14-233-SOL-00416-BOSTON.docx

Solicitation Number: 14-233-SOL-00416/Boston Addendum

SECTION 1 - SUPPLIES OR SERVICES/PRICES

1.1 BRIEF DESCRIPTION OF SERVICES

To obtain cardiac testing services for Federal Occupational Health Federal employees clients, in order for FOH to deliver completed Occupational Health exams to its client government agencies in Boston, Massachusetts.

1.2 TYPE OF CONTRACT

This solicitation shall be awarded on a Firm-Fixed-Price basis.

1.3 SEVERABLE SERVICES

The services acquired under this contract are severable services. Funds are only available for use for the line item to which they are obligated. Unused funds from one period (line item) may not rollover for use in other periods.

1.4 CONSIDERATION AND PAYMENT (FFP)

The total fixed price of this contract/order is $_____________. Payment shall be made upon the delivery and acceptance of all required items listed in Section 2.

Period of Performance: One year from Date of award. Exact dates to be completed upon award.

1.5 CONSIDERATION AND PAYMENT SCHEDULE (FFP)

The total fixed price of this contract/order is $(Total from 1.4 above). Payments shall be made upon the delivery and acceptance of each item listed in Section B in accordance with the following payment schedule: (To Be Completed By the Quoter)

August

September

October

November

December

January

February

March

April

May

June

July

SECTION 2 - DESCRIPTION/SPECIFICATIONS

2.1 STATEMENT OF WORK

2.1. BACKGROUND

The U.S. Department of Health and Human Services (HHS), Program Support Center (PSC), Federal Occupational Health Service (FOH), provides occupational health services to other Federal agencies. FOH provides occupational health (OH) consultation, and stimulates the development of improved OH and safety programs throughout the Federal Government. FOH defines OH from the Federal Government perspective as “a comprehensive approach, with a public health perspective, to improving the health and safety of the Federal work force; thereby increasing their productivity, and decreasing the Government's liability and health care costs through various clinical, environmental, educational, and risk-based prevention programs.” The FOH mission is to be the benchmark for Federal OH programs.

FOH is the single largest provider of OH services in the Federal government, serving more than 360 Federal government agencies and departments and reaching more than 1.5 million Federal government employees. FOH provides these services to other Federal agencies under individual 100% reimbursable Interagency Agreements according to 42USC231 and the Service and Supply Fund Charter. Agreements are negotiated with Federal government departments’ and agencies’ national headquarters, and/or with their regional/local components. Some agreements contain a standard package of OH program components; others contain an array of services and consultations tailored to particular OH or environmental needs.

2.2. PURPOSE

FOH currently provides occupational health medical examinations to Federal employees at FOH staffed Occupational Health Clinics. Not all clinics are fully equipped to provide all required cardiac testing for the medical examinations, and require the Federal employee to obtain the cardiac testing at other health care facilities. The purpose of this SOW is to obtain cardiac testing services for FOH client Federal employees, in order for FOH to deliver completed Occupational Health exams to our client government agencies in Boston, Massachusetts.

2.3. REQUIRED SERVICES

The contractor shall provide the cardiac testing services and shall review all findings and reports for completeness, adequacy of testing and accuracy of services. All testing and services shall meet the American College of Cardiology (ACC) and the American Heart Association (AHA) guidelines. Contractor shall be responsible for staying abreast of the American College of Cardiology (ACC) and the American Heart Association (AHA) guidelines. The contractor is responsible for ensuring that necessary training and instructions are given to all staff providing the cardiac testing services related to this SOW.

Contractor shall only be reimbursed for those services specifically requested by the requesting FOH Staff including the OHC Nurse e Coordinator, Federal Occupational Health Clinical Service Manager or COR designee. Results of all requested cardiac testing services shall be reviewed and signed off by a Board Certified Cardiologist.

The contractor shall provide the following cardiac testing services to FOH client Federal agencies:

2.3.1 EXERCISE STRESS TEST - BRUCE OR BALKE PROTOCOL

Physicians and staff who perform the test must hold current Advanced Cardiac Life Support (ACLS) certification and possess training and experience in cardiac stress testing. If stress testing is performed by a board certified cardiologist, ACLS certification is not required. Interpretation of all stress test results are to be performed by a board certified cardiologist. Written interpretation for all stress tests must include full EKG tracings.

Abnormal Stress Tests – EMERGENT – If an emergent situation should arise or be identified during testing, the standard of care should be followed with SAME DAY notification of the Federal Occupational Health Clinical Service Manager or COR Designee. SUCH EMERGENT REFERRAL IS NOT COVERED FOR PAYMENT UNDER THIS CONTRACT AND PAYMENT IS THE RESPONSIBILITY OF THE EMPLOYEE AND SHOULD BE COVERED BY HIS/HER PERSONAL HEALTH INSURANCE PLAN.

Abnormal Stress Tests – Equivocal or Non-Emergent - Contractor should IMMEDIATELY notify the Federal Occupational Health Clinical Service Manager or COR Designee. In addition, written interpretation and EKG tracings MUST BE forwarded to the Federal Occupational Health Clinical Service Manager/Service Delivery Lead Assistant within 24 hours of the abnormal test.

2.3.2 Cardiac Stress Test - Nuclear

Enhanced stress test and interpretation of all stress test results are to be performed by a board certified cardiologist. Written interpretation for all stress tests must include full EKG tracings.

Enhanced cardiac stress testing is to be performed by means of stress echocardiogram. Enhanced cardiac stress testing MUST BE performed by a board certified cardiologist and ONLY AFTER PRIOR APPROVAL BY the Federal Occupational Health Clinical Service Manager or COR Designee. If it is determined that any other means of enhanced testing (such as nuclear imaging, resting echocardiogram) should be used, the Federal Occupational Health Clinical Service Manager or COR Designee will notify the Contractor. The Contractor will provide the Federal employee examinee with an explanation of the results.

Abnormal Stress Tests – EMERGENT – If an emergent situation should arise or be identified during testing, the standard of care should be followed with SAME DAY notification of the Federal Occupational Health Clinical Service Manager, Service Delivery Lead Assistant or COR Designee. SUCH EMERGENT REFERRAL IS NOT COVERED FOR PAYMENT UNDER THIS CONTRACT AND PAYMENT IS THE RESPONSIBILITY OF THE EMPLOYEE AND SHOULD BE COVERED BY HIS/HER PERSONAL HEALTH INSURANCE PLAN.

Abnormal Stress Tests – Equivocal or Non-Emergent - Contractor should IMMEDIATELY notify the Federal Occupational Health Clinical Service Manager or COR Designee. In addition, written interpretation and EKG tracings MUST BE forwarded to the Federal Occupational Health Clinical Service Manager within 24 hours of the abnormal test.

2.3.3 Cardiac Stress Test – Treadmill Echo aka Stress Echocardiogram

Enhanced stress test and interpretation of all stress test results are to be performed by a board certified cardiologist. Written interpretation for all stress tests must include full EKG tracings.

Abnormal Stress Tests – EMERGENT – If an emergent situation should arise or be identified during testing, the standard of care should be followed with SAME DAY notification of the Federal Occupational Health Clinical Service Manager or COR Designee. SUCH EMERGENT REFERRAL IS NOT COVERED FOR PAYMENT UNDER THIS CONTRACT AND PAYMENT IS THE RESPONSIBILITY OF THE EMPLOYEE AND SHOULD BE COVERED BY HIS/HER PERSONAL HEALTH INSURANCE PLAN.

Abnormal Stress Tests – Equivocal or Non-Emergent - Contractor should IMMEDIATELY notify the Federal Occupational Health Clinical Service Manager or COR Designee. In addition, written interpretation and EKG tracings MUST BE forwarded to the Federal Occupational Health Clinical Service Manager within 24 hours of the abnormal test.

2.3.4 Cardiac Stress Test – Non- Stress Test Echocardiogram

Enhanced stress test and interpretation of all stress test results are to be performed by a board certified cardiologist. Written interpretation for all stress tests must include full EKG tracings.

Abnormal Stress Tests – EMERGENT – If an emergent situation should arise or be identified during testing, the standard of care should be followed with SAME DAY notification of the Federal Occupational Health Clinical Service Manager or COR Designee. SUCH EMERGENT REFERRAL IS NOT COVERED FOR PAYMENT UNDER THIS CONTRACT AND PAYMENT IS THE RESPONSIBILITY OF THE EMPLOYEE AND SHOULD BE COVERED BY HIS/HER PERSONAL HEALTH INSURANCE PLAN.

Abnormal Stress Tests – Equivocal or Non-Emergent - Contractor should IMMEDIATELY notify the Federal Occupational Health Clinical Service Manager or COR Designee. In addition, written interpretation and EKG tracings MUST BE forwarded to the Federal Occupational Health Clinical Service Manager within 24 hours of the abnormal test.

2.4. SCHEDULING

FOH OHC Nurse Coordinator or FOH OHC designee shall be responsible for coordinating the scheduled appointment with the agency Federal employee and the contractor. FOH OHC Nurse Coordinator or FOH OHC designee shall contact the contractor to schedule the required cardiac test(s) needed.

FOH OHC Nurse Coordinator or FOH OHC designee shall provide the Federal employee with completed FOH – 74 Health Services Referral Ticket form (Attachment A). The Federal employee shall be responsible for providing the completed FOH-74 Health Services Referral Ticket form to the contractor, during his/her scheduled cardiac test(s) appointment. Failure of the Federal employee to provide the complete FOH-74 Health Services Referral Ticket form to the contractor upon arrival for his/her scheduled appointment shall result in no cardiac testing services provided to the Federal employee during the scheduled appointment time.

Scheduling fees shall not be charged to FOH. It will be the contractor’s responsibility to develop a method of notification to FOH when such services have been provided.

A missed appointment fee can be charged for failure of the Federal employee to cancel any cardiac test appointment within twenty-four (24) hours. The facility must notify the FOH point of contact (POC) within 24 to 48 hours of the missed appointment.

2.4.1 Personal Identification Information – PII

A. FBI special requirements:

FBI Federal employees that will receive cardiac testing services shall not use personable identifying information to schedule their tests. FOH shall provide the FBI Federal employees with a ‘67’ number for this purpose that is specific to the individual, and is 9 digits in length similar to SSN. FOH-74 Health Services Referral Ticket and the results of all cardiac testing services shall utilize this “67” number to identify the FBI Federal employee.

B. Requirements for other FOH client Federal agencies

Federal employees shall not be required to use their Social Security # and/or Date of Birth to schedule and receive cardiac testing services. FOH shall notify contractor immediately if this requirement changes.

2.5 SAME SEX OBSERVER

All contractors are required to provide a same sex observer, if requested, by any Federal employees receiving cardiac testing services from the contractor.

2.6 Expected Maximum Timeframes for Cardiac Testing Services

FOH client government agencies require requested cardiac testing services and results occur in a timely fashion. The date of the requested cardiac test(s) shall occur within two (2) business days of FOH request and completed within (5) business days. All exceptions to the time frame shall be electronically communicated to the requesting FOH OHC Nurse Coordinator or designee, and FOH Clinical Services Manager, with a copy to the COR designee. This electronic communication should include the reasons for the delay and a proposed alternate date for cardiac testing services.

Once the cardiac test(s) is completed, the contractor has five (5) business days to compile the test results, perform the necessary QA function and send the original cardiac test results to the requesting FOH OHC Nurse Coordinator or designee.

2.7 Transmission of Cardiac Testing Results to FOH

Cardiac Testing Results may be transmitted using the following methods:

1. U.S. Mail

2. Courier

3. Secure Facsimile, with the use of cover page, receiver number verification, and follow-up phone call.

4. UPS;

5. Or other approved method. Approval must be provided in writing from the COR, or CO.

Contractor shall be responsible for costs associated with transmission of cardiac testing results to FOH.

2.7.2 Specific Reporting Requirements

A. The original report and tracings shall be submitted to the requesting FOH OHC. Some agencies will require two copies along with the original report and tracings be sent to the requesting FOH OHC.

B. Additional reporting requirements may be provided by the FOH OHC nurse or designee.

2.8 FOH Occupational Health Clinic (OHC) Sites

Only the COR and/or Contracting Specialist shall notify the Contractor of any FOH OHC sites/client Federal agencies added or removed from those shown in Section 2.29. FOH shall make every effort to notify the Contractor prior to any additions/removals. Cardiac testing services conducted for sites/Federal agencies not approved on this contract by the COR and/or Contracting Specialist, shall be the responsibility of the Contractor.

2.9 REQUIRED FORMS

The list below is not all-inclusive. These forms are subject to change. The contractor will be notified when changes in forms occur. Electronic copies shall be provided to the contractor.

FOH – 74 Health Services Referral Ticket

2.10 FOH Client Federal Agency Cardiac Test (s) Reporting Requirements

The FOH OHC Nurse Coordinator or FOH OHC designee shall be responsible for providing FOH client agencies and/or client Federal employees with cardiac testing results.

2.11 CONTRACTOR’S ON-SITE STORAGE OF PAPER MEDICAL RECORDS

All medical documents related to this contract must be maintained on paper. Electronic Medical Records are prohibited unless otherwise pre-approved, in writing, by the Federal Occupational Health Clinical Service Manager or COR. All records must be maintained in a secure, locked filing cabinet or locked room, separate from other medical files and with access restricted to individuals with a need to know and authorized as noted elsewhere in this contract, in accordance with federal medical confidentiality laws. At all times, medical records under this contract remain the property of Federal Occupational Health.

The physician and the clinic staff are required to receive formal HIPAA and medical confidentiality training on a yearly basis. Documentation of this training shall be made available, by the contractor to the Federal Occupational Health Clinic Service Manager or COR upon request.

The contractor shall be responsible for clerical costs for necessary printing, copying, faxing, and collating of any documents related to this contract.

2.12 Confidential Treatment of Sensitive Information

In order to avoid any organizational conflict of interest, the contractor – including its parent company, subsidiaries, and subcontractors, if any, shall maintain strict confidentiality of information that is provided by the Government during the performance of the contract. Information provided to and received from the contractor is considered the government’s property.

If the contractor, in the performance of this contract, obtains access to information, such as plans, policies, reports, studies, financial plans, internal data protected by the Privacy Act of 1974 (5 U.S.C. 522a), or data which has not been released or otherwise made public, the contractor agrees that without prior written approval of the Contracting Officer it shall not use such information for any private purpose unless the information has been released or otherwise made available to the public. The contractor agrees that to the extent it receives or is given access to proprietary data, data protected by the Privacy Act of 1974 (5 U.S.C. 522a), or other confidential or privileged technical, business, or financial information under this contract, it shall treat such information in accordance with any restrictions imposed on such information.

2.13 Cardiac test results Confidentiality

The contractor must treat all ancillary test results containing employee medical information as confidential and maintain them in accordance with 5 U.S.C. 552a, the Privacy Act of 1974, and FOH guidelines outlined in FOH Policy M.39.

2.14 Storing and destroying information

The contractor must maintain an appropriate facility for storage and retrieval of records, in compliance with HIPAA policies. The contractor’s facility shall have adequate storage space for ancillary services results, and the contractor shall ensure that cardiac testing service(s) results stored in their facility will be safe from fire, theft, and other hazards. Ancillary service results will be readily available for tracking and retrieval of information, in accordance with industry standards.

A. Controls must be implemented and maintained to prevent the information from physically or electronically leaving the Contractor's approved space, or becoming known to persons without a need-to-know or an executed non-disclosure agreement;

B. Buildings, or individual offices, where information is processed must have entrance doors that lock and that will show evidence of unauthorized entry;

C. Documents, files, and electronic representations of such, must be placed in a locked container when not in use by an authorized person. A locked container may be construed of any of the following, or reasonable facsimiles thereof:

1. Desk with a locking drawer

2. Locking file cabinet

3. GSA-approved security container

4. Password-protected and encrypted computer, as to be considered unusable, unreadable, or indecipherable to unauthorized individuals.

5. Office space with a locking door;

2.15 Disposition of Cardiac Test(s) information

At the end of the contract, destroying and/or deleting from contractor possession, including any and all information systems, by approved methods, or conveying all program related information, such as laboratory results and medical examination information, to the Government (includes soft media, as well as documents and other materials). Government personnel may elect to witness the destruction of any information. Medical records under this contract are the property of Federal Occupational Health and are merely maintained by the contractor for the government’s benefit.

The contractor shall maintain in his/her possession only sufficient information regarding cardiac test(s) to allow for payment or the proper conduct of business. Records maintained by the Contractor shall be subject to review by the Federal Occupational Health COR upon request.

Unauthorized disclosure of government information, to include information maintained on any billing system, may constitute a security incident; this includes the loss of computer hardware whether encrypted or not, and the Federal Occupational Health COR shall be informed of any unauthorized disclosure, in writing, within five (5) business days. In the event of a privacy breach, the contractor shall notify the COR within two (2) hours of discovery. The unauthorized disclosure of information protected by the Privacy Act could also result in criminal sanctions.

Cardiac test(s) records under this contract are the property of Federal Occupational Health at all times. For the duration of the contract, the Contractor shall maintain the medical records as a system of records on behalf of Federal Occupational Health.

2.16 RELEASE OF INFORMATION

The contractor, including its parent company, subsidiaries, and subcontractors, if any, shall maintain strict confidentiality of information that is provided by the Government during the performance of the contract.

The contractor is prohibited from independently publicizing or disseminating any information without the prior written approval from the Contracting Officer.

Information provided to and received from the contractor is considered the government’s property. All instruments, programs, all source materials and data will become the property of the Government and will be considered part of the deliverables.

2.17 KEY PERSONNEL REPLACEMENT AND SUBSTITUTION

During the first 180 calendar days of the performance of work, the contractor shall make no substitutions of key personnel unless illness, death, or termination of employment necessitates the substitution. The contractor shall notify the Contracting Officer as soon as possible after the occurrence of any of these events and provide the required information as stated herein. After the initial 180 calendar day period, the contractor may propose substitutions. The contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the Contracting Officer. The contractor shall, prior to making any substitution permanent, demonstrate to the satisfaction of the COR and the Contracting Officer that the qualifications of the proposed substitute key personnel are equal to or better than the qualifications of the personnel originally identified for the position. The Contracting Officer will notify the contractor of the decision on proposed substitution within 15 calendar days after receipt of all required information. All changes in key personnel will become effective upon execution of a bilateral contract modification.

The Government has identified the position of Program Manager as Key Personnel.

a. Program Manager: act as the Contractor’s representative and primary point of contact to FOH. The Program Manager will have direct oversight and full authority over all aspects of this contract.

The Program Manager shall talk with the COR on a regular basis (as mutually agreed upon by the COR and the Contractor) to discuss any problems that the Contractor may be experiencing during the performance of this contract. Unresolved problems will be referred to the Contracting Officer for resolution. Decision(s) made by the Contracting Officer are final.

2.18 Contractor Personnel Qualifications

The Contractor shall ensure, that at a minimum, all employees performing under this contract have current licenses, in their profession, registration, and required certifications to practice in one (1) of the 50 states in the United States (US), US territories, or the District of Columbia. If the cardiac test(s) is not performed by a board certified cardiologist, the physician(s) or contract staff who performs the cardiac test(s) shall hold current Advanced Cardiac Life Support (ACLS) certification and possess training and experience in cardiac stress testing. The COR may request to inspect/review in person or receive copies of any credentialing documentation, national database queries, and primary source verification at any time. Any additional qualifications/certification not listed below, that is requested by the COTR, to Contractor, will require CO Approval. The contractor shall furnish replacement personnel with the required qualifications and appropriate clearances without causing a delay or interruption of services.

The contractor shall be responsible for providing technically qualified personnel to perform the work specified in this Performance Work Statement. The contractor shall maintain the personnel, organization, and administrative control necessary to ensure that the work delivered meets contract specifications and requirements. The work history of each contractor employee must contain experience directly related to the task and functions he/she is intended to perform under this contract. Personnel assigned to, or utilized by, the contractor in performance of work shall be fully capable of performing the contemplated functions of the respective labor categories in an efficient, reliable, and professional manner.

2.19 FBI SECURITY CHECKS AND OTHER PERSONNEL REQUIREMENTS

A. The FBI requires at least two (w) board certified cardiologists and two (2) administrative personnel staff providing cardiac services for the FBI will need to complete a background clearance. The form attached is what is being requested they complete. The contractor personnel performing cardiac test(s) for FBI client Federal employees are be required to complete the required security processes and meet the requirements specified by the FBI Security Division for the sensitivity or classification level of the information for which they will require access. Any contracted personnel who perform services for FBI may be subject to a background investigation. Only persons authorized and cleared by the FBI shall perform services under this contract and have access to any medical information. See FBI background clearance form, “4-Pager Assistance Form” in the Attachments section. The FBI requires the 4-Pager Assistance Form to be completed in their presence and can be done at the same time finger printing is completed. FBI Fingerprinting point-of-contact information shall be provided to the contractor upon contract award.

B. The Contractor agrees by acceptance of a contract to fully cooperate with the government agency to complete the security process by promptly completing necessary forms, scheduling finger printing, and providing required documentation within thirty (30) days of contract award date.

C. All “hands on” physicians and office personnel who will have access to the records and administrative information pertaining to FBI employees shall be subject to a National Agency Check (NAC). The process for Security checks will be coordinated by the COR and the Security Officer assigned to the FBI Field Office upon contract award. Fingerprints for identification purposes will be required.

D. The Contractor shall immediately report to the Federal Occupational Health COR, in writing, changes resulting in different physicians and office personnel being assigned to perform the FBI duties stated in the contract. Each new physician or office personnel must be cleared by the government. Services cannot be initiated by new contractors without prior approval.

2.20 FBI SPECIAL SECURITY REQUIREMENTS

A. Prior approval by the Federal Occupational Health COR is required for any subcontracting.

B. The contractor shall not photocopy, or in any way retain, any identification documents belonging to FBI personnel, including, but not limited to FBI documents, or personal driver’s licenses. The contractor shall not use any personally identifiable information such as a home address for FBI personnel (see section C.4.1). If necessary, the contractor shall utilize the Federal Occupational Health Office located at 100 Alabama Street, Suite 3R10, Atlanta, GA 30303 address on all records.

2.21 POST AWARD CONFERENCE

Within two (2) business days after the award of the contract, the contractor shall talk with the Contracting Officer, the COR and other Government personnel to thoroughly review the requirements of the contract document, contract administration procedures, and invoicing requirements. The contractor’s representatives attending the conference shall include a company representative authorized to bind the company and the contractor’s Program Manager, who is responsible for overall contract administration. The conference may be held by telephone or at the location designated by the Contracting Officer.

2.22 PROTECTION OF INDIVIDUAL PRIVACY (PRIVACY ACT)

This contract/task order specifically provides for the design, development, or operation of a system of records on individuals. Therefore, in accordance with the Privacy Act of 1974 (5 U.S.C. 552a) and FAR Subpart 24.103, the system of records on individuals that is applicable to this contract/task order is: 09-90-0013. The contractor and its employees are subject to criminal penalties for violations of the Act (5 U.S.C. 552a(i)) to the same extent as employees of the Department of Health and Human Services. The contractor does hereby agree and assures that each one of its employees know the prescribed rules of conduct, and each employee is aware that he/she can be subjected to criminal penalties for violations of the Act. A copy of the rules of conduct and other requirements are set forth in 45 CFR Part 5b.

SECTION 3 - PACKAGING AND MARKING

3.1 PACKAGING AND MARKING

All information and deliverables shall be delivered to the address shown in Section

3.2 entitled - Place of Delivery - and shall be marked as follows:

3.2. PLACE OF DELIVERY/PERFORMANCE

It is anticipated that the Contractor shall perform the required services within 25 miles of near the following site:

FOH Health Center John F. Kennedy Building, Government Center 25 New Sudbury Street, Room E-110 (Low Rise) Boston, Massachusetts 02203

Location of services must be within a twenty-five (25) mile radius of each FOH OHC listed above. Contractor shall provide FOH with updated point-of-contact information for their designated cardiac testing sites. It is preferred that the contractor be able to provide all required services in a minimal number of locations to reduce the amount of time a Federal employee must spend to have all cardiac test(s) completed.

SECTION 4 - INSPECTION AND ACCEPTANCE

4.1 INSPECTION AND ACCEPTANCE (COMMERCIAL)

Pursuant to 52.212-4, all work described in the SOW/PWS/SOO to be delivered under this contract is subject to final inspection and acceptance by an authorized representative of the Government. The authorized representative of the Government is the Government's COR, who is responsible for inspection and acceptance of all services, materials, or supplies to be provided by the Contractor.

SECTION 5 - DELIVERIES OR PERFORMANCE

5.1 PERIOD OF PERFORMANCE

The period of performance shall be for the period of once year from date of award. Exact dates will be completed upon award.

5.2 REPORT(S)/DELIVERABLES AND DELIVERY SCHEDULE

The contractor shall submit all required report(s)/deliverables in accordance with the following schedule: All reports shall reference and cite the contract/order number.

The date of the requested cardiac test(s) shall occur within two (2) business days of FOH request.

Once the cardiac test(s) is completed, the contractor has five (5) business days to compile the test results, perform the necessary QA function and send the cardiac test results.

SECTION 6 - CONTRACT ADMINISTRATION DATA

6.1 CONTRACTING OFFICER'S REPRESENTATIVE (COR) AUTHORITY

(a) Performance of work under this contract must be subject to the technical direction of the Contracting Officer's Representative identified above, or a representative designated in writing. The term "technical direction" includes, without limitation, direction to the contractor that directs or redirects the labor effort, shifts the work between work areas or locations, fills in details and otherwise serves to ensure that tasks outlined in the work statement are accomplished satisfactorily.

(b) Technical direction must be within the scope of the specification(s)/work statement.

The Contracting Officer's Representative does not have authority to issue technical direction that:

(1) Constitutes a change of assignment or additional work outside the specification(s)/statement of work;

(2) Constitutes a change as defined in the clause entitled "Changes";

(5) Interferes with the contractor's right to perform under the terms and conditions of the contract; or

(6) Directs, supervises or otherwise controls the actions of the contractor's employees.

(c) Technical direction may be oral or in writing. The Contracting Officer's Representative shall confirm oral direction in writing within five work days, with a copy to the Contracting Officer.

(d) The contractor shall proceed promptly with performance resulting from the technical direction issued by the Contracting Officers, Representative. If, in the opinion of the contractor, any direction of the Contracting Officers, Representative, or his/her designee, falls within the limitations in (b), above, the contractor shall immediately notify the Contracting Officer no later than the beginning of the next Government work day.

(e) Failure of the contractor and the Contracting Officer to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled "Disputes."

6.2 INVOICE SUBMISSION - COMMERCIAL

The Contractor shall submit invoices once per month. A complete invoice with all required back-up documentation shall be sent electronically, via email, to:

1. Contract Specialist via DAM mailbox: pscsas.invoices@psc.hhs.gov.

2. Contracting Officer's Representative (COR): (TO BE COMPETED UPON AWARD)

3. Financial Management Service (FMS): psc_invoices@psc.hhs.gov.

* No other non-invoice related documents (i.e. deliverables, reports, balance statements) shall be sent to the DAM and FMS mailboxes. Invoices Only.

The subject line of your email invoice submission shall contain the contract number, contract line item number, the order number, if applicable, and the number of invoices. The Contractor shall send one email per contract per month. The email may have multiple invoices for the contract. Invoices must be in the following formats: PDF, TIFF, or Word. No Excel formats will be accepted. The electronic file cannot contain multiple invoices; example, 10 invoices requires 10 separate files (PDF or TIFF or Word).

Invoices shall be submitted in accordance with the contract terms, i.e. payment schedule, progress payments, partial payments, deliverables, etc.

All calls concerning contract payment shall be directed to the COR.

In accordance with FAR 52.212-4, Contract Terms and Conditions-Commercial Items, a proper invoice must include the following items:

FAR 52.212-4(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include:

(iii) Contract number, contract line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer, System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer, Other Than System for Award Management), or applicable agency procedures.

Additionally, the FMS requires the contractor to include its Dun & Bradstreet Number (DUNS) on each invoice.

In accordance with OMB Memorandum, M-11-32, Agencies shall make payments to small businesses as soon as practicable, with the goal of making payments within 15 days of receipt of a proper invoice. If a small business contractor is not paid within this (15 day) accelerated period, the contractor will not be given a late-payment interest penalty. Interest penalties, as prescribed by the Prompt Payment Act, remain unchanged by means of this memorandum. All small businesses shall label all invoices as "Small Business."

Additionally, in accordance with OMB Memorandum, M-12-16, all prime contractors are encouraged to disburse funds received from the Federal Government to their small business subcontractors in a prompt manner. To assist prime contractors in expediting contractor payments to small business subcontractors, Agencies shall, to the full extent permitted by law, temporarily establish an earlier, accelerated date for making agency payments to all prime contractors. Consistent with OMB Memorandum M-11-32 above, Agencies shall have a goal of paying all prime contractors within 15 days of receiving proper documentation. In an effort to support small business growth, drive economic activity and job creation, the Contractor is encouraged to accelerate payments to their small business subcontractors.

In accordance with the requirements of the Debt Collection Improvement Act of 1996, all payments under this order will be made by electronic funds transfer (EFT). The Contractor shall provide financial institution information to the Finance Office designated above in accordance with FAR 52.232-33 Payment by Electronic Funds Transfer - System for Award Management.

6.3 HHSAR 352.242-70 KEY PERSONNEL. (JAN 2006)

The key personnel specified in this contract are considered to be essential to work performance. At least 30 days prior to diverting any of the specified individuals to other programs or contracts (or as soon as possible, if an individual must be replaced, for example, as a result of leaving the employ of the Contractor), the Contractor shall notify the Contracting Officer and shall submit comprehensive justification for the diversion or replacement request (including proposed substitutions for key personnel) to permit evaluation by the Government of the impact on performance under this contract. The Contractor shall not divert or otherwise replace any key personnel without the written consent of the Contracting Officer. The Government may modify the contract to add or delete key personnel at the request of the contractor or Government.

SECTION 7 - SPECIAL CONTRACT REQUIREMENTS

7.1 CONTRACTOR PERFORMANCE EVALUATION(S)

During the life of this contract, Contractor performance will be evaluated on an interim and final basis pursuant to FAR Subpart 42.15. The Contractor Performance Assessment Reporting System (CPARS) will be utilized for these reviews. Information on CPARS can be located at http://www.cpars.gov.

7.2 POST AWARD ORGANIZATIONAL CONFLICT OF INTEREST

a. General: The Contractor shall have programs in place to identify, report, and mitigate actual and potential conflicts of interest for itself, its employees, subcontractors and consultants. The existence of such programs and the disclosure of known actual or potential conflicts are material performance requirements of this contract.

b. Disclosure: The Contractor shall report all actual and potential conflicts of interest pertaining to this contract to the Contracting Officer, including those that would be caused by a contemplated modification to this contact or another contract. Such reports shall be in writing (including by email). Upon request, the Contractor shall respond to a Contracting Officer's request for an OCI mitigation plan.

c. Resolution: In the event the Contracting Officer determines that a conflict of interest exists, based on disclosure from the Contractor or from other sources, the Contracting Officer shall take action which may include, but is not limited to, requesting a mitigation plan from the Contractor, terminating part or all of the contract, modifying the contract or obtaining a waiver in accordance with applicable law, including FAR 9.503 as applicable.

SECTION 8 - CONTRACT CLAUSES

8.1. FAR 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS - COMMERCIAL ITEMS. (JAN 2014)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.222-50, Combating Trafficking in Persons (FEB 2009) (22 U.S.C. 7104(g)).

(2) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Pub. L. 108-77, 108-78).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (Contracting Officer check as appropriate.)

[] (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (SEP 2006), with Alternate I (OCT 1995) (41 U.S.C. 253g and 10 U.S.C. 2402).

[] (2) 52.203-13, Contractor Code of Business Ethics and Conduct (APR 2010)(Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)).

[] (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

[] (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUL 2013) (Pub. L. 109-282) (31 U.S.C. 6101 note).

[] (5) 52.204-11, American Recovery and Reinvestment Act-Reporting Requirements (JUL 2010) (Pub. L. 111-5).

[x] (6) 52.204-14, Service Contract Reporting Requirements (JAN 2014) (Pub. L. 111-117, section 743 of Div. C).

[] (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (JAN 2014) (Pub. L. 111-117, section 743 of Div. C).

[] (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (AUG, 2013) (31 U.S.C. 6101 note).

[] (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (JUL 2013) (41 U.S.C. 2313).

[] (10) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (MAY 2012) (section 738 of Division C of Pub. L. 112-74, section 740 of Division C of Pub. L. 111-117, section 743 of Division D of Pub. L. 111-8, and section 745 of Division D of Pub. L. 110-161).

[] (11) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (NOV 2011) (15 U.S.C. 657a).

[] (12) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (JAN 2011) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[] (13) (Reserved)

[] (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644).

[] (ii) Alternate I (NOV 2011).

[] (iii) Alternate II (NOV 2011).

[] (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (JUN 2003) (15 U.S.C. 644).

[] (ii) Alternate I (OCT 1995) of 52.219-7.

[] (iii) Alternate II (MAR 2004) of 52.219-7.

[] (16) 52.219-8, Utilization of Small Business Concerns (JUL 2013) (15 U.S.C. 637 (d)(2) and (3)).

[] (17)(i) 52.219-9, Small Business Subcontracting Plan (JUL 2013) (15 U.S.C. 637(d)(4)).

[] (ii) Alternate I (OCT 2001) of 52.219-9.

[] (iii) Alternate II (OCT 2001) of 52.219-9.

[] (18) 52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)).

[] (19) 52.219-14, Limitations on Subcontracting (NOV 2011) (15 U.S.C. 637(a)(14)).

[] (20) 52.219-16, Liquidated Damages-Subcontracting Plan (JAN 1999) (15 U.S.C. 637(d)(4)(F)(i)).

[] (21)(i) 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns (OCT 2008) (10 U.S.C. 2323)(if the offeror elects to waive the adjustment, it shall so indicate in its offer.)

[] (ii) Alternate I (JUN 2003) of 52.219-23.

[] (22) 52.219-25, Small Disadvantaged Business Participation Program-Disadvantaged Status and Reporting (JUL 2013) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

[] (23) 52.219-26, Small Disadvantaged Business Participation Program-Incentive Subcontracting (OCT 2000) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

[] (24) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C. 657f).

[] (25) 52.219-28, Post Award Small Business Program Rerepresentation (JUL 2013) (15 U.S.C. 632(a)(2)).

[] (26) 52.219-29, Notice of Set-Aside for Economically Disadvantaged Women-Owned Small Business (EDWOSB) Concerns (JUL 2013) (15 U.S.C. 637(m)).

[] (27) 52.219-30, Notice of Set-Aside for Women-Owned Small Business (WOSB) Concerns Eligible Under the WOSB Program (JUL 2013) (15 U.S.C. 637(m)).

[x] (28) 52.222-3, Convict Labor (JUN 2003) (E.O. 11755).

[x] (29) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (JAN 2014) (E.O. 13126).

[x] (30) 52.222-21, Prohibition of Segregated Facilities (FEB 1999).

[x] (31) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).

[] (32) 52.222-35, Equal Opportunity for Veterans (SEP 2010) (38 U.S.C. 4212).

[] (33) 52.222-36, Affirmative Action for Workers with Disabilities (OCT 2010) (29 U.S.C. 793).

[] (34) 52.222-37, Employment Reports on Veterans (SEP 2010) (38 U.S.C. 4212).

[] (35) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496).

[] (36) 52.222-54, Employment Eligibility Verification (AUG 2013). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

[] (37)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (MAY 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

[] (ii) Alternate I (MAY 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

[] (38) 52.223-15, Energy Efficiency in Energy-Consuming Products (DEC 2007) (42 U.S.C. 8259b).

[] (39)(i) 52.223-16, IEEE 1680 Standard for the Environmental Assessment of Personal Computer Products (DEC 2007) (E.O. 13423).

[](ii) Alternate I (DEC 2007) of 52.223-16.

[] (40) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011)

[] (41) 52.225-1, Buy American Act - Supplies (FEB 2009) (41 U.S.C. 10a-10d).

[] (42)(i) 52.225-3, Buy American Act-Free Trade Agreements-Israeli Trade Act (NOV 2012) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43).

[] (ii) Alternate I (MAR 2012) of 52.225-3.

[] (iii) Alternate II (MAR 2012) of 52.225-3.

[] (iv) Alternate III (NOV 2012) of 52.225-3.

[] (43) 52.225-5, Trade Agreements (NOV 2013) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

[x] (44) 52.225-13, Restrictions on Certain Foreign Purchases (JUN 2008) (E.O.'s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury.

[] (45) 52.225-26, Contractors Performing Private Security Functions Outside the United States (JUL 2013) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

[] (46) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (NOV 2007) (42 U.S.C. 5150).

[] (47) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (NOV 2007) (42 U.S.C. 5150).

[] (48) 52.232-29, Terms for Financing of Purchases of Commercial Items (FEB 2002) (41 U.S.C. 255(f), 10 U.S.C. 2307(f)).

[] (49) 52.232-30, Installment Payments for Commercial Items (OCT 1995) (41 U.S.C. 255(f), 10 U.S.C. 2307(f)).

[x] (50) 52.232-33, Payment by Electronic Funds Transfer - System for Award Management (JUL 2013) (31 U.S.C. 3332).

[] (51) 52.232-34, Payment by Electronic Funds Transfer - Other than System for Award Management (JUL 2013) (31 U.S.C. 3332).

[] (52) 52.232-36, Payment by Third Party (JUL 2013) (31 U.S.C. 3332).

[] (53) 52.239-1, Privacy or Security Safeguards (AUG 1996) (5 U.S.C. 552a).

[] (54)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631).

[] (ii) Alternate I (APR 2003) of 52.247-64.

(c) The…