03 PWS 2027.docx

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Medical Accession Services - USMEPCOM
Solicitation number
W81K0426RATBD
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This is a Performance Work Statement (PWS) for Medical Accession Services provided by the United States Military Entrance Processing Command (USMEPCOM). The contract requires the Contractor to furnish qualified Fee Basis Providers (FBPs)—physicians (MD/DO), certified nurse practitioners (CNP), and physician assistants (PA)—to perform medical-history reviews, medical evaluations, and reviews of medical tests and records to determine whether military service applicants meet applicable medical accession standards. The scope encompasses medical accession support at 66 Military Entrance Processing Stations (MEPS), HQ USMEPCOM, and other Government-designated locations throughout the continental United States, Alaska, Hawaii, and Puerto Rico. The ordering period runs from July 2027 through June 2032, with a 120-calendar-day phase-in period preceding full performance. The Contractor bears responsibility for all recruitment, credentialing, training, scheduling, travel administration, quality control, reporting, information protection, and transition activities necessary to maintain qualified provider pools and respond to fluctuating mission demands.

Key performance requirements include maintaining a Quality Control Plan, ensuring all FBP candidates complete Primary Source Verification of credentials, and achieving defined provider category (DPC) levels ranging from DPC-1 (eligible for training) through DPC-4 (expert-level provider functioning as Fee Basis CMO). FBPs must maintain current, unrestricted medical licenses, Basic Life Support certification, and favorably adjudicated Tier 1 security clearances with Common Access Cards. The Contractor must provide scheduling support via telephone from 5:00 AM to 6:00 PM Central Time, Monday through Friday, and ensure FBPs work 7-10 consecutive hours daily during facility operating hours (generally 0600-1700 local time, Monday-Friday, with weekend operations as scheduled). The contract imposes strict security, privacy, and information-protection requirements including HIPAA Business Associate Agreement compliance, handling of Personally Identifiable Information (PII), Protected Health Information (PHI), and Controlled Unclassified Information (CUI). All Contractor personnel must complete mandatory training in Anti-Terrorism Level I, OPSEC, iWATCH, Information Assurance, PII safeguarding, Sexual Harassment/Assault Response and Prevention (SHARP), Threat Awareness Reporting Program (TARP), and MHS Genesis system access within specified timeframes.

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PERFORMANCE WORK STATEMENT (PWS)

Headquarters (HQ), United States Military Entrance Processing Command (USMEPCOM) Medical Accession Services (Fee Basis Provider Support) Ordering Period: July 2027 – June 2032

VERSION: 1.0

Part 1.

General Information.

1.0 GENERAL: The Contractor shall furnish qualified Fee Basis Providers (FBPs) to perform applicant medical-history reviews, medical evaluations, and reviews of medical tests and records for the purpose of determining whether applicants meet applicable military medical accession standards. This requirement includes personal health-care services authorized under 10 United States Code (USC) 1089 (Defense of certain suits in medical services) and 10 USC 1091 (Personal Services Contracts for health care responsibilities).

1.1 USMEPCOM OVERVIEW: The Command HQ is located in Building 3400, at 2834 Green Bay Road, North Chicago, Illinois. The Command HQ is responsible for administration of HQ, the Eastern and Western Sectors, 12 battalions, and geographically dispersed field units, throughout the continental U.S., Alaska, Hawaii, and Puerto Rico. USMEPCOM field units may be either a Military Entrance Processing Station, (MEPS) Remote Processing Station, (RPS), the Centralized Provider Pool, or other type of unit performing USMEPCOM processing activities. For the purpose of this document, the term MEPS refers to all USMEPCOM field units, except where explicitly stated with differences delineated. Refer to Attachment A, “MEPS Locations and Staffing Environment,” for the locations and staffing environment supported by this contract. The below public website is provided for information only and does not modify the contract.: https://www.mepcom.army.mil/Sectors-Battalions-and-MEPS/

1.1.1 USMEPCOM Mission: The mission of USMEPCOM is to qualify and process applicants for the regular and reserve components of the Armed Forces of the United States. Qualification activities include aptitude testing, medical evaluations, security background screening, administrative processing, enlisting, and shipping of applicants. USMEPCOM collects, processes, and provides applicant data to the Services (i.e., Army, Navy, Air Force, Marine Corps, Coast Guard, and Space Force), Defense Manpower Data Center (DMDC), Defense Criminal Investigative Service (DCIS), other Department of Defense (DoD) and Federal agencies, as authorized. Available on-line at https://www.mepcom.army.mil/About-Us/.

1.1.2 USMEPCOM Background: The Command administers over 250,000 medical evaluations annually to support the mission of the Armed Forces' Recruiting Services. Each MEPS employs one Government physician known as the MEPS Chief Medical Officer (CMO). Several larger MEPS have assistant CMOs (ACMOs) which are also Government physicians. MEPS can have Medical Officers (MOs) who are Government Nurse Practitioners (NPs) and Physician Assistants (PAs). FBPs supplement these Government providers (CMO/ACMOs/MOs) based on the daily workload of applicants and records reviews processed at each individual MEPS. CMOs, ACMOs, MOs and FBPs (profilers) use their professional training and judgment to apply medical qualification standards set forth by DOD policy in order to certify that, in their professional opinion, applicants either meet or fail to meet set medical standards.

The MEPS Commander will serve as the administrative authority, but all medical processing questions shall be directed to the CMO/ACMO/MO (respectively) or, in their absence, to Sector Medical Officers, then HQ USMEPCOM physician. Contract employees shall consult with the CMO/ACMOs/MOs (respectively) as needed and with colleagues to develop knowledge and apply agency policies and practices to new matters. Government personnel may review clinical work for technical adequacy and compliance with applicable medical policy. Results may be provided to the Contractor for quality control and corrective action.

1.1.3 Mission Seasonality: Historically, the recruiting and accessions pipeline flows at varying speeds through the calendar year, with variations day to day.

Accordingly, ordered services may increase, decrease, or shift among locations in accordance with paragraph 1.4.2

1.2 DESCRIPTION OF SERVICES/INTRODUCTION: The Contractor shall provide qualified FBPs and the program management, recruiting, credentialing support, training coordination, scheduling, travel administration, quality control, reporting, information protection, and transition support necessary to perform this PWS. The Contractor shall furnish all non-Government-furnished labor, supervision, equipment, materials, systems, and administrative resources required for performance. Reference paragraph 1.3 and section 5 of this PWS for additional requirements and Contractor-responsibility concepts.

1.2.1 Contractor Provides Qualified FBPs: The Contractor shall bear all responsibility to provide qualified, FBPs to include, but not limited to, all aspects of advertising, recruiting, interviewing, hiring, verifying professional credentials and preparing FBP Candidate Packets, training, and placement of FBPs at the MEPS locations ready to perform services in accordance with the period of performance dates under this contract. Performance of services shall be in accordance with this PWS, the established principles and ethics of the medical profession.

1.2.2 Entity Relationships: The Contractor is the legal entity accountable to the Government for contract performance. FBPs are individuals furnished by the Contractor to perform the personal medical services authorized by this contract. Except for the limited personal-services relationship described in paragraph 1.2.3 FBPs have no independent contractual relationship with the Government. The Contractor remains responsible for recruiting, credentialing support, compensation, workforce administration, and contract compliance.

1.2.4 Personal Services Contract: This contract authorizes a personal-services relationship only between the Government and individual FBPs to the extent necessary for Government clinical direction and day-to-day oversight of medical accession services. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the FBP may be associated. The Contractor remains responsible for all employer and contract-administration obligations not expressly assigned to the Government.

The Contractor shall accept contractual direction only from the Contracting Officer or an authorized COR acting within the written designation.

1.2.5 Malpractice: The following provision applies to FBPs performing personal medical services.

1.2.5.1 Medical Malpractice for Personal Services: To the extent applicable, 10 U.S.C. § 1089 governs claims arising from negligent or wrongful acts or omissions of FBPs performing within the scope of authorized personal medical services. Contractors are responsible for their own insurance and liability of any type.

1.3 SCOPE: The scope includes medical accession support at 66 MEPS, HQ USMEPCOM, and other Government-designated locations. Performance includes the personnel, management, scheduling, quality, administrative, information-protection, travel, and transition activities necessary to support ordered medical accession services throughout the ordering period.

1.4 PERFORMANCE OBJECTIVES: The objectives of this contract are to: (a) maintain qualified and available provider pools; (b) satisfy Government-directed staffing requirements at each MEPS; (c) provide accurate and timely scheduling and workforce visibility; (d) maintain medical quality, credentialing, and training standards; (e) provide scalable daily and traveling support responsive to mission demand; (f) protect Government information and systems; and (g) accomplish transition-in and transition-out without interruption to the accession mission.

1.4.1 PERFORMANCE-BASED APPROACH: The Contractor is responsible for determining and managing the workforce, processes, controls, and resources necessary to meet the performance standards in this PWS. Government direction of individual FBPs during performance of personal services does not relieve the Contractor of responsibility for recruiting, credentialing, assigning, paying, supporting, and managing its workforce.

1.4.2 ORDERING FLEXIBILITY: The Government may increase, decrease, or redistribute ordered services within the contract and task-order limitations based on applicant workload, operating schedules, emergencies, recruiting priorities, and mission demand. The Contractor shall maintain sufficient recruiting, replacement, and traveler capability to respond to such changes.

1.5 CONTRACT ADMINISTRATION AND OPERATING CONDITIONS.

1.5.1 Quality Control Plan (QCP): The Contractor shall establish, maintain, and execute a Quality Control Plan (QCP) that ensures all services and deliverables conform to this PWS and the terms of the contract in accordance with FAR 12.208. The Contractor shall establish, maintain, and execute a QCP that ensures services and deliverables conform to the contract. The QCP shall support, but not replace, Government surveillance of tasks within this PWS.

The QCP shall also describe the Contractor's methods for monitoring provider-pool strength, credentialing aging, vacancies, traveler availability, order fill performance, late cancellations, training progression, corrective actions, information protection, and transition readiness.

The Contractor shall maintain objective evidence of QCP execution and shall make such records available to the Contracting Officer (KO) and Contracting Officer's Representative (COR) upon request.

The Contractor shall submit the initial QCP within 14 calendar days after award (Deliverable J-4). The Contracting Officer will accept or return comments within 10 calendar days. The Contractor shall submit revisions within 5 calendar days after receipt of comments.. The timeline noted above will apply for review and acceptance for proposed changes. At a minimum, the QCP must include and answer the following to be acceptable:

(a) A chart showing the organizational structure and lines of authority, the names, qualifications, duties, responsibilities, and classification of each member of the Contractor's Quality Control Team;

(b) The methods used to monitor compliance with deliverable content, format, due dates, and performance standards; Attachment J

(c) How the Contractor will monitor work to ensure performance complies with all specifications and requirements of the contract, including the contract's clauses;

(d) The methods used to verify and monitor personnel qualifications, licenses, certifications, background requirements, and access eligibility; Deliverable J-7 and J-8

(e) If keys or access devices are issued, the methods used to control them in accordance with paragraph 1.7; Attachment G

(f) How the Contractor will identify, investigate, and correct any non-conforming performance and prevent similar deficiencies in the future; and

(g) How the Contractor will file and save all Quality Control related documents for the life of the contract plus 5 years.

(h) How the Contractor will ensure completion of the tasks specified in Section 5 of this PWS.

1.5.1.1 The Contractor shall notify the COR within 24 hours after identifying a condition reasonably expected to materially affect performance. Written follow-up shall be submitted within 3 business days under the applicable Deliverable J-22 or J-23.

1.5.1.2 The Contractor's QCP shall include a FBP Qualification Checklist which includes all qualifications the Contractor will review for a FBP Candidate that meet the requirements of UMR 40-2.

1.5.2 Quality Assurance: The Government will evaluate the Contractor's performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government must do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the acceptable quality levels performance thresholds.

1.5.3 Recognized Holidays: The following provides information on recognized holidays for purposes of the PWS. When a submission (e.g., deliverables, submittals) due date falls on a Federal holiday or Government closure, the due date moves to the next Government workday unless otherwise directed by the Contracting Officer.

1.5.3.1 U.S. Holidays: Work shall not be performed on U.S. federally recognized holidays occurring during the normal workweek unless otherwise directed by the Contracting Officer. When a U.S. holiday occurs on a Saturday or a Sunday, the holiday is observed on the preceding Friday or following Monday, respectively.

New Year's Day January 1st Martin Luther King, Jr. Birthday 3rd Monday in January Washington's Birthday 3rd Monday in February Memorial Day last Monday in May Juneteenth June 19th Independence Day July 4th Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veteran's Day November 11th Thanksgiving Day 4th Thursday in November Christmas Day December 25th

1.5.4 Operating Hours: The Government facility operating hours and the Contractor support hour requirements often coincide; however, they may differ. Please refer to the following.

1.5.4.1 Government Facility Operating Hours: The Government Facility hours are generally 0600–1700 local time. Attachment F is provided for historical planning; the Government will issue the applicable operating schedule for the period of performance.

1.5.4.1.1 Planned MEPS closures are: U.S. Holidays identified in paragraph 1.5.3.1, organizational days, and training days.

1.5.4.1.2 Unplanned MEPS closures are during local or national emergencies, administrative closings, or similar Government directed facility closings.

1.5.4.1.3 The Government will provide the Contractor a 30 calendar day notice to any change in the MEPS Operating Schedule that adds or removes processing days.

1.5.4.2 Contractor Support Hours: The Contractor FBPs shall provide services between the Operating Hours start time and Operating Hours end time as ordered for each location Monday through Friday and weekend days as stated in Attachment F, MEPS Operating Schedule except when the facility is closed as stated in paragraphs 1.5.4.1.1. and 1.5.4.1.2. The Contractor shall maintain an adequate workforce at all times for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. Contractor Support Hours coincide with normal operating hours which are when MEPS personnel are in the facility.

1.5.4.3 Duty Time: Unless otherwise ordered, an FBP duty period will be 7 to 10 consecutive hours within the location’s operating hours. Daily FBPs shall be prepared to work at least 7 duty hours each day they are assigned to provide services.

1.5.4.4 Personal Business: Contractor personnel shall not conduct personal or other professional business during operating hours. If the need arises to conduct personal or other professional business during the MEPS operating hours the MEPS Commander or their designee may authorize the FBP to sign out of duty and sign back into duty.

1.5.4.5 Invoicing: Contractor personnel are authorized to invoice only for actual time performed providing ordered contract services.

1.5.4.6 Contractor Scheduling Support Hours: The Contractor, in execution of paragraph 1.4 Performance Objectives and Task 2 and 3 of section 5, shall assign providers to perform medical services according to this PWS. The Contractor shall provide scheduling and assignment support via telephone during the hours of 5:00 AM until 6:00 PM Central Time, Monday through Friday, except for recognized holidays in paragraph 1.5.3.1.

1.5.5 Training Days: Training days may affect access to military operated facilities. If scheduled work or access to facilities is required, coordination with occupants will be necessary or the work in affected facilities shall be rescheduled after the training day.

1.5.6 Place of Performance: The work to be performed under this contract will be performed at each of the MEPS or through a Government-authorized secure virtual platform (such as but not limited to Microsoft Teams) for medical history interviews at a MEPS (as needed by the Government), and HQ USMEPCOM (Technical Exhibit A, MEPS Information).

1.6 SECURITY REQUIREMENTS: The following is provided on security related matters.

1.6.1 Security Program: RESERVED.

1.6.2 Personnel Security Clearance Requirements: Contractor personnel performing work under this contract must have a favorably adjudicated Tier 1 (T1), in the Defense Information System for Security (DISS) at the time the services are performed, and must maintain the level of security required for the life of the contract. The Contractor shall ensure the employee complies with the DoD Security Agreement (DD Form 441), and the NISPOM rule at 32 Code of Federal Regulation (CFR) Part 117, effective 24 Feb 2021. The NISPOM is the National Industrial Security Program Operating Manual to which Contractors must implement and comply.

The Contractor is responsible for ensuring all personnel respond timely to requests and deadlines from applicable Government agencies when completing the T1 process.

1.6.3 Installation Access: Access to U.S. installations, buildings and controlled areas is limited to personnel who meet security criteria and are authorized. Failure to submit required information/data and obtain required documentation or clearances will be grounds for denying access to U.S. installations, buildings and controlled areas. The Contractor shall ensure that any subContractors used in performance of this contract complies with these requirements and that all employees, of both the Contractor and any subContractor utilized by the Contractor, are made aware of and comply with these requirements.

The Contractor shall be aware of and comply with the requirements associated with Installation Access Control. The Government is not liable for any costs associated with performance delays due solely to a firm's failure to comply with Installation Access Control System (IACS) processing requirements.

The Contractor shall return installation passes to the issuing IACS office when the contract is completed or when a Contractor employee no longer requires access.

All FBPs shall follow the local Government MEPS procedures for FBPs checking in and out of the MEPS.

The FBPs shall comply with the local installation requirements for access to military installations.

1.6.3.1 Individual Termination or Expiration of Employment: The Government may deny or withdraw an individual’s access to Government facilities, systems, information, or contract performance when the individual fails to satisfy contract requirements or presents a security, qualification, conduct, or patient-safety concern. Upon notice, the Contractor shall immediately remove the individual from contract performance and provide a qualified replacement. Employment or subcontract termination decisions remain the Contractor’s responsibility.

(1) When FBPs are not complying with the terms of the contract, the COR will submit performance issues using USMEPCOM Form 40-2-4, Contract Provider Quality Management Form to the Contractor. In turn the Contractor shall provide a written response from the FBP and Contractor Program Manager to the COR within 5 business days (Deliverable J-23); (2) The Contractor shall terminate the FBP when the FBP is no longer qualified to work in a Medical Service Provider Pool, not later than three business days after the FBP is determined to be unqualified to be in the Medical Service Provider Pool.

1.6.3.2 Contract Termination or Cancellation: RESERVED.

1.6.3.3 Common Access Cards (CAC) and CAC Log: The Contractor shall provide the required security packet information with each candidate package to the COR (Deliverable J-7) and a CAC Log, according to the standards in Section 5 of this PWS.

1.6.3.3.1. CAC Requirement: FBPs shall obtain a CAC and shall comply with this requirement. Before CAC issuance, the Contractor employee requires, at a minimum, a favorably adjudicated T1 or an equivalent or higher investigation in accordance with Army Directive 201405. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled T1 at the Office of Personnel Management.

1.6.3.3.2. Personally Identifiable Information: The Contractor shall ensure safeguarding of Personally Identifiable Information (PII).

1.6.3.4 Facility Access: FBPs shall perform medical services on Government-owned or leased property and shall comply with this requirement. The Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA, and/or local policy. In addition to changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in Contractor security matters or processes.

All FBPs shall follow the local MEPS procedures for FBPs checking in and out of the MEPS or processing facility.

Weapons are not authorized in any MEPS facility.

1.6.3.5 Trusted Agent: For purposes of the Federal Acquisition Regulation (FAR) Clause 52.204-9, the USG will designate a Trusted Agent (TA) for this contract. The USG reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

1.6.4 Background Checks: The Contractor shall ensure that FBPs comply with required background check requirements and timelines as established by the Electronic Questionnaires Processing System. Background checks will be based on fingerprints of FBPs obtained by the Electronic Fingerprint Capturing System (EFCS) at any MEPS and inquiries will be made, based on the Standard Form 85 and Optional Form 306 completed by the FBP through the Federal Bureau of Investigation (FBI). Completed Standard Forms 85 and Optional Form 306 will be submitted to Contractor's Security Officer for processing.

1.6.4.1 Favorable Background Check: Contractors that work with or teach youth under the age of 18 years are subject to U.S background checks. The Contractor employee may begin performance of the contract after receiving a favorable local background check.

1.6.4.2 Unfavorable Background Check: The Contractor agrees to replace the employee should results of the background check, if required, be unfavorable as determined by the USMEPCOM Personnel Security Manager. The Contractor's replacement of the employee with the unfavorable background check shall be within 24 clock hours of discovery of the unfavorable determination. The Contractor shall also replace employees whose background check, during their tenure of employment, renders them with an unfavorable local or stateside background check, as determined by the USMEPCOM Personnel Security Manager.

The Contractor shall forward a copy to the COR and the USMEPCOM Personnel Security Manager each favorable background check no later than ten (10) calendar days of receipt by the Contractor, identifying such with the appropriate contract number (Deliverable J-7). The Contractor shall forward a copy to the COR and the Requiring Activity Manager of each unfavorable background check no later than twenty-four (24) clock hours of receipt by the Contractor, identifying such with the appropriate contract number (Deliverable J-7).

1.6.4.2 Local Nationals and Third Country Nationals: RESERVED.

1.6.5 Physical Security: The Contractor shall safeguard all Government equipment, information, and property provided for Contractor use. At the close of each work period, Government facilities, equipment, and materials shall be secured IAW the Army Physical Security Program (AR 190-13.).

1.6.6 Operations Security (OPSEC) Requirements: Contractor personnel shall adhere to facility security policies and restrictions. The Contractor shall immediately report suspicious activities to security personnel. Government issued access badges shall not be worn outside designated facilities where visible to the general public.

1.6.7. Controlled Unclassified Information (CUI). The tasks stated in Section 5 require the Contractor to create, access, share, and store CUI. The Contractor shall ensure all personnel are qualified to handle CUI. Contractor personnel shall protect CUI in accordance with USMEPCOM and Department of Defense policies and directives.

1.6.8. Protected Health Information (PHI). The tasks stated in Section 5 require the Contractor to create, access, share, and store PHI. The Contractor shall ensure all personnel are qualified to handle PHI. Contractor personnel shall protect PHI in accordance with USMEPCOM and Department of Defense policies and directives.

1.6.9. Privacy Act Information. This contract requires the development of a system of records in accordance with the Privacy Act of 1974. All documentation showing individual names or other personal information shall be controlled and protected under the provisions of the Privacy Act of 1974, Public Law 93-579, 5 United States Code (U.S.C.) Section 552a.

1.7 KEY CONTROL: The Contractor shall establish and implement methods of making sure all keys issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall develop procedures covering key control that shall be included in the Quality Control Plan.

Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any incidents of lost or duplicate keys to the Contracting Officer. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from payment due to the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the payment due to the Contractor. The Contractor shall prohibit the use of Government issued keys by any persons other than the Contractor's employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer. The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Quality Control Plan.

1.8 POST AWARD CONFERENCE/PERIODIC PROGRESS MEETINGS: The Contractor shall attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The Contracting Officer, COR, and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the Contracting Officer will apprise the Contractor of how the Government views the Contractor's performance and the Contractor shall apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

1.8.1 The Contractor shall attend, participate in, and furnish input to scheduled and unscheduled meetings, conferences, and briefings that relate to the functions and services herein as required by the Government to provide effective communication and impart necessary information. The Contract Manager or designated representative shall attend meetings as requested by the Government. Meeting attendees shall at times include Contractor managerial, supervisory, and other personnel knowledgeable of the subject matter. Meetings may start or end outside of regular duty hours.

1.8.2 The Government will provide to the Contractor at the Post Award Conference, the name, duty telephone number, and e-mail addresses of Contracting Officer's Representative, (COR), Government, Technical Point (G-TPOC) of Contact, and for each MEPS, the MEPS Technical Point of Contact (M-TPOC). Information will be given to the Contractor upon any changes of TPOCs.

1.8.3 The Government will provide to the Contractor, USMEPCOM after-hours contact numbers at the Post Award Conference, and within 5 calendar days of any change, for each MEPS Point of Contact, and HQ USMEPCOM Point of Contact.

1.8.4 At the Post-Award Conference, the Government will provide the then-current MEPS operating schedule. Attachment F is provided for historical planning purposes.

1.8.5 The Contractor shall provide, in writing, a Contractor point of contact (name and telephone number) to the COR at the Post Award Conference, and No Later Than (NLT) twenty-four (24) clock hours after changes are made. (Deliverable J-4) 1.8.6 Business Reviews: USMEPCOM will conduct virtual or in-person business reviews with the Contractor, COR, and the contracting officer, no later than three months after contract award and quarterly thereafter. Agendas will be jointly determined. Location if not conducted virtually, will rotate between USMEPCOM and the Contractor's location, at each party's expense. The Contractor shall attend a performance orientation meeting conducted at HQ USMEPCOM, 60 days into the phase-in period.

1.9 CONTRACTING OFFICER'S REPRESENTATIVE (COR): The Contracting Officer may appoint a Contracting Officer’s Representative (COR) by written designation. The designation letter establishes the COR’s duties and limitations. The COR may monitor technical performance, inspect services, coordinate Government-furnished support, and communicate technical matters within the existing contract requirements. The COR may not alter scope, price, funding, delivery, period of performance, or any other contract term, and may not direct work not required by the contract.

1.10 KEY PERSONNEL: The following personnel are considered key personnel provided by the Contractor to the Government to act as Contractor points of contact: Contractor Contract Manager, and an Alternate Contract Manager. The Contractor shall provide a contract manager who shall be responsible for the performance of the work. No later than the Post Award Conference date, the Contractor shall provide to the COR, a signed letter on company letterhead, the name of the contract manager and an alternate who shall act for the Contractor when the manager is absent shall be designated in writing to the contracting officer. (Deliverable J-4). An updated Designated Contract Manager Letter shall be provided to the Government no later than twenty-four clock hours after a change is made. The contract manager or alternate shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 0800 and 1600 Central Time, Monday thru Friday except Federal holidays or when the Government facility is closed for administrative reasons. Qualifications for all key personnel are listed below:

1.10.1 Contract Manager and Alternate Contract Manager: Minimum required skills and experience for the Contract Manager and Alternate Contract Manager are: Shall have a minimum of seven years relevant experience developing, managing, staffing, and overseeing the geographically dispersed, delivery of personnel services related to the medical field similar to the same size (i.e., minimum dollar value greater than $1.5 million per year) and scope (i.e., related PWS tasks) to this requirement; and a demonstrated knowledge of medical operations to include completion of at least a Masters level degree from an accredited academic institution in Business Administration, Business Management, Health Administration, Science and Health Administration, Nursing or Medical Service Management.

1.11 IDENTIFICATION OF CONTRACTOR EMPLOYEES: All Contractor personnel attending meetings, answering Government telephones, and working in other situations where their Contractor status is not obvious to third parties must identify themselves, to include proper marking of signature blocks in correspondence, to avoid creating an impression in the minds of members of the public that they are Government officials. The Contractor shall ensure that all documents or reports, produced by Contractors are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.

1.12 CONTRACTOR TRAVEL: At the request of the Government, Fee Basis Providers on the weekly FBP Traveling Availability List shall travel to any of the MEPS listed in Attachment A, MEPS Information during the performance of this contract to provide services ordered under this PWS IAW section 5.

1.12.1 Frequency of Travel: All Contractor travel conducted while performing Section 5, Task 3 - Provide Medical Services to Qualify Applicants for Military Service is dependent on the Contractor developing and maintaining MEPS Provider Pools, and the availability of the providers in the pools (Attachment A).

FBP DPC-1s who require initial training when there is no Contractor FBP DPC-4 or Government CMO/ACMO/MO available at their "home" MEPS may travel to a MEPS designated by the COR. Similarly, if the Contractor wishes to travel a DPC-1 or DPC-2 for training/observation, they may travel to a MEPS designated by the COR.

1.12.2 Travel Planning: The Contractor is responsible for making all arrangements for travel, transportation, meals, lodging, incidentals and reimbursing their provider for expenses with invoices aligned to the Travel CLIN.

1.13 OTHER DIRECT COSTS: None.

1.15 DATA RIGHTS: The Government has unlimited rights to all documents/material produced under this contract. All documents and materials shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the Contractor without written permission from the Contracting Officer. All materials including, but not limited to FBP Candidate Packets supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

U.S. Government records, copies of original results and reports, verified original data, corrected data, and corrected supporting final reports are maintained by USMEPCOM and remain the property of the United States Government. These files/results, such as PQMP credentials paperwork, licenses, applications, resumes, letters of recommendation, certified true copies of diplomas, Basic Life Support (BLS), prime source verification, and licensure reports, must be surrendered to the COR upon contract expiration, completion, or termination.

All FBP Candidate Application packets submitted by the Contractor in the fulfillment of duties under this contract shall become and remain the property of the Government.

1.16 NON-DISCLOSURE REQUIREMENTS: Performance under this contract may require the Contractor to access data and information proprietary to a Government agency, another Government Contractor, or of such nature that its dissemination or use other than as specified in this work statement would be adverse to the interests of the Government or others. The Contractor and Contractor personnel, shall not divulge or release data or information developed, or obtained under performance of this PWS, except to authorized Government personnel or upon written approval of the Contracting Officer. The Contractor shall not use, disclose, or reproduce proprietary data, which bears a restrictive legend, other than as specified in this PWS.

1.17 NON-DISCLOSURE STATEMENTS: The Contractor shall provide signed non-disclosure agreements to the COR no later than ten (10) calendar days (Deliverable J-24) prior to commencement of work under the contract. Disclosure of information by Contractor personnel may result in removal of Contractor personnel from performance under this contract. The Non-Disclosure Statement is provided in Attachment B.

1.18 PROTECTION OF GOVERNMENT AND CONTRACT INFORMATION: Per Public Use Notice of Limitations stated by Defense imagery Management operations Center and contained at www.dimoc.mil/resources/limitations/, the Contractor shall not cite any information (e.g., contract information, pictures, locations, etc.) obtained through this contract on any hard copy or digital marketing tools to include its company website.

1.19 ORGANIZATIONAL CONFLICT OF INTEREST (OCI): ORGANIZATIONAL CONFLICT OF INTEREST (OCI): Contractor and subContractor personnel performing work under this contract may receive, have access to, or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements) or perform evaluation services which may create a current or subsequent OCI as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan no later than ten (10) calendar days after discovery to the Contracting Officer to avoid or mitigate any such OCI (Deliverable J-25). The Contractor's OCI Mitigation Plan shall be determined acceptable solely at the discretion of the Contracting Officer. In the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may pursue other remedies as deemed necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.20 PHASE IN /PHASE OUT PERIOD: The Contractor shall plan and execute transition-in and transition-out activities to maintain continuity of medical accession support and prevent avoidable disruption to the USMEPCOM mission. (Deliverables J-3, J-20, J-21)

1.20.1 Phase In Period - Purpose: The Contractor shall have key personnel available at the start of the one hundred twenty (120) calendar day phase in period to perform recruitment, hiring, credential processing, training and obtaining signed FBP contracts. The Contractor shall become familiar with physical screening evaluation requirements in order to commence full performance of services on the contract start date. During phase in period, the Contractor shall organize, plan, recruit personnel, train, mobilize, develop policies and procedures, and accomplish all administrative actions necessary to commence performance of the services at the start of the basic contract period. The Contractor shall tour a MEPS medical section chosen by the GTPOC for understanding USMEPCOM accession medical mission. (Deliverable J-3)

1.20.2 Phase Out Period - Purpose: During the phase-out period, the Contractor shall continue all ordered services, cooperate with the Government and any successor Contractor, transfer Government records and current status information, return Government property and access credentials, protect sensitive information, and complete all closeout actions without disrupting medical accession operations. (Deliverables J-20, J-21)

1.21 SAFETY REQUIREMENTS:

1.21.1 Tobacco Free Medical Campus (TFMC): In accordance with Army Regulation 600-63, paragraph 7-3, 14 April 2015; Operations Order 15-48 (Army Medical Command (MEDCOM) Tobacco Free Living- USAMEDCOM), 8 May 2015; and any Operations Order, regulation or other instruction implementing, defining or otherwise addressing the Tobacco Free Medical Campus (TFMC) on any military installation or DoD-controlled location, Contractor personnel are prohibited from using any tobacco product on or within any TFMC while performing under this contract. TFMCs are established at each installation or DoD-controlled location and include:

1.21.1.1. Any property or non-residential building that is operated, maintained or assigned to support medical activities, including but not limited to, hospitals, medical laboratories, outpatient clinics (including medical, dental, and veterinary facilities), or aid stations operating for the primary purpose of delivering medical care and services for DOD eligible beneficiaries and /or meeting the mission of the Army Medical Command;

1.21.1.2. All other facilities in which medical activities or administration take place, to include HQ MEDCOM and Defense Health Headquarters;

1.21.1.3. All internal roadways, sidewalks and parking lots; and

1.21.1.4. All sidewalks, parking lots and grounds external but adjacent to the building or related to the migratory corridors surrounding the medical facility.

1.21.1.5 The Contractor shall obtain from the G-TPOC any orders, regulations, instructions or other documents implementing, defining or otherwise addressing the TFMC for any given installation or DoD controlled location where Contractor personnel may perform under this contract and shall instruct Contractor personnel on the TFMC limitations for installations or DoD controlled locations where they may perform under this contract.

1.21.2 Installation Safety and Fire Prevention Policies: The Contractor shall ensure all personnel performing services on this contract comply with all installation safety and fire prevention policies and regulations in effect at the assigned facility.

1.21.3 Smoking And Eating Areas: The Contractor and FBPs shall comply with all installation, MEPS, and Command policies and procedures, regarding safety, smoking and eating areas.

1.21.4 OSHA Compliance: The Contractor shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA).

1.22 ENVIRONMENTAL COMPLIANCE: The Contractor shall comply with applicable Federal, state, local, installation, and facility environmental requirements while performing this contract. The Contractor shall promptly report spills, releases, or environmental incidents through established facility procedures.

1.23 REQUIRED TRAINING: The Contractor shall complete and document training in accordance with Attachment C. Initial evidence shall be submitted under J-7; recurring evidence shall be submitted under J-8. (Attachment C; Deliverable J-7 )

1.23.1 Anti-Terrorism (AT) Level I Training (On-Line): All Contractor employees, including subContractor employees, requiring access Government Installations, facilities and controlled access areas shall complete AT Level I Training within 10 calendar days, after contract start date or 10 calendar days after employment of new personnel or effective date of incorporation of this requirement, whichever is applicable. The Contractor shall submit certificates of completion (Deliverable 11) for each affected Contractor employee and subContractor employee to the COR or to the contracting officer, if a COR is not assigned, within 10 calendar days after completion of this training by all employees and subContractor personnel and annually thereafter. AT Level I awareness training is Course Number US007, Name: Level 1 Antiterrorism Awareness Training, available at https://jkodirect.jten.mil. Contractor personnel shall complete refresher training AT Level 1 Training Certificates every twelve (12) months except AOR specific AT Level I Training which shall be completed as required by local AT policies. (Deliverable J-7) If training cannot be conducted on the website, the Contractor shall coordinate with the COR who will contact the local AT Officer at their assigned location for classroom training. Contractor personnel completing training in the classroom will receive a certificate or the training attendance roster signed by the AT Officer. Verification of the training shall be provided to the COR within 10 calendar days after completion of the training (Deliverable J-7)

1.23.2 OPSEC Training (On-Line): All Contractor employees, including subContractors, shall complete Level I OPSEC training no later than 30 calendar days of employment under this contract. Verification of the training shall be provided to the COR no later than 10 calendar days after completion of the training (Deliverable J-7). OPSEC Level I training is available at http://www.cdse.edu/catalog/elearning/GS130.html. Contractor personnel must complete refresher training every 12 months. Verification of the training shall be provided to the COR within 10 calendar days after completion of the training (Deliverable J-7) If training cannot be conducted on the website, the Contractor shall coordinate with the COR, who will contact the local OPSEC Officer at their assigned location for classroom training. Contractor personnel completing training in the classroom will receive a certificate or the training attendance roster signed by the OPSEC Officer. Verification of the training shall be provided to the COR within 10 calendar days after completion of the training (Deliverable J-7)

1.23.3 iWATCH Training (On-Line): The Contractor and all associated subContractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed no later than 10 calendar days after the contract is awarded and no later than 10 calendar days after new employees commence contract performance, with the results reported to the COR no later than 10 calendar days after the contract after completion of the training (Deliverable J-7). Verification of the training shall be provided to the COR no later than 10 calendar days after completion of the training Training slides can be found on the Army OneSource we site: http://www.myarmyonesource.com/familyprogramsandservices/iwatchprogram/default.aspx.

Alternative: Army ATO Ready Reference (cdse.edu).

1.23.4 Information Assurance (IA) Training.

1.23.4.1 DoD IA Cyber Awareness Challenge (On-Line): All Contractor employees, including subContractors, requiring access to Government information systems shall complete the DoD IA Cyber Awareness Challenge no later than 10 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever applies, or 10 calendar days after employment of new personnel. Verification of the training shall be provided to the COR no later than 10 calendar days after completion of the training (Deliverable J-7). All Contractor employees must successfully complete the DOD Information Assurance Awareness prior to access to the information system and then annually thereafter, providing certificates of completion (Deliverable J-7) to the COR no later than 10 calendar days after completion of training. Training is available at: https://jkodirect.jten.mil/Atlas2/page/desktop/DesktopHome.jsf, Course Number: US1364-23.

1.23.5 Personally Identifiable Information (PII) (On-Line): Contractor employees, including subContractors, performing services under this contract with access to PII and Government information shall complete Identifying and Safeguarding Personally Identifiable Information (PII) training no later than 30 calendar days of employment. Contractor personnel shall complete refresher training every twelve (12) months from initial completion. The Contractor shall provide the COR a copy of the training certificates for its employees no later than five (5) days after completion (PII Training Certificate) (Deliverable J-7). Training is available at http://iatraining.disa.mil/eta/piiv2/launchPage.html.

Alternate: https://public.cyber.mil/training/identifying-and-safeguarding-personally-identifiable-information-pii/ The Contractor shall ensure all personnel are qualified to handle PII. Contractor personnel shall protect PII in accordance with USMEPCOM policies and directives.

1.23.6 Sexual Harassment/Assault Response And Prevention (SHARP) (On-Line): The Contractor shall ensure all providers receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after the providers begin performance under this contract. Training can be obtained either online or in person as offered at the MEPS where services are being provided. If the employee has an JKO account, they can access the Team Bound Self Study course online through https://jkodirect.jten.mil/Atlas2/page/desktop/DesktopHome.jsf. The Contractor shall provide verification of the training to the COR no later than 10 calendar days of completion. (Deliverable J-7). Specific training is course number: US021, course name: Joint Staff Sexual Assault Prevention and Response Training.

The Contractor shall comply with OTSG/MEDCOM Policy Memo 24-009, Sexual Harassment/Assault Response and Prevention Program, 4 March 2024, or superseding DHA or DOD policy once issued and provided to the Contractor.

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