already issued under the contract, provided that all awardees were given a fair opportunity to be considered for the original order." Options are being added to the aforementioned task orders instead of issuing TOPRs due to the administrative ease of adding options. This requirement was originally competed in accordance with the applicable contract ordering procedures. Due to the nature of the acquisition for services currently being performed by the contractor under this MATO, it is in the best interest of the Government to negotiate option periods allowing for the most effective use of resources. Recompeting the services currently being filled would result in substantial duplication of cost to the Government that is not expected to be recovered through competition. Such costs include the time of technical and contracting personnel to review and evaluate the requirement, proposal and task order; as well as the costs associated with re-credentialing if a new contractor is chosen. No other vendors under this MATO will be disadvantaged as these services were originally competed with the applicable contract ordering procedures. The option periods will be added to the aforementioned task orders based on there being no change in scope to the current requirement and no changes to the Statement of Work. 5. Determination by the ordering activity Contracting Officer that the anticipated cost to the Government will be fair and reasonable. In order to determine whether the contractors proposed price is fair and reasonable for the additional option periods, the Contract Specialist and Contracting Officer will review the proposed price against current market research information available. If the contractors proposed price appears to be questionable for reasonableness, a justification from the contractor will be required in order to determine whether the proposed price is fair and reasonable. The Contracting Officer will determine the price to be fair and reasonable before adding the additional option periods. 6. Any other facts supporting the justification. This contractor is successfully providing services and has already worked through recruitment costs and has established a system for tracking and providing staff that works well at the requiring MTF. Changing contractors could require a complete change in current staff, adding the costs associated with reviewing new credentialing packages and conducting orientation (during which time no services are provided). 7. Statement of actions to remove or overcome barriers that led to the exception to fair opportunity. At this time there are no actions being taken to remove or overcome barriers leading to the exception to fair opportunity under this contract. The current contractor is successfully providing services under this contract. If the contractor does not continue to perform successful services under this contract, then it is possible that these services would be recompeted to all contractors under this MATO through a future competitive task order proposal request (TOPR) to allow contractors to propose pricing and competitively be awarded a task order.

Original Point of Contact

POC Yun P. Hong, Phone: 3016194162CNT N62645-14-D-5027DTD 082317

Place of Performance

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