AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 18 (REV. 6-95)
Previous edition not usable Prescribed by GSA
FAR (48 CFR) 53.215-1(a)
MORGELLONS
As an independent contractor, and not as an agent of the US
Government, the contractor shall provide the following deliverables in
accordance with Section 4 of the SOW
below :
|
ITEM |
SUPPLIES / SERVICES |
QTY / UNIT |
UNIT PRICE |
EXTENDED PRICE |
|
0001 |
IRB Clearance |
1 job |
|
|
|
0002 |
Provide database of potential cases (study cohort) |
1 job |
|
|
|
0003 |
Provide database containing all results of clinical evaluations. |
1 job |
|
|
|
0004 |
Provide all skin biopsy specimens and fiber samples collected from case-patients. |
1 job |
|
|
|
0005 |
Provide database with denominators for all visits (total and by specialty). |
1 job |
|
|
|
Total |
|
|||
STATEMENT OF WORK
Morgellons is an unexplained and debilitating condition that has emerged as a public health concern. Recently, the Centers for Disease Control and Prevention (CDC) has received an increased number of inquiries from the public, health care providers, public health officials, Congress, and the media regarding this condition. Persons who suffer from this condition report a range of coetaneous symptoms including crawling, biting and stinging sensations; granules, threads or black speck-like materials on or beneath the skin; and/or skin lesions (e.g., rashes or sores) and some sufferers also report systemic manifestations such as fatigue, mental confusion, short term memory loss, joint pain, and changes in vision. Moreover, some who suffer from this condition appear to have substantial morbidity and social dysfunction, which can include decreased work productivity or job loss, total disability, familial estrangement, divorce, loss of child custody, home abandonment, and suicidal ideation.
As of February
2007, approximately 10,000 families had registered with the Morgellon’s
Research Foundation (MRF) and felt they or a family member met criteria for
Morgellons as defined by the MRF. Of the
The etiology of this condition is unknown, and the medical community has insufficient information to determine whether persons who identify themselves as having this condition have a common cause for their symptoms or share common risk factors. An epidemiologic investigation is needed to better characterize the clinical and epidemiologic features of this condition; to generate hypotheses about factors that may cause or contribute to sufferers’ symptoms; and to estimate the prevalence of the condition in the population; and to provide information to guide public health recommendations. A contractor is needed who can provide timely services to assist the CDC in the investigation of this emerging public health problem.
2.0
DESCRIPTION OF WORK
The purpose of this project is to:
2.1.
Describe the clinical and epidemiologic features of persons who have
reported themselves as having this unexplained skin condition, including
assessing the frequency of co-morbid conditions (e.g., neurocognitive deficits,
neurologic conditions, major psychiatric disorders).
2.2.
Collect information to generate hypotheses about possible risk factors
for this condition.
2.3.
Assess the histopathologic features of the skin condition based on skin
biopsies from a sample of affected patients.
2.4.
Characterize fibers or threads obtained from patients with the condition
to determine their potential etiology.
2.5.
Describe the geographic distribution and estimate rates of illness.
2.6.
Describe health care utilization among persons with the condition.
3.0
MINIMUM VENDOR QUALIFICATIONS
In order to successfully perform the required services the
vendor shall have the following minimum vendor qualifications:
3.1.
Electronic health records that have been implemented in the organization at
least since January 2006.
3.2.
Ability to conduct electronic queries of medical records, including progress
notes, to identify clinical conditions and complaints.
3.3
Health maintenance organization with at least 3 million enrollees and coverage
of at least 25% of the population in the chosen geographic area.
3.4.
Location in a geographic area with a large number of suspected cases.
3.5.
Experience in conducting clinical and epidemiologic studies.
3.6.
Adequate qualified personnel to successfully perform the requested
services by the date required.
4.0
DELIVERABLES
The vendor shall provide the
following deliverables to the Project Officer by the date required:
Deliverables
Date Required
4.1. IRB Clearance
4.2.
Database of potential cases (study cohort)
4.3. Database containing
all results of clinical evaluations,
Including recorded histories and physicals, laboratory tests
(See Attachment 001 for required laboratory tests),
chest x-rays, digital photos, neuorcognitive/neuropsychiatric
examinations.
4.4. All skin
biopsy specimens and fiber samples
collected from case-patients
.
4.5. Electronic database
containing demographic information,
zip code of residence, relevant past health history,
such as medications, provider visits, and hospitalizations
for cases. Database should
include a unique
patient identifier to allow linkage of clinical and
other test results with demographic, healthcare utilization,
and survey data.
4.6.
Database with denominators for all visits (total and by specialty)
and hospitalizations during study period to allow estimation
of disease rates in the population.
5.0
PERIOD OF PERFORMANCE
The period of performance shall be from the date of the award through
6.0
Clauses and Provisions
The
Following HHS Clauses applies to this acquisition:
6.1
HHSAR 352.270-8b Protection of Human Subjects (Jan 2001)
(a) The Contractor agrees that the rights and welfare of human subjects
involved in research under this contract shall be protected in accordance with
45 CFR Part 46 and with the Contractor's current Assurance of Compliance on file
with the Office for Protection from Research Risks (OPRR), National Institutes
of Health (NIH). The Contractor further agrees to provide certification at least
annually that the Institutional Review Board has reviewed and approved the
procedures, which involve human subjects in accordance with 45 CFR Part 46 and
the Assurance of Compliance.
(b) The Contractor shall bear full responsibility for the performance of all work and services involving the use of human subjects under this contract in a proper manner and as safely as is feasible. The parties hereto agree that the Contractor retains the right to control and direct the performance of all work under this contract. Nothing in this contract shall be deemed to constitute the Contractor or any subcontractor, agent or employee of the Contractor, or any other person, organization, institution, or group of any kind whatsoever, as the agent or employee of the Government. The Contractor agrees that it has entered into this contract and will discharge its obligations, duties, and undertakings and the work pursuant thereto, whether requiring professional judgment or otherwise, as an independent contractor without imputing liability on the part of the Government for the acts of the Contractor or its employees.
(c) If at any time during the performance of this contract, the Contracting officer determines, in consultation with the OPRR, NIH, that the Contractor is not in compliance with any of the requirements and/or standards stated in paragraphs (a) and (b) above, the Contracting Officer may immediately suspend, in whole or in part, work and further payments under this contract until the Contractor corrects the noncompliance. Notice of the suspension may be communicated by telephone and confirmed in writing. If the Contractor fails to complete corrective action within the period of time designated in the Contracting Officer's written notice of suspension, the Contracting Officer may, in consultation with OPRR, NIH, terminate this contract in a whole or in part, and the Contractor's name may be removed form the list of those contractors with approved Health and Human Services Human Subject Assurances.
(End of clause)
6.2.
Rights in Data
All data, information,
reports, and other products of this effort are exclusively the property of the
federal government and the contractor shall not publish, share, distribute or
otherwise release any of this information except with the explicit written
permission of the contracting or project officer.
Moreover, some of the materials may be designated as national security
classified, sensitive but unclassified or other limited use category further
restricting its distribution.
6.3 FAR Clauses
The following
FAR clauses and provisions apply to this acquisition: The full text of the
clauses can be accessed electronically at these addresses: http://www.acqnet.gov/
and
http://farsite.hill.af.mil/
.
|
FAR
SOURCE |
TITLE
AND DATE |
|
52.203-6 |
Restrictions
on Subcontractor Sales to the Government (Sep 2006) |
|
52.204-7 |
Central
Contractor Registration (Jul 2006) |
|
52.204-9 |
Personal
Identity Verification of Contractor Personnel (Nov 2006) |
|
52.207-4 |
Economic
Purchase Quantity - Supplies (Aug 1987) |
|
52.213-1 |
Fast
Payment Procedure (May 2006) |
|
52.213-2 |
Invoices
(Apr 1984) |
|
52.219-6 |
Notice of
Total Business Set-Aside (June 2003) |
|
52.219-14 |
Limitations
on Subcontracting (Dec 1996) |
|
52.222-3 |
Convict
Labor (Jun 2003) |
|
52.222-19 |
Child
Labor-Cooperation with Authorities and Remedies (Jan 2006) |
|
52.222-21 |
Prohibition
of Segregated Facilities (Feb 1999) |
|
52.222-26 |
Equal
Opportunity (Apr 2002) |
|
52.222-35 |
Equal
Opportunity for Special Disabled Veterans, Veterans of the |
|
52.222-36 |
Affirmative
Action for Workers With Disabilities (Jun 1998) |
|
52.222-37 |
Employment
Reports on Special Disabled Veterans, Veterans of the |
|
52.222-41 |
Service
Contract Act of 1965, as Amended (Jul 2005) |