R499--EMPLOYEE ASSISTANCE PROGRAM SDVOSB Set-Aside VBA - 335 ST PAUL REGIONAL OFFICE

Page 9 of 9 General Information Action Code: Combined Synopsis Solicitation Document Type: RFQ RFQ Number: 36C10E21Q0089 Posted Date: June 4, 2021 Response Date: June 24, 2021 Classification Code: R499 (Support Professional: Other) Set Aside: 100% SDVOSB Set-Aside NAICS Code: 624190 (Other Individual and Family Services) Description 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; quotes are being requested and a written solicitation will not be issued. The government anticipates award of a single firm fixed price contract. A quotation is not an offer and, consequently, cannot be accepted by the Government to form a binding contract. Therefore, issuance by the Government of an order in response to a supplier s quotation does not establish a contract. The order is an offer by the Government to the supplier to buy certain supplies or services upon specified terms and conditions. A contract is established when the supplier accepts the offer. Solicitation 36C10E21Q0089 is issued as a request for quote (RFQ). The solicitation incorporates provisions and clauses in effect through Federal Acquisition Circular 2021-05, effective March 10, 2021 and VAAR 2008-28, effective January 27, 2021. The combined synopsis/solicitation is set aside for Service- Disabled Veteran-Owned Small Business (SDVOSB) concerns only. Only quotes submitted by Service-Disabled Veteran-Owned Small Business concerns will be accepted by the Government. Any quote that is submitted by a contractor that is not a verified Service-Disabled Veteran-Owned Small Business in VIP will not be considered for award. The applicable NAICS Code for this solicitation is 624190 and the Small Business Size limitation is $12 Million. Offers from SDVOSB concerns must be registered and verified in the Center for Verification and Evaluation (CVE) Vendor Information Pages (VIP) website at https://vetbiz.va.gov/vip/ at the time and date set for receipt of offers and at the time and date of award to be considered for award. Offers from SDVOSB concerns that are not registered shall be rejected as non-responsive and shall not be considered for award. The contractor shall provide all equipment, services, material, labor, transportation, and supervision to provide Employee Assistance Program (EAP) services for 865 employees (and their immediate family members), employed by the Department of Veterans Affairs, St. Paul, MN Regional Office. A toll free telephone number will be available for both our local office as well for out-based employees located in Minnesota, Wisconsin, Iowa, Illinois, Missouri, Nebraska, and Kansas. Contractor will have referral capability in the out-based areas. Please provide pricing for Line Items 0001 - 4001 as shown in the price schedule listed within. Description of Requirement / Statement of Work BACKGROUND The Department of Veterans Affairs St. Paul, MN Regional Office has a requirement to provide Employee Assistance Program (EAP) services to 865 employees and their immediate families. Requirement is for a Base Year and 4 One-Year Option Periods. 1. EMPLOYEE ASSISTANCE PROGRAM (EAP) POLICY. The program is available to all employees and their immediate families since problems at home may affect work. Immediate family includes spouse, children, including adopted children and employee s parents. All records and discussions of personal problems will be confidential and will not jeopardize an employee s job security, promotional opportunities, or reputation. These records will be kept by the designated counseling resource; furthermore, an individual s specific records will not be reported to the regional office. Verification of usage will be accomplished through VA auditors or auditors suggested by contractor or independent auditors selected by the VA, ensuring confidentiality is maintained for the user. Supervisors may use the program to obtain guidance when personal problems of subordinate staff cause unsatisfactory job performance and/or to refer employees to the program. It is the policy of the regional office to intervene only when problems affect job performance or reflect discredit to the regional office. Employees in treatment or rehabilitation will be eligible for sick leave on the same basis as is granted for other health problems; if sick leave is not available, annual leave or leave without pay will be considered. This policy does not alter nor replace existing administrative policy or contractual agreements but serves to assist in their utilization. 2. PROGRAM REQUIREMENTS The EAP Contractor is expected to provide, at a minimum, the following: Employee Assistance Program (EAP) Services: Contractor is required to provide Telephonic EAP Services on a 24 hour, 7 Days a week basis (i.e. 24/7). Service price will be based upon Employee Population which is 865. Diagnostic Services: Problem assessment and initial counseling directed toward identifying and assessing the complexity of personal problems which may affect job performance. Referral Services: Motivational counseling and referral to competent care and follow-up directed toward appropriate community resources for employees and dependents whose problems warrant specialize and/or longer-term counseling. The Services performed under said referrals are not paid for under this Contract. Contractor to work with Counselee in setting up a referral that is to be paid for by the Counselee and/or by their Federal Employees Health Benefits (FEHB). Work-Related Issues: Issues covering job dissatisfaction and/or work-related problems will be referred to the VA s EAP Coordinator(s). Program Availability: A 1-800 toll free telephone number will be available for both our local office as well for out-based employees located in Minnesota, Wisconsin, Iowa, Illinois, Missouri, Nebraska, and Kansas. Contractor will have referral capability in the out-based areas. Emergency (crisis capability with psychiatric/psychological backup) and after-hours EAP calls must be responded to by a professional staff member on a 24-hour daily basis. Contractor to forward medical emergency calls to 911 when applicable. Additional Services: Contractor will provide the VA brochures, posters, and other materials to promote and maintain employee awareness, to familiarize employees and supervisors with services available through the EAP, and to enhance employee and supervisory understanding of how personal problems can affect job performance. Cost is included in the EAP price per employee rate. Contractor will provide Annual Supervisory training to the VA to promote the EAP program and detail the various avenues in which Supervisors can utilize the EAP Program. The training event may be conducted virtually and last approximately 1 hour. Contractor will provide the VA, quarterly update statistical reports and cumulative utilization data summarizing diagnostic and referral activity. No identifying data on individual employees or their dependents will be provided the VA unless the employee would provide in writing in advance, an approved release for such information. 3. ADMINISTRATIVE CAPABILITY: Contractor must have ability to administer/manage program staff, respond to and maintain compliance with applicable regulations, rules and policies; provide efficient and effective liaison with VA s EAP Coordinator, and assess established health insurer s programs or services of other social service agencies for referral potential. 4. PROGRAM CAPABILITY: Contractor to provide the necessary intake staff and other resources to conduct a successful EAP. Staffing must include, but not be limited to, the following: Experiences (minimum 2 years) Chemical Dependency Counselor, Mental Health Counselor/Social Worker (or related field). The contractor must have access to psychologists and/or psychiatrists for referrals. 5. CONFIDENTIALITY OF RECORDS AND REFERRALS: Contractor will ensure that no VA employee will be assigned for diagnosis, referral or counseling to a VA affiliated person unless specifically requested by the employee. Contractor agrees to comply with requirements relating to the confidential nature of patient s records in accordance with 42 USC Section 290dd-2. The VA agrees to provide Contractor with a copy of these requirements upon request. Contractor shall maintain counseling records which comply with the Privacy Act, and which are accurate and complete. Contractor shall ensure the physical security and prevention of disclosure of the records, reports or other private information regarding veterans. This information even with the veteran s informal written consent cannot be used without the VA s approval. These records must be maintained on the business premises in a secured locked file. 6. LEGAL RESPONSIBILITY. All services are to be provided by the contractor to employees without regard to race, color, creed or national origin. The Contractor is considered an agent of the Department of Veterans Affairs when providing services to employees and as such is bound by the same rules governing confidentiality of the Department of Veterans Affairs. Fees paid by the Department of Veterans Affairs shall not be greater than fees paid to the contractor by any other referral source for the same service. Fees cannot be paid for the services not authorized. The contractor agrees to save and hold harmless the Department of Veterans Affairs and its employees from any and all claims and liabilities of any type whatsoever and for damage to, loss or destruction of/on any property of a person, firm, corporation and/or other party; and for the injury to or death of any person or persons which now or hereafter arise out of or result from or be in any way connected, directly or indirectly, with said provision of services or the performance of this agreement. 7. VA RESPONSIBLITIES: To assure adequate acceptability and utilization of these diagnostic and referral services, the VA agrees to participate in program exposure and employee education of the services available. Distribution of promotional materials to employees shall be at the expense of the VA. 8. PUBLISHING RESULTS: None of the information or data gathered in connection with the services specified in this contract, or studies or materials based thereon or relating thereto, shall be publicized without the prior approval of an authorized official of the Regional Office. 9. VA POINT OF CONTACT: Name: Krysten Ehlert Phone: +1 (555) 000-0000 Email Address: contact@example.gov 10. INVOICING INSTRUCTIONS: General invoicing instructions are included here. Payment provided under the terms of this contract will be made Monthly in arrears for all services rendered and/or deliverables submitted and approved by the VA. GOVERNMENT INVOICE ADDRESS: TUNGSTEN (OB10) ELECTRONIC INVOICE SUBMISSION FSC e-INVOICE PROGRAM THROUGH AUSTIN PORTAL FSC MANDATORY ELECTRONIC INVOICE SUBMISSION FOR AUSTIN PAYMENTS Please include in all invoices the Contract/Purchase Order Number, or Task/Delivery Order Number. All invoices need to also be submitted using the same line item format in the contract or order. Vendor Electronic Invoice Submission Methods: Fax, email and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted data transmissions below. VA s Electronic Invoice Presentment and Payment System The Financial Services Center (FSC) in Austin, TX uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: www.tungsten-network.com/customer-campaigns/veteransaffairs to begin submitting electronic invoices, free of charge. A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI). The X12 EDI Web site is http://www.x12.org. Vendor e-Invoice Set-up Information: Please contact Tungsten at the phone number or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center in Austin, TX for payment processing. If you have questions about the payment status of a properly submitted invoice, the e-invoicing program, or Tungsten, please contact the FSC at the phone number or email address listed below. Tungsten e-Invoice setup information: +1 (555) 000-0000 Tungsten e-Invoice email: contact@example.gov VA TUNGSTEN Number: AAA544240062 FSC e-Invoice contact information: +1 (555) 000-0000 FSC e-Invoice email: contact@example.gov FSC Internet: http://www.fsc.va.gov/einvoice.asp Period of Performance: It is anticipated that the period of performance for these services will commence on 07/1/2020, and continue with a base period of one year, with four one-year option periods. viii. FAR 52.212-1, Instructions to Offerors Commercial Items (JUN 2020), applies to this solicitation. The following provisions are added as addendum: 52.204-7 System for Award Management (OCT 2018) 52.204-16 Commercial and Government Entity Code Reporting (AUG 2020) 52.217-5 Evaluation of Options (JUL 1990) 52.252-1 Solicitation Provisions Incorporated by Reference (FEB 1998) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (OCT 2020) This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): http://www.acquisition.gov/far/index.html (FAR) and http://www.va.gov/oal/library/vaar/index.asp (VAAR) 852.270-1 Representatives of Contracting Officers (JAN 2008) (End of Addendum to 52.212-1) FAR 52.212-2, Evaluation Commercial Items (OCT 2014), applies to this solicitation. The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: Price Options - The Government will evaluate quotes for award purposes by adding the total price for all options to the base price for the basic requirement to include the possible contract extensions under FAR Clause 52.217-9, Option to Extend the Term of the Contract. The Government will evaluate its option to extend services at FAR Clause 52.217-8 by adding six (6) months of the quoter's proposed price for the final option period to the Offeror's total proposed price. The Government may determine that the quote is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. ADDENDUM TO 52.212-2 1. Contract Type: The contract will be firm-fixed price. It will be competed and awarded under Federal Acquisition Regulation Part 13, Simplified Acquisition Procedures. The Government intends to select one Contractor from the subject solicitation. 2. SAM Registration: Quoter s must be registered in the System for Award Management (SAM). No contract will be entered into with an unregistered contractor. Internet access allows you to register by completing an electronic on-line registration application at https://www.sam.gov/content/home On-line Representations and Certifications (ORCA) may also be filled out at this website. 3. Solicitation Questions: Questions of a technical nature shall be submitted to the Contracting Officer in writing via e-mail contact@example.gov . Oral questions of a technical nature are not acceptable due to the possibility of misunderstanding or misinterpretation. The cut-off date and time for receipt of questions is June 11, 2021 by 5:00 PM EDT. Questions received after this date and time may not be answered. Questions will be answered in a formal amendment to the solicitation so all interested parties can see the answers. 4. Amendments: Amendments to this solicitation will be posted at https://sam.gov/content/opportunities (Contract Opportunities). Paper copies of the amendments will NOT be individually mailed. Potential quoter s are advised that they are responsible for obtaining and acknowledging any amendments to the solicitation. Failure to acknowledge an amendment may result in your offer being considered unacceptable. 5. Basis for Award: This requirement will be competed and awarded under Federal Acquisition Regulation (FAR) Part 13, Simplified Acquisition Procedures. The Government will award a purchase order resulting from this solicitation to the responsive, responsible offeror in accordance with FAR 9.104-1 and whose quote conforms to the solicitation will be the best value to the Government, price and other non-price factors considered. 6. Award and Selection: Following receipt of quotes, the government will perform an evaluation to determine if the quoted content meets the requirement of the Description of Requirements in paragraph iv and the Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other non-price factors considered. 7. Quote Preparation Instructions: Quotes shall be based on the requirements of the solicitation, and must contain the following: Part I - Price: Insert proposed unit and extended prices in all Contract Line Item Numbers (CLINs). All prices shall be represented in two decimal positions only. Example: $0.27, not $0.27458. Quoter shall submit a written document on how they will accomplish all the Description of Requirements / Statement of Work in paragraph vi. 8. Submission of Quotes: Quotes are due no later than June 24, 2021 by 5:00 PM Eastern. Quotes shall be submitted electronically to contact@example.gov. The email subject line must contain the following: Quote in Response to 36C10E21Q0089, EAP Services, VBA St Paul . Vendors bear the burden of ensuring that quotes, and any applicable amendments, are emailed on time. All pages of the quote must be emailed before the deadline specified in this solicitation. Failure to provide any of the required information or the providing of inadequate or unclear information may result in the offer being considered unacceptable. x. FAR 52.212-3, Offeror Representations and Certifications Commercial Items (FEB 2021)(JUL 2020) (DEVIATION) applies to this solicitation. The offeror has completed the annual representations and certifications electronically via the SAM website access through https://www.sam.gov/content/entity-landing . After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications Commercial Items (FEB 2021)(JUL 2020) (DEVIATION), have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ____________. xi. FAR 52.212-4, Contract Terms and Conditions Commercial Items (OCT 2018) applies to this solicitation. The following provisions clauses are added as addendum: 52.204-13 System for Award Management Maintenance (OCT 2018) 52.204-18 Commercial and Government Entity Code Maintenance (AUG 2020) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (JUN 2016) 52.217-8 Option to Extend Services (NOV 1999) 52.217-9 Option to Extend the Term of the Contract (MAR 2000) The Government may extend the term of this contract by written notice to the Contractor within 5 days provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 10 days before the contract expires. The preliminary notice does not commit the Government to an extension. If the Government exercises this option, the extended contract shall be considered to include this option clause. The total duration of this contract, including the exercise of any options under this clause, shall not exceed Five (5) years. 52.224-1 Privacy Act Notification (APR 1984) 52.224-2 Privacy Act (APR 1984) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (DEC 2013) 52.252-2 Clauses Incorporated by Reference (FEB 1998) This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): http://www.acquisition.gov/far/index.html (FAR) and http://www.va.gov/oal/library/vaar/index.asp (VAAR) 852.212-70 Provisions and Clauses Applicable to VA Acquisition of Commercial Items. PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020) (a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting Officer are incorporated by reference. _X__ 852.203-70, Commercial Advertising. _X__ 852.209-70, Organizational Conflicts of Interest. ___ 852.211-70, Equipment Operation and Maintenance Manuals. ___ 852.214-71, Restrictions on Alternate Item(s). ___ 852.214-72, Alternate Item(s). [Note: this is a fillable clause.] ___ 852.214-73, Alternate Packaging and Packing. ___ 852.214-74, Marking of Bid Samples. ___ 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors. ___ 852.215-71, Evaluation Factor Commitments. ___ 852.216-71, Economic Price Adjustment of Contract Price(s) Based on a Price Index. ___ 852.216-72, Proportional Economic Price Adjustment of Contract Price(s) Based on a Price Index. ___ 852.216-73, Economic Price Adjustment State Nursing Home Care for Veterans. ___ 852.216-74, Economic Price Adjustment Medicaid Labor Rates. ___ 852.216-75, Economic Price Adjustment Fuel Surcharge. ___ 852.219-9, VA Small Business Subcontracting Plan Minimum Requirements. _X__ 852.219-10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside. (JUL 2019) (NOV 2020) (DEVIATION) ___ 852.219-11, VA Notice of Total Veteran-Owned Small Business Set-Aside. ___ 852.222-70, Contract Work Hours and Safety Standards Nursing Home Care for Veterans. ___ 852.228-70, Bond Premium Adjustment. ___ 852.228-71, Indemnification and Insurance. ___ 852.228-72, Assisting Service-Disabled Veteran-Owned and Veteran-Owned Small Businesses in Obtaining Bonds. _X__ 852.232-72, Electronic Submission of Payment Requests. ___ 852.233-70, Protest Content/Alternative Dispute Resolution. ___ 852.233-71, Alternate Protest Procedure. ___ 852.237-70, Indemnification and Medical Liability Insurance. ___ 852.246-71,Rejected Goods. ___ 852.246-72, Frozen Processed Foods. ___ 852.246-73, Noncompliance with Packaging, Packing, and/or Marking Requirements. _X__ 852.270-1, Representatives of Contracting Officers. ___ 852.271-72, Time Spent by Counselee in Counseling Process. ___ 852.271-73, Use and Publication of Counseling Results. ___ 852.271-74, Inspection. ___ 852.271-75, Extension of Contract Period. _X__ 852.273-70, Late Offers. ___ 852.273-71, Alternative Negotiation Techniques. ___ 852.273-72, Alternative Evaluation. ___ 852.273-73, Evaluation Health-Care Resources. _X__ 852.273-74, Award without Exchanges. (b) All requests for quotations, solicitations, and contracts for commercial item services to be provided to beneficiaries must include the following clause: _X__ 852.237-74, Nondiscrimination in Service Delivery. (End of clause) 852.219-74 Limitations on Subcontracting Monitoring and Compliance (JUL 2018) This solicitation includes 852.219-10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside. (JUL 2019) (NOV 2020) (DEVIATION). (b) Accordingly, any contract resulting from this solicitation is subject to the limitation on subcontracting requirements in 13 CFR 125.6, or the limitations on subcontracting requirements in the FAR clause, as applicable. The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) retained by VA to assist in assessing the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to Contractor's offices where the Contractor's business records, or other proprietary data are retained and to review such business records regarding the Contractor's compliance with this requirement. (c) All support contractors conducting this review on behalf of VA will be required to sign an Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. (d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirement. (End of Clause) (End of Addendum to 52.212-4) xii. 52.212-5DEV, Terms and Conditions Required to Implement Executive Orders Commercial Items (JAN 2021) (DEVIATION), applies to this solicitation. The following provisions and clauses are selected as appropriate to this solicitation: Paragraph (a) clauses applicable: (1) 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (2) 52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kapersky Lab and Other Covered Entities (JUL 2018) (3) 52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment (AUG 2020) (4) 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015) (5) 52.233-3 Protest After Award (AUG 1996) (6) 52.233-4 Applicable Law for Breach of Contract Claim (OCT 2004) Paragraph (b) clauses applicable: (4) 52.204-10 Reporting Executive Compensation & First-Tier Subcontract Awards (JUN 2020) (8) 52.209-6 Protecting the Government s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (JUN 2020) (22) 52.219-28 Post-Award Small Business Program Representation (NOV 2020) (27) 52.222-3 Convict Labor (June 2003) (29) 52.222-21 Prohibition of Segregated Facilities (APR 2015) (30) 52.222-26 Equal Opportunity (SEP 2016) (32) 52.222-35 Equal Opportunity for Workers with Disabilities (JUN 2020) (33) 52.222-37 Employment Reports on Veterans (JUN 2020) (38 U.S.C. 4212) (35)(i) 52.222-50 Combating Trafficking in Persons (OCT 2020) (44) 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving (JUN 2020) (47)(ii) 52.224-3 Privacy Training (JAN 2017) (51) 52.225-13 Restrictions on Certain Foreign Purchases (JUN 2008) (59) 52.232-34 Payment by Electronic Funds Transfer--Other than System for Award Management (JUL 2013) Paragraph (c) clauses applicable: (6) 52.222-53 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services Requirements (MAY 2014) Paragraph (e) clauses are all applicable is any work is subcontracted. xiii. Additional Contract Requirements or terms and conditions: PRICE/COST SCHEDULE ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 12.00 MO ___________ ______________ Employee Assistant Program (EAP) Counseling Services for individual employees (865) and their immediate family members per the requirements of the Statement of Work listed within. Contract Period: Base POP Begin: 07-01-2021 POP End: 06-30-2022 PRINCIPAL NAICS CODE: 624190 - Other Individual and Family Services PRODUCT/SERVICE CODE: R499 - Support - Professional: Other 1001 12.00 MO ___________ ______________ Employee Assistant Program (EAP) Counseling Services for individual employees (865) and their immediate family members per the requirements of the Statement of Work listed within. Contract Period: Option 1 POP Begin: 07-01-2022 POP End: 06-30-2023 PRINCIPAL NAICS CODE: 624190 - Other Individual and Family Services PRODUCT/SERVICE CODE: R499 - Support - Professional: Other 2001 12.00 MO ___________ ______________ Employee Assistant Program (EAP) Counseling Services for individual employees (865) and their immediate family members per the requirements of the Statement of Work listed within. Contract Period: Option 2 POP Begin: 07-01-2023 POP End: 06-30-2024 PRINCIPAL NAICS CODE: 624190 - Other Individual and Family Services PRODUCT/SERVICE CODE: R499 - Support - Professional: Other 3001 12.00 MO ___________ ______________ Employee Assistant Program (EAP) Counseling Services for individual employees (865) and their immediate family members per the requirements of the Statement of Work listed within. Contract Period: Option 3 POP Begin: 07-01-2024 POP End: 06-30-2025 PRINCIPAL NAICS CODE: 624190 - Other Individual and Family Services PRODUCT/SERVICE CODE: R499 - Support - Professional: Other 4001 12.00 MO ___________ ______________ Employee Assistant Program (EAP) Counseling Services for individual employees (865) and their immediate family members per the requirements of the Statement of Work listed within. Contract Period: Option 4 POP Begin: 07-01-2025 POP End: 06-30-2026 PRINCIPAL NAICS CODE: 624190 - Other Individual and Family Services PRODUCT/SERVICE CODE: R499 - Support - Professional: Other GRAND TOTAL ______________ B.3 DELIVERY SCHEDULE ITEM NUMBER QUANTITY DELIVERY DATE 0001 SHIP TO: Veterans Benefits Administration Bishop Henry Whipple Federal Building 1 Federal Drive Saint Paul, MN 55111 4080 USA 12.00 07/01/2021 to 06/30/2022 MARK FOR: Krysten Ehlert +1 (555) 000-0000 contact@example.gov 1001 ...