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Quality Assurance Surveillance Plan (QASP) For: Document Destruction Services – Western NY VA Health Care System, Bath NY VA Medical Center, Albany NY Medical Center Contract Number: (to be filled out upon award) Vision To devise a strategy to procure document destruction services for the Western NY VA Health Care System, Bath NY VA Medical Center, Albany NY VA Medical.

Mission To maintain protection of sensitive information via destruction of documentation in accordance with VA Directive 6371.

Purpose

This Quality Assurance Surveillance Plan (QASP) is a government-developed document used to determine if the contractor's performance meets the performance standards contained in the contract. The QASP establishes procedures on how this assessment/inspection process will be conducted. It provides the detailed process for a continuous oversight process:

· What will be monitored

· How monitoring will take place

· Who will be conduct the monitoring

· How monitoring efforts and results will be documented

· The contractor is responsible for implementing and delivering performance that meets contract standards using its Quality Control Plan. The QASP provides the structure for the government's surveillance of the contractor's performance to assure that it meets contract standards. It is the government's responsibility to be objective, fair and consistent in evaluating contractor performance.

The QASP is not part of the contract nor is it intended to duplicate the contractor's quality control plan. This QASP is a living document. Flexibility in the QASP is required to allow for an increase or decrease in the level of surveillance necessary based on contractor performance.

The government may provide a copy of the QASP to the contractor to facilitate open communication. In addition, the QASP should recognize that unforeseen or uncontrollable circumstances might occur that are outside the control of the contractor.

Bottom line, the QASP should ensure early identification and resolution of performance issues to minimize impact on mission performance.

Authority

Authority for issuance of this QASP is provided under Part 46 of the Federal Acquisition Regulation, Inspection of Services clauses, which provides for inspection, acceptance and documentation of the service called for in the contract or order. This acceptance is to be executed by the contracting officer or a duly authorized representative.

Roles and Responsibilities

The following personnel shall oversee and coordinate surveillance activities.

Program / Project Manager The PM provides primary program oversight, nominates the COR, ensures the COR is trained before performing any COR duties and supports the COR's performance assessment activities. While the PM may serve as a direct conduit to provide Government guidance and feedback to the Contractor on technical matters, they are not empowered to make any contractual commitments or any contract changes on the government's behalf.

Assigned PM: Donna Golossi Organization or Agency: Dept of VA, Buffalo Telephone: 716-862-6398 Email: Donna.Golossi@va.gov Assigned PM: Valerie Tyler Organization or Agency: Dept of VA, Bath Telephone: 607-664-4737 Email: Valerie.Tyler@va.gov Assigned PM: Alexia Briwa Organization or Agency: Dept of VA, Albany Telephone: 518-626-6138 Email: Alexia.Briwa@va.gov Contracting Office (CO)

TheCO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also ensure that the contractor receives impartial, fair, and equitable treatment under this contract. Determine and document the final assessment of the contractor's performance in the governments past performance tracking system.

AssignedCO: Anthony Murray

Organization or Agency: Dept. of VA

Telephone: 518-626-6138

Email: Anthony.Murray2@va.gov Contracting Officer's Representative (COR) The COR is responsible for providing continuous technical oversight of the contractor's performance. The COR uses the QASP to conduct the oversight/surveillance process. The COR shall keep a Quality Assurance file that accurately documents the contractor's actual performance. The purpose is to ensure that the contractor meets the performance standards contained in the contract. The COR is responsible for reporting early identification of performance problems to the KO. The COR is required to provide an annual performance assessment to the KO which will be used in documenting past performance. The QASP is the primary tool for documenting contractor performance. The COR is not empowered to make any contractual commitments or to authorize any contractual change on the Government's behalf.

Assigned COR: Donna Golossi Organization or Agency: Dept. of VA

Telephone: 716-862-6398 Email: Donna.Golossi@va.gov Assigned PM: Valerie Tyler Organization or Agency: Dept of VA, Bath Telephone: 607-664-4737 Email: Valerie.Tyler@va.gov Assigned PM: Alexia Briwa Organization or Agency: Dept of VA, Albany Telephone: 518-626-6138 Email: Alexia.Briwa@va.gov This may include performance monitors, inspectors, technical experts, or others who provide information that helps the COR monitor contractor performance.

Contractor Representatives The following employees of the contractor serve as the contractor's Program Manager and Task Manager for this contract.

Program Manager -

Telephone:

Email:

Task Manager -

Telephone:

Email:

Other Key Contract Personnel -

Title:

Telephone:

Email:

I. DESCRIPTION OF SERVICES/INTRODUCTION:

1. The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Confidential Document Destruction Container Collection/Removal Contract as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

2. Labor and materials necessary for the collection and removal of documents. The contractor will perform all required services identified in this Performance Work Statement (PWS). Contractor will furnish containers at various locations as per below.

II. SCOPE:

STATEMENT OF WORK (SOW)-Removal of Sensitive Documents

1. Background Removal of sensitive documents from the VHA WNY Healthcare System, Bath VA Medical Center and Stratton VA Medical Center is required at the following locations:

Serviced Weekly:

VA Medical Center

3495 Bailey Avenue

76 Veterans Avenue

113 Holland Ave Buffalo, New York 14215

Bath, New York 14810

Albany, NY 12208

Serviced bi-Weekly:

VA Offices at Apple Tree Business Park

222 Richmond Avenue

2875 Union Road, Suite 3500

Batavia, New York 14020

Cheektowaga, New York 14227 Serviced Monthly:

VA CBOC – Niagara Falls

VA CBOC – Olean

2201 Pine Avenue

465 North Union Street

Niagara Falls, NY 14301

Olean, NY 14760

VA HBPC – Springville

VA HBPC – Jamestown

27 Franklin St., Suite 7

610 West 3rd Street Springville, NY 14141

Jamestown, NY 14701

VA Day Treatment Center

VA – Healthcare for Homeless Program

2963 Main Street

1298 Main Street

Buffalo, NY

Buffalo, NY

2. Scope

Description of Services: The contractor shall provide sensitive document destruction services in accordance with VA Directive 6371 to the Bath, Buffalo and Albany VAMC’s. In accordance with this Directive, the contractor shall ensure that document information/material will be secure from the point of pick-up, to the point of generation, to the point of destruction. All documents shall be destroyed beyond recognition. The Contractor shall make pick-ups as required by volumes generated of document materials for destruction. The day(s) of pick-up will be agreed upon by the Contracting Officer’s Representative (COR) and the Contractor. The COR shall provide a location list of consoles and totters to be serviced, and/or other materials for destruction on the day of pick up, or by mutual consent with an established schedule. This list will be kept current by both the COR and vendor. Some locations may stage the totters/consoles/ receptacles in a specific area.

· Contractor shall provide secured/locked consoles and totters free of charge. If a facility possesses their own consoles then that facility will not require contractor provided consoles.

· Contractor shall provide a listing of rooms where all consoles and totes are within the facility at all locations to the COR quarterly or when changes are made.

· Contractor shall provide servicing of consoles and totters per instructions of COR.

· Contractor must be able to destroy materials regularly placed in consoles and totters of the following mixed type:

· Bath VAMC Approximately 7,000 -10,000 pounds of paper material monthly, 80 totters.

· Buffalo VAMC and associated Western New York Clinics and sites require Approximately 14,000-20,000 pounds of paper material monthly, 100 totters.

· Albany VAMC requires Approximately 8,000 – 12,000 pounds of paper material monthly

· Paper of any color, Carbon Paper

· Paper clips, staples, fasteners

Contractor shall destroy materials regularly placed in consoles and totters in the manner prescribed by VA Handbook 6500, Risk Management Framework for VA Information Systems – tier 3: VA Information Security Program., and VA Directive 6371, Destruction of Temporary Paper Records.

Contractor shall destroy paper by incineration at a secure facility that passes government inspection. When material is burned it must be reduced to a white ash. A Certificate of Destruction shall be provided to the COR after each incineration stating the number of totes incinerated. The contractor may provide the COR with a temporary document. This document shall contain the contractor representative/technician’s signature and detail the number of totters/consoles/ receptacles worth of documents that were destroyed. A final Certificate of Destruction must be provided to the VA Medical Center COR within 24 hours of the service performed.

Contractor shall destroy microfilm, microfiche, or other reduced image photo negatives by burning. When material is burned, residue must be reduced to white ash.

If final destruction is not performed on site, Contractor shall provide the COR with notification when other stops will be made prior to delivery to final destruction facility. Contractor shall be responsible for sensitive documents from pick up throughout final destruction.

The contactor shall destroy all material on the same day of pick up or make written notification to the COR with a justification of why destruction is delayed and what measures the contractor has put in place to protect the material (electronic mail is acceptable). In no case will the contractor hold any material for greater than 24 hours. The contractor will provide all security measures to ensure that the protection of documents for destruction.

Contractor (Owned) Provided Supplies/Equipment:

The Contractor shall provide to the listed sites below, totes and consoles as needed at no cost to the Government. Keys to all consoles and totes placed at the VA shall be provided to the COR. Consoles shall meet the following specifications:

· Approximate size for totes - 35"-40" in height, 15"-19" in width, and 15"-19" in depth.

· Must be securely locked with a deadbolt mechanism. Keys to be provided by Contractor to the COR or designee for all consoles and totes at all sites. On service dates, no console or tote shall be provided without a key given to the COR.

· Must have a frontal opening approximately 2"X15" for depositing materials

· Must contain an inner bag that will hold approximately 100 pounds of material, when full, secured inside the unit

· Must be aesthetically pleasing to the eye, preferably gray or similar light color in nature, and be able to accept labeling for acceptable material.

Approximate totals for no charge Consoles to be provided by contractor:

Buffalo VAMC

235 Consoles

Batavia VAMC

35 Consoles Bath VAMC

80 Totes

6 consoles

Albany VAMC

(has their own consoles)

Apple Tree

2 Consoles

3 Totes VA Day Treatment Center

VA – Healthcare for Homeless Program

VA CBOC – Niagara Falls

2 Totes

VA CBOC – Jamestown

VA HBPC – Jamestown

VA CBOC – Lackawanna

VA CBOC – Olean

VA CBOC – Springville

VA HBPC – Springville

Total

278 /105 Consoles/Totters The Contractor shall provide the VA sites listed below with locked totters with keys provided to the COR as needed at no cost to the Government. Totters shall meet the following specifications:

· Totters shall accommodate 65-95 gallons or 200-300 pounds of material when full.

· Totters shall be easily mobile (have wheels)

· Totters shall be plastic in nature

· Totters shall be locked with lock and Keys to be provided by Contractor to the COR or designee.

· Totters shall have a slot on top of unit approximately 2" X 17"

Totters shall be able to accept labeling for type of material acceptable.

Sites:

· VA Medical Center 3495 Bailey Avenue, Buffalo, New York 14215

· VA Medical Center 222 Richmond Avenue, Batavia, New York 14020

· VA Medical Center 76 Veterans Ave, Bath, New York 14810

· VA Offices at Apple Tree Business Park 2875 Union Road, Suite 3500 Cheektowaga, New York 14227

· VA CBOC – Niagara Falls 2201 Pine Avenue Niagara Falls, NY 14301

· VA CBOC – Jamestown 608 West 3rd Street Jamestown, NY 14701

· VA HBPC – Jamestown 610 West 3rd Street Jamestown, NY 14701

· VA CBOC – Lackawanna 1234 Abbott Road Lackawanna, NY 14218

· VA CBOC – Olean 465 North Union Street Olean, NY 14760

· VA CBOC – Springville 15 Commerce Drive Springville, NY 14141

· VA HBPC – Springville 27 Franklin St., Suite 7 Springville, NY 14141

· VA Day Treatment Center 2963 Main Street Buffalo, NY

· VA – Healthcare for Homeless Program 1298 Main Street Buffalo, NY

Approximate totals for no charge Totes to be provided by contractor:

· Buffalo VAMC- 30 each (approx. 64 Gal); 3 each (approx. 95 Gal.)

· Batavia VAMC- 2 each (approx. 64 Gal); no large totes.

· Bath VAMC - 75 each (approx. 64 Gal); 5 each (approx. 95 Gal.)

· Apple Tree - 3 (approx. 95 gal); no small totes.

· VA Day Treatment Center - approx. 64 Gal

· VA – Healthcare for Homeless Program - approx. 64 Gal

· VA CBOC – Niagara Falls - approx. 64 Gal

· VA CBOC – Jamestown - approx. 64 Gal

· VA HBPC – Jamestown - approx. 64 Gal

· VA CBOC – Lackawanna - approx. 64 Gal

· VA CBOC – Olean - approx. 64 Gal

· VA CBOC – Springville - approx. 64 Gal

· VA HBPC – Springville - approx. 64 Gal

Stratton VAMC (Albany) requirement only:

Contractor shall:

· Provide the rental of the appropriate sized and necessary document destruction machinery (secure shredder) to the Albany VAMC. The machinery shall be able to accommodate paper clips, staples and fasteners within the machine.

· Accommodate Stratton VAMC destruction based upon estimated 64.80 Ton shredding destruction per year.

Contractor shall be responsible for any damage to the building that occurs due to Contractor error or neglect. The Contractor will be responsible for the coordination for staging areas and parking within the receiving area of the building.

All work shall be completed during business hours Monday – Friday, 8am – 4:30pm. All federal holidays, excluded

Facility Contractor Badge: Contractor shall complete background checks and receive identification badges prior to being allowed to service VA facilities. Badges must be worn at all times or contractor employee will be turned away. Services to locations where contractor failed to provide the required identification will be rescheduled immediately. At Apple tree Business Park – Ring door bell and check in with Administrative Officer in Room 14. Document log of how many totes are leaving the facility at each site. Contractor shall check in at all CBOCs and HBPCs reception desk.

Work Hours: Normal Business Hours are 7:00 am to 4:00 pm Monday through Friday. The Contractor shall provide a work schedule with a timeframe and preferred day of service (i.e. Tuesday August 7th, 2015 7:00 AM EST) to the COR or his/her designee a minimum of five days before the contract commencement date. The work schedule must be approved by the COR and the POC at each of the sites or his/her designee.

Documentation: The Contractor shall maintain an excel spreadsheet or other acceptable spreadsheet software to provide weekly feedback to the VA on the types and amount of materials picked up from the specified VA locations. The Contractor shall provide an updated list monthly, or as requested, to the COR or designee, and provide a log with the number of totters removed from the facility at the end of each service. The final Certificate of Destruction will contain the following: date received, quantity, method of disposal, certify during the witnessed incineration the date/time of the burnout.

3. Quality Assurance and Quality Control The Government desires to maintain a quality standard in operating, and maintaining sensitive documentation for disposal and believes that a service contract is the best means of achieving that objective. The Contractor, and not the Government, is responsible for management and quality control actions to meet the terms of the contract. The role of the Government is quality assurance to ensure contract standards are achieved. The Contractor and the COR have developed a Quality Assurance Surveillance Plan (QASP) that monitors work performance and management under this contract. A copy of these monitors shall be maintained by both parties. The Government will monitor the Contractor’s performance for this requirement utilizing the terms in the QASP.

Quarterly Meetings with COR:

It is the COR’s responsibility to develop a monthly schedule for activities based on the surveillance plan’s requirements. This schedule will cover the times during which work is being performed or re-performed under the terms of this contract. The surveillance schedule will be monthly. The monthly schedule will be completed by the last workday of the preceding month and a copy will be submitted electronically to the Contracting Officer for information. The COR will routinely inspect containers on-site, and document the inspection. Unannounced inspections will be completed periodically with the privacy Officer and COR to ensure information within the containers are safeguarded at all times.

4. Security Requirements

Final Destruction: Final destruction performed away from a VA facility must be performed in accordance with VA Information Security Program., and VA Directive 6371, Destruction of Temporary Paper Records. Final destruction shall be witnessed by the contractor employee.

This destruction must be to the degree that the information contained on them is not readable and not re-constructible without extraordinary effort. If interim destruction is not carried out by VA employees, it must be carried out by an insured contractor who has contracted to provide sufficient reasonable safeguards to protect the records until final destruction has been completed. Methods of interim destruction carried out by a contractor must be witnessed by a Federal employee or, if authorized by the organization that created the records, a contractor employee may act as witness, and the written attestation shall be submitted to the organization that created the records. The contractor employee may be the vendor performing the interim destruction as long as a certification of destruction is provided to VA.

Certifications of destruction must be maintained in accordance with applicable VA Records Control Schedules, and should only be accepted from data destruction or recycle vendors after final destruction has actually taken place.

Use of Contractor's site and services may require management of Federal records. If the contractor holds Federal records, the contractor must manage Federal records in accordance with all applicable records management laws and regulations, including but not limited to the Federal Records Act (44 U.S.C. chapters 21, 29, 31& 33), and regulations of the National Archives and Records Administration (NARA) at 36 CFR Chapter XII Subchapter B). Managing the records includes, but is not limited to secure storage, retrievability, and proper disposition of all federal records including transfer of permanently valuable records to NARA in a format and manner acceptable to NARA at the time of transfer. The agency also remains responsible under the laws and regulations cited above for ensuring that applicable records management laws and regulations are complied with through the life and termination of the contract.

Paper records are under the purview of the Privacy Officer and the Records Manager and disposition of such records must follow the official Records Control Schedule for each office. In accordance with VA Directive 6371, under 36 C.F.R 1228.58, and record management policy, all paper records to be disposed of that do not contain sensitive data must be sold as waste paper. However, if the records require special protection because they are deemed to contain VA sensitive information, the wastepaper contractor must be required to wet pulp, macerate, chop, shred, or otherwise definitively destroy the information contained in the records according to NIST SP 800-88 standards and VA 6500.1 Handbook. Paper documents must be shredded to 1 x 5mm if shredding is the end point in the destruction process. Disintegration is also an acceptable method of destruction, if the disintegrator device utilizes a 3/32 inch security screen. If a facility contracts with a company, language must be included in the contract to specify that information will be secured at every stage of the disposal process.

5. Period of Performance.

Services are required to start on October 1, 2017 through September 30, 2018 with provision of four (4) option periods.

6. Contractor Personnel Security Requirements

All contractor employees will require a background investigation and must receive a favorable adjudication from the VA Office of Security and Law Enforcement prior to contract performance. This requirement is applicable to all subcontractor personnel.

A. Position Sensitivity – The position sensitivity has been designated as Low Risk for Document Destruction services.

B. Background Investigation – The level of background investigation commensurate with the required level of access is National Agency Check with Written Inquiries (NACI).

1. Contractor Responsibilities

a. The contractor shall bear the expense of obtaining background investigations. If the Office of Personnel Management (OPM) conducts the investigation, the contractor shall reimburse VA within 30 days. If timely payment is not made within 30 days from date of bill for collection, then VA shall deduct the cost incurred from the contractors 1st month(s) invoice(s) for services rendered.

b. All contractor and subcontractors employees are required to complete VA’s Security Awareness and Privacy Training course annually either on-line or hard copy. TMS Course #10176. Contractor and subcontractors employees will provide a course certificate when completed.

c. The contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the contract.

d. Failure to comply with the contractor personnel security requirements may result in termination of the contract for default.

e. The contractor awarded the contract will provide after contract award notification and prior to contract performance a listing of contractor personnel that will be performing services under the contract.

1. Period of Performance: This is for the period October 1, 2017 to September 31, 2018. No service shall be performed under this contract after last contract option period has been exercised and time expired without contract authorization.

a. The period of performance shall be for one (1) Base Year, from time of verification and execution of the first 12 months and then four (4) 12-month option years. The Period of Performance reads as follows:

Base Year 10/1/18 – 09/30/19

1. Option Year I 10/1/19 – 09/30/20

2. Option Year II 10/1/20 – 09/30/21

3. Option Year III 10/1/21 – 09/30/22

4. Option Year IV 10/1/22 – 09/30/23 III. SCHEDULE LOCATIONS: Service schedule: the contractor shall develop and maintain a routine service schedule that is required for each Hospital, CBOC, and/or building area on hospital grounds. The proposed service schedule should coincide with the suggested days of the week, task, and frequency of service to be performed. This MUST be incorporated in bid and QC Plan for ALL locations. Listed below are locations and specifics for each, the listed locations include pick up and destruction times:

Sites:

· Stratton VA Medical Center 113 Holland Ave, Albany, NY 12208

· VA Medical Center 3495 Bailey Avenue, Buffalo, New York 14215

· VA Medical Center 222 Richmond Avenue , Batavia, New York 14020

· VA Offices at Apple Tree Business Park 2875 Union Road, Suite 3500 Cheektowaga, New York 14227

· VA CBOC – Niagara Falls 2201 Pine Avenue Niagara Falls, NY 14301

· VA CBOC – Jamestown 608 West 3rd Street Jamestown, NY 14701

· VA HBPC – Jamestown 610 West 3rd Street Jamestown, NY 14701

· VA CBOC – Lackawanna 1234 Abbott Road Lackawanna, NY 14218

· VA CBOC – Olean 465 North Union Street Olean, NY 14760

· VA CBOC – Springville 15 Commerce Drive Springville, NY 14141

· VA HBPC – Springville 27 Franklin St., Suite 7 Springville, NY 14141

· VA Day Treatment Center 2963 Main Street Buffalo, NY

· VA – Healthcare for Homeless Program 1298 Main Street Buffalo, NY

· VA Adult Daycare 3131 Sheridan Drive, Suite 103, Amherst 14226

Contractor’s name:

1. PURPOSE

This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated contract. This QASP explains the following:

· What will be monitored.

· How monitoring will take place.

· Who will conduct the monitoring.

· How monitoring efforts and results will be documented.

This QASP does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance.

This QASP is a “living document” and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the contractor. Copies of the original QASP and revisions shall be provided to the contractor and Government officials implementing surveillance activities.

4. Performance Standards Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

The performance requirements are contained in the Statement of Work (SOW). The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

Task
ID
Indicator
Standard
Acceptable Quality Level
Method of Surveillance
Incentive/

Disincentives

Document Destruction Service
1
Timely pick up of bins between the CBOCs, office spaces and the VA Medical Centers
Pick up within thirty minutes of scheduled time.
75%
Observation and random inspection.
Past performance

If pick is outside of the thirty minute window more than once per month for weekly and biweekly or more than once per two month period for monthly service then negative performance will be documented.

2
Removal of all sensitive documents for destruction
The Contractor must ensure that all consoles and totes are emptied
90%
Random inspection

Direct observation.

If more than 5 random inspections result in less than 90% compliance in a 6 month period, a 5% payment penalty will be assessed.

3
The Contractor shall pick-up empty bins and return to the specified location.
Pick up and return to be done on the same scheduled service day.
95%
Inspection
Past performance
4
The Contractor must verify completion of service with the certification of destruction
The Contract cannot leave the VA location without the designated VA employee signing and receiving the certification of destruction.
100%
Observation
Past performance
Customer Service
6
Certificates of Destruction
All pick ups must end with a certificate of destruction being supplied to the COR within 24 hours of the service
100%
Direct Observation
Failure to provide all certificates of destruction per regulation will result in negative past performance on quarterly evaluation.
Security
7
Contractor must have a valid VA issued identification badge displayed while conducting service.
All Contractor employees must request the COR for a valid VA issue identification badge before being allowed to perform services. This applies to all current and future employees under the contractor.
100%
Observation and Customer Complaints
Past performance

5. Incentives The Government shall use past performance and/or non-payment as incentives. Incentives shall be based on exceeding, meeting, or not meeting performance standards.

6. Methods of QA Surveillance Various methods exist to monitor performance. The COR shall use the surveillance methods listed below in the administration of this QASP.

a. DIRECT OBSERVATION. (Can be performed periodically or through 100% surveillance.)

1, 4, and 5

b. PERIODIC INSPECTION. (Evaluates outcomes on a periodic basis. Inspections may be scheduled [Daily, Weekly, Monthly, Quarterly, or annually] or unscheduled, as required.)

1, 2, and 3

c. VALIDATED USER/CUSTOMER COMPLAINTS. (Relies on the patient to identify deficiencies. Complaints are then investigated and validated.)

5 and 4

7. Ratings Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral, or negative outcome. The following ratings shall be used:

ACCEPTABLE AND NOT ACCEPTABLE

8. DOCUMENTING PERFORMANCE

a. Acceptable Performance The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action.

b. Unacceptable performance When unacceptable performance occurs, the COR shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COR shall document the discussion and place it in the COTR file.

When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager.

The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the COR. The Government shall review the contractor's corrective action plan to determine acceptability.

Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.

9. Frequency of Measurement

a. Frequency of Measurement.

During contract performance, the COR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed.

b. Frequency of Performance Assessment Meetings.

The COR shall meet with the contractor QUARTERLY to assess performance and shall provide a written assessment.

<State the method(s) that shall be used. Relate the method you select to the performance standards. The rating method may depend on the monitoring techniques you select. One rating method may be used for all standards or multiple methods may be used>

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