W912LP-26-Q-4005 Iowa National Guard Medical Exams Des Moines & Boone, IA

Amendment / Modification

This document is Amendment 2 to the combined synopsis/solicitation W912LP26Q4005 for Medical Surveillance Examination Services.

• The document lists specific services requested, including Physical/Dermatological Exam, Complete Lab Draw, Vision Screening, and various blood level tests (Chromium, Lead, Cadmium, Zinc Protoporphyrin).

• It references PWS Attachment 02 for detailed descriptions of these services.

• It also references Attachment 01 (Contact Information Table and Pricing Table) and Attachment #3 (Wage Determination for Polk and Boone).

• Quotations are due by 30 March 2026, 11:00 AM CST.

• Offers are being requested, and a written solicitation will not be issued.

• The solicitation is a small business set-aside.

• Basis for award is Price, with the intent to award a firm-fixed price purchase order.

• Offerors must be registered in SAM.gov and submit invoices via WAWF.

Amendment / Modification

This document is Amendment #2 to the Performance Work Statement (PWS) for Iowa Army National Guard Occupational Health Medical Surveillance Examination Services. It does not introduce new requirements but rather clarifies and amends existing sections of the PWS. Specific changes include:

• 1.4.2 Recognized Holidays: Clarifies that the contractor shall not perform services on the listed US holidays.
• 1.4.7 Special Qualifications: Emphasizes that the Government does not provide training and contractors must ensure their personnel are fully trained, licensed, certified, and qualified.
• 5.7.1 Vital Signs: Provides an estimated quantity of 71 for vital signs.
• 5.7.2 Labs: Specifies that lab tests must be processed by certified clinical laboratories and performed by ASCP-certified personnel. It also details the estimated quantities for various lab draws, including Vision Screenings (71), Chromium (26), Lead (71), Cadmium (23), and Zinc Protoporphyrin (71).
• 5.7.3 Vision Screenings: Outlines the requirements for vision screenings using specific equipment and lists the primary visual skills to be measured.
• 5.7.4 Physical/dermatological Exam: Specifies an estimated quantity of 71 for these exams and details the requirements for reviewing occupational history and performing dermatological examinations.
• 5.8.3 Documentation: Provides the specific contact information (address, phone, fax, email) for the Occupational Health Nurse (OHN) to whom documentation should be sent.
• 5.8.5 Exam Results: Details the distribution of exam results, requiring two copies: one to the OHN and one to the individual. It also notes that approximately 17 personnel are estimated to be examined this year, with the government reserving the right to adjust this number.

Sections 1.4.2, 1.4.7, 5.7.1, 5.7.2, 5.7.3, 5.7.4, 5.8.3, and 5.8.5 of the PWS have been affected by this amendment.

This amendment primarily provides clarifications and specific quantities for services and reporting. It does not appear to alter proposal deadlines or evaluation factors, but bidders should ensure their proposals reflect these updated details.

Questions & Answers / Clarifications

This document provides answers to vendor questions and clarifications regarding the Iowa Medical Exams solicitation (W912LP-26-Q-4003, 4005, 4007).

• Lab Components: Lab draws are required as listed under item 5.7.2.1, using standard equipment for applicable testing.
• Facility Requirement: A fixed facility is required for examinations. A fixed clinic or hospital is beneficial for follow-up appointments.
• Incumbents: The work has three incumbents, with previous contract numbers provided for Waterloo, Davenport, and Des Moines & Boone.
• Dermatologic Exam Provider: A mid-level provider with occupational health knowledge can perform dermatologic exams. An amendment was completed to the solicitation to clarify this.

This Q&A document, along with a completed amendment, clarifies requirements related to lab components, facility needs, and provider qualifications for dermatologic exams, impacting how bidders should prepare their proposals.

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation for commercial services for Medical Surveillance Examination Services for the Iowa National Guard at Camp Dodge Joint Maneuver Training Center, Johnston, IA. This announcement serves as the only solicitation; offers are being requested.

The following services are requested:

• Physical/Dermatological Exam (71 Each)
• Complete Lab Draw (71 Each)
• Vision Screening (71 Each)
• Chromium Blood Level (26 Each)
• Lead Blood Level (71 Each)
• Cadmium Blood Level (23 Each)
• Zinc Protoporphyrin (71 Each)

All services are referenced to PWS Attachment 02.

• This RFQ is being solicited as a small business set-aside.

• NAICS Code 621111 applies, with a small business size standard of $16,000,000.

• The contract type will be a firm-fixed price purchase order.

• Quotations are due by 30 March 2026, 11:00 AM CST.

• Quotations shall be submitted electronically to Seth Van Steenwyk (seth.a.vansteenwyk.civ@army.mil) and Kelsey Letcher (kelsey.l.letcher.civ@army.mil).

• Basis for Award is Price. The Government intends to award to the responsible Offeror with the lowest total price that meets the PWS requirements.

• Offerors must have a current, active registration in System for Award Management (SAM.gov).

• Invoices must be submitted electronically via Wide Area WorkFlow (WAWF).

• Small business set-aside.

• Offerors must complete the Contact Information Table and Pricing Table (Attachment 01).

• Service Contract Labor Standards Wage Determinations are applicable (Reference Attachment #3 and #4).

• Applicable provisions and clauses are incorporated by reference, with full text available at specified URLs.

Form / Attachment / Pricing Sheet

This document is Attachment 5 - Technical Exhibit 3, an "Occupational Health Report" consisting of a "Medical Examination" form and a "Medical History Questionnaire." It is used by the Iowa Army National Guard Occupational Health to assess an individual's medical fitness for a job.

• Medical Examination Form: Captures details of a medical exam, including exam type (e.g., Medical Surveillance, Respirator Evaluation, Post-Offer Pre-Placement), examinee information, work site, job title, date of exam, and findings related to the essential functions of the job, respirator qualifications, and medical recommendations.
• Medical History Questionnaire: Gathers comprehensive health information from the individual, including general history, review of systems (cardiovascular, respiratory, skin, etc.), occupational history, leisure activities, allergies, medications, immunizations, and diagnostic testing. It also asks about any physical limitations, restrictions, or need for accommodations.

This form is likely an attachment to a solicitation or contract that requires specific medical evaluations or health screenings for personnel performing work under the contract. Bidders may need to understand these requirements to ensure their proposed workforce meets the necessary medical standards. It could also be a form that the contractor is required to administer to their employees.

Form / Attachment / Pricing Sheet

This document serves as Attachment 01 for RFQ # W912LP-26-Q-4005, "Medical Surveillance Examination Services (Des Moines & Boone, Iowa)". It requires contractors to complete both a "Contractor Information Table" and a "Pricing Table" and submit it as part of their official quote. If an additional quote document is submitted, this attachment must still be completed and included.

Contractor Information Table: Requires company name, point of contact (name, phone, email), CAGE code, SAM Unique Entity ID, Tax ID Number, prompt payment discount terms, business size/socio-economic group(s), and period of performance.

Pricing Table: Lists specific medical surveillance services with item numbers, descriptions, quantities, units, unit prices, and extended prices. Items include Physical/Dermatological Exam, Complete Lab Draw, Vision Screening, Chromium Blood Level, Lead Blood Level, Cadmium Blood Level, and Zinc Protoporphyrin.

This attachment is crucial for bidders to provide essential company details and itemized pricing for the requested medical surveillance services. Completing these tables accurately is a requirement for submitting a compliant quote.

Form / Attachment / Pricing Sheet

This document is a "REGISTER OF WAGE DETERMINATIONS UNDER THE SERVICE CONTRACT ACT" for Iowa County of Boone. It provides the minimum wage rates and fringe benefits required for various occupations when performing contract work subject to the Service Contract Act.

• Lists numerous occupational codes and titles, along with their corresponding minimum hourly wage rates.
• Specifies "Fringe Benefits Required Follow the Occupational Listing." The primary fringe benefit listed is "HEALTH & WELFARE" at $5.55 per hour, up to 40 hours per week, or $222.00 per week or $962.00 per month.
• Includes notes on Executive Orders 13706 (Paid Sick Leave) and 13658 (Minimum Wage), outlining specific requirements and minimum wage rates applicable to federal contractors.
• Details requirements for vacation and holidays.
• Explains the "Conformance Process" for classifying and determining wage rates for occupations not explicitly listed in the determination.

This document is crucial for bidders to understand the minimum labor costs associated with performing the contract. It dictates the baseline wages and benefits that must be paid to service employees, directly impacting the cost proposal and overall bid competitiveness. Bidders must ensure their proposed wages and benefits meet or exceed these requirements.

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

To provide full-time support for Occupational Health Medical Surveillance Examinations and Occupational Health Services for civilian and uniformed federal technicians employed by the Iowa Army National Guard who are potentially exposed to health hazards in the work environment.

• Provide personnel, equipment, tools, materials, supervision, and quality control for medical surveillance examinations and occupational health services.

• Services are "Non-Personal Health Care Services."

• Excludes Active Guard Reserve (AGR), state employees, civilian contractors, and part-time traditional soldiers.

• Period of Performance: Date of award through May 31, 2026.

• Place of Services: Clinical settings within a 40-mile radius of Camp Dodge, Johnston, Iowa, and 700 Snedden Drive, Boone, Iowa.

• Hours: Monday through Friday, 0730 - 1630, excluding US holidays.

• Contractor must develop and maintain an effective Quality Control (QC) Plan.

• Government will evaluate performance using a Quality Assurance Surveillance Plan (QASP).

• Specific performance standards and acceptable quality levels are detailed in Technical Exhibit 1.

• No telework permitted, except in specific Continuity of Operations Planning (COOP) scenarios.

• Contractor must safeguard all Government property.

• Strict key control procedures are required.

• Employees must possess all required licenses for performing Occupational Health Medical Surveillance Exams.

• Services must comply with applicable American Board of Occupational and Environmental Medicine (ABOEM), American Association of Occupational Health Nurses (AAOHN), OSHA, and NIOSH standards.

• Clinical laboratory services must be performed by a licensed laboratory.

• Medical surveillance examinations must be conducted by qualified physicians, chiropractors, or mid-level providers.

• Contractor must maintain medical liability insurance.

• Zero-tolerance policy for trafficking in persons.

• Organizational Conflicts of Interest (OCI) must be managed and reported.

• Final Quality Control Plan (QCP)

• Contract Manager designation

• Comprehensive Review & Evaluation reports

• Lab Results

• Documentation (diagnostic tests, reports, findings, etc.)

• Exam Results

Form / Attachment / Pricing Sheet

This document is a Wage Determination issued under the Service Contract Act. It provides the minimum wage rates and fringe benefits that must be paid to various occupations employed on covered Federal contracts. Bidders must use this determination to ensure compliance with labor wage laws.

• Lists specific occupations with corresponding minimum hourly wage rates.
• Details required fringe benefits, such as Health & Welfare contributions.
• Includes notes on Executive Orders (EO) 13706 (Paid Sick Leave) and 13658 (Minimum Wage), outlining their applicability and requirements.
• Provides guidance on the conformance process for unlisted occupations.

This document is critical for bidders to accurately calculate labor costs for their proposals. It establishes the baseline wages and benefits that must be offered to employees working on the contract, directly impacting the overall cost of the bid and ensuring compliance with federal labor regulations.

Solicitation / RFP / RFQ

This Request for Quotation (RFQ) from the Iowa Army National Guard seeks quotes for Medical Surveillance Examination Services in Des Moines and Boone, Iowa. The services are to be provided at the Camp Dodge Joint Maneuver Training Center in Johnston, Iowa.

The following services are requested, with quantities specified:

• Physical/Dermatological Exam (71 Each)
• Complete Lab Draw (71 Each)
• Vision Screening (71 Each)
• Chromium Blood Level (26 Each)
• Lead Blood Level (71 Each)
• Cadmium Blood Level (23 Each)
• Zinc Protoporphyrin (71 Each)

All services are further detailed in the referenced PWS Attachment 02.

• Contract type: Firm-fixed price purchase order.

• Basis for Award: Lowest total price to the Government for services meeting PWS requirements.

• Quotations are due by March 30, 2026, 11:00 AM CST.

• Submit quotations to Seth Van Steenwyk (seth.a.vansteenwyk.civ@army.mil) and Kelsey Letcher (kelsey.l.letcher.civ@army.mil).

• Offerors must complete the Contractor Information Table and Pricing Table (Attachment 01).

• Quotations must be firm fixed price and inclusive of all labor, supervision, and medical resources.

• Invoices will be submitted electronically via Wide Area WorkFlow (WAWF).

• This RFQ is being solicited as a small business set-aside.

• NAICS Code: 621111, with a small business size standard of $16,000,000.

• Offerors must have a current, active registration in the System for Award Management (SAM.gov).

• Applicable Wage Determinations (2015-5011 and 2015-5965) are provided as Attachments 3 and 4.

• Numerous FAR and DFARS provisions and clauses are incorporated by reference or full text, accessible via provided links.