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. Solicitation number W7795180450001 is issued as a Request for Quote (RFQ). This request for Quote is due by 3 March 2008, 12:00pm (local time). The RFQ will result in a firm fixed price contract. This solicitation is 100% set aside for small business. The North American Industry Classification System (NAICS) code for this acquisition is 621210. The United States Property and Fiscal Office of the Washington Army National Guard is solici ting quotes to procure the following supply or services: CLIN 0001: Dental treatment services for the Washington Army National Guard for the sites listed in the Statement Of Work. Complete the attached price list for each treatment. Billing will be made p er soldier listing each treatment. Award will be made to the contractor with the overall low price.
STATEMENT OF WORK
1. Need OSHA compliant mobile dental treatment services at the following loc ation on 8-9 March 2008 with the following estimated number of soldiers to be seen: 75
Yakima Training center
Bldg 951, 1211 Firing Center Rd
Yakima, WA 98901
POC : SFC Barney, (509) 532-2756
2. Need OSHA compliant mobile dental treatment services at the following location on 22-23 March 2008 with the following estimated number of soldiers to be seen: 40
Centralia Armory
309 Byrd ST
Centralia, WA
POC: SFC Mewhirter (360) 704-6704
3. Services are to include dental treatment to bring soldiers to a class 2 dental standard i n preparation for mobilization to Iraq. Vendor must provide an Oral Surgeon for both events.
The definitions of Class 1, Class 2, Class 3 and Class 4 can be found at the end of this SOW.
4. Dentists must accept the Form 603 (written report from the last dental exam), however, they are allowed a brief exam to confirm what they see in the mouth with what is on the Form 603. If the x-rays are in the dental record the soldier brings with him/her to the appointment, those x-rays are to be used. Howe ver, the treating dentist will be authorized to take additional periapical x-rays if the information on the 4 bitewings is not sufficient for planning treatment. Panographic x-rays must be approved in advance by the Contracting Officers Representative (C OR).
a. The following dental procedures will only be authorized for restorative services:
D2140 Amalgam One Surface
D2150 Amalgam Two Surfaces
D2160 Amalgam Three Surfaces
D2330 Composite One Surface
D2331 Composite Two Surfaces
D 2332 Composite Three Surfaces
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 Provisiona l Crown
D2931 Prefabricated Stainless Steel Crown
D2950 Core Buildup, including any pins
D2954 Prefabricated Post and Core
Posterior composites will be authorized only when a posterior composite is necessary to provide a quality resto ration and no other alternative is available. Posterior composites must be approved in advance by the COR.
b. The following dental procedures will only be authorized for endodontic services:
D3310 Anterior Root Canal Therapy
D3320 Bicu spid Root Canal Therapy
D3330 Molar Root Canal Therapy
D3346 Anterior Root Canal Retreatment
D3347 Bicuspid Root Canal Retreatment
D3348 Mol ar Root Canal Retreatment
c. The following dental procedures are authorized for periodontal services:
D4355 Full Mouth Debridement
D4342Periodontal Scaling and Root Planing, 1 to 3 teeth per quadrant
Periodontal scaling and root p lanning is authorized only when a periodontal abscess is present and must be approved in advance by the COR.
d. The following dental procedures are authorized for prosthodontic services:
D5110 Complete Denture-Maxillary
D5120 Complete Denture-Mandibular
D5211 Maxillary Partial Denture-Resin Base
D5212 Mandibular Partial Denture-Resin Base
e. The following dental procedures are authorized for oral surgery: (local anesthetic is the only anesthetic allowed)
D7 140 Extraction, Erupted Tooth or Exposed Root
D7210 Surgical Removal of Erupted Tooth
D7220 Removal of Impacted Tooth, Soft Tissue
D7230 Removal of Impacted Tooth, Partial Bony
D7240 Removal of Impacted Tooth, Completely Bony
f. The following dental procedures are authorized for orthodontic services:
D8680 Orthodontic Retention
g. 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
The treatment provided under this contract is to get the Soldier from a dental c lass 3 to a dental class 2 only. Comprehensive treatment (to dental class 1) is not authorized.
h. X-ray if needed
5. The Contracting Officers Representative will review any dental treatment plan for dental care which exceeds $1000.00 pe r each soldier to ensure that the above guidelines are met. Exceptions can be made, but they must be approved in advance by the COR. If approval has not be given in writing, no more than $1,000 will be paid for any soldier receiving more than $1,000 wort h of dental work.
6. Work day will be a maximum of 10 hours per day. Anticipate a start time of 0800.
7. A copy of the sign-in log of all soldiers seen will be delivered in person, by fax or by mail to the Deputy State Surgeon, LTC Carol Munsey. The sign in log must include the following information:
Soldiers name, SSN
Dental Classification upon completion of treatment
List by ADA code of procedures performed on each soldier.
8. Denclass input is re quested. Therefore contractor must have Denclass capability.
9. COR is the Deputy State Surgeon, LTC Carol Munsey, at phone: 253-512-8993, or
[email protected]. Fax is 253-512-7533.
10. All dentists must be licensed in the U nited States.
11. The contractor must invoice by name of soldier and list of treatment(s) for each.
12. The contractor will be paid only for work performed.
Definitions of dental classifications for oral health:
a. Cla ss 1: 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 current dental examination, which require non-urgent dental treatment or ree valuation 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 car ies 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 whic h protective cuspal coverage is indicated.
(3) Edentulous areas requiring prosthesis but not on an immediate basis.
(4) Periodontium 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 si x 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 perfo rm 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 consider ed 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 maintain ed 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 fo r adequate mastication or communication or acceptable esthetics.
(b) Active progressive moderate or advanced periodontitis
(c) Periodontal abscesses
(d) Progressive mucogingival condition
(e) Periodontal manifestations of system ic 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 erup ted 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 r equiring 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 removal u ntil resolved.)
(8) Acute temporomandibular disorders requiring active treatment that may interfere with duties.
c. Class 4: Patients who require periodontic dental examinations or patients with unknown dental classifications. Class 4 patients normally are not considered to be worldwide deployable.
TREATMENT PRICE
D2140 Amalgam One Surface
D2150 Amalgam Two Surfaces
D2160 Amalgam Three Surfaces
D2330 Composite One Surface
D2331 Composite Two Surfaces
D 2332 Composite Three Surfaces
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
D 2931 Prefabricated Stainless Steel Crown
D2950 Core Buildup, including any pins
D2954 Prefabricated Post and Core
D3310 Anterior Root Canal Therapy
D3320 Bicuspid Root Canal Therapy
D3330 Molar Root Canal Therapy
D3346 Anterio r Root Canal Retreatment
D3347 Bicuspid Root Canal Retreatment
D3348 Molar Root Canal Retreatment
D4355 Full Mouth Debridement
D4342Periodontal Scaling and Root Planing, 1 to 3 teeth per quadrant
D5110 Complete Denture-Maxillary < BR>D5120 Complete Denture-Mandibular
D5211 Maxillary Partial Denture-Resin Base
D5212 Mandibular Partial Denture-Resin Base
D7140 Extraction, Eru pted Tooth or Exposed Root
D7210 Surgical Removal of Erupted Tooth
D7220 Removal of Impacted Tooth, Soft Tissue
D7230 Removal of Impacted Tooth, Partial Bony
D7240 Removal of Impacted Tooth, Completely Bony
D8680 Orthodontic Retent ion
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 < BR>X-ray
The offeror must be registered on the Central Contractors Registration database (CCR). Information concerning CCR requirements may be viewed via the internet at http://www.ccr.gov or by calling the CCR registration centers a t 1-888-227-2423. Only contractors who are registered in the Central Contractor Registration (CCR) can be awarded a contract. Offerors must have electronic funds transfer (EFT) capability Will vendor take payment by credit card? Yes____ No_____. Offero rs proposals shall be valid for a minimum of 60 days to be acknowledged in the offerors proposals. 52.212-2 Evaluation of Commercial Items (Jan 1999) (a) The Government will award a contract resulting from this solicitation to the responsible Offeror whos e offer conforming to the solicitation will be the lowest priced offer. All FAR clauses may be viewed in full text via the Internet at www.arnet.gov. The following FAR clauses and provisions apply to this RFQ and are incorporated by reference: provision 52.212-1, Instructions to Offerors-Commercial items (Jan 2005); provision 52.211-6, Brand name or Equal (Aug 1999); 52.212-3 Evaluation-Commercial Items (Jan 1999); provision FAR clause 52.212-4, Contract Terms and conditions-Commercial items (Oct 2003); FAR clause 52.212-5 (Dev), Contract terms and conditions Required to Implement Statutes or Executive Orders-Commercial Items (Apr 2005), 52.219-6 Notice of Small Business Set Aside, 522.222-3 Convict Labor, 52.222-19 Child Labor- Cooperation with Authorit ies and Remedies, 52.222-21 Prohibition of Segregated Facilities, 52.222-26 Equal Opportunity, 52.222-36 Affirmative Action for Workers with Disabilities, 52,232-33 Payment by Electronic Funds Transfer, 52.233-3 Protest After Award, 52.252 Clauses Incorpor ated by Reference (http://farsite.hill.af.mil), 52.222-35 Equal Opportunity for Special Disabled veterans, 52.222-37 Employment Reports on Special Disabled veterans, 252.225-7035 Buy Ammerican Act, applies to this RFQ. Point of contact: Fred Quintana at 253-512-8309. Quotations can be emailed to
[email protected]
Bid Protests Not Available