FY17_-SOW_-_Med_Exams_-_12-5_1.docx

PR# 7309R1121011

Pre-Employment Medical Examination Contract Services

STATEMENT OF WORK

I. Introduction/Overview The United States Section of the International Boundary and Water Commission (USIBWC), Human Resources Office has a requirement for occupational and/or environmental health services, medical examinations of current agency employees and individuals tentatively selected for agency positions, and medical consultations for the various types of work performed by the agency.

II. Scope: The Contractor (service provider) shall provide occupational and/or environmental pre-placement services, which may include medical examinations (“physicals”) of current agency employees and pre-placement physical examinations and drug screenings. Services may include occupational health and work place injury prevention, and injury treatment with the objective of returning employees to full function. Every provider carrying out a medical examination must possess all of the following qualifications as part of the provider’s permanent organizational structure: hold an earned Doctor of Medicine of Osteopathic Medicine degree; possess current board certification in family practice or internal medicine; have a minimum of one year of clinical medical experience; hold a valid, unrestricted license in the state of employment; hold current certification in Basic Cardiac Life Support (and be renewed annually); and current, unrestricted Drug Enforcement Administration (DEA) registration.

III. All labor, material, equipment, subcontract, supervision, and management to perform the requirements of this Statement of Work (SOW). Services and associated costs that will be provided by the contractor will be of the highest quality service.

IV. The medical exam will be documented on form OF 178 (attachment a)

V. Services Required

Lab Services

Procedures & Exams

Comprehensive Vision

Each

Procedures & Exams

VI. Deliverables

a. Contractor shall contact the individual requiring the medical service(s) within two (2) days after notification from the USIBWC and setup an appointment within 3-5 days.

b. Contractor shall provide the USIBWC with form SF 178 within two (2) days after the medical service(s) is complete.

c. Monthly reports of all examinations conducted by date, which shall include date of appointment, and date examination and reports were complete.

VII. Place of Performance: The USIBWC is headquartered in El Paso, TX with field offices noted below located along the entire United States and Mexico border. The place of performance of pre-employment physical examinations will depend on the location of the selectee, which could be anywhere in the United States.

a. San Diego Field Office (San Diego, California)

b. Yuma Field Office (Yuma, Arizona)

c. Nogales Field office (Nogales, Arizona)

d. Upper Rio Grande Field Office (El Paso, Texas, Fort Hancock, Texas, and Las Cruces, New Mexico)

e. Presidio Field Office (Presidio, Texas)

f. Amistad Dam Field Office (Del Rio, Texas)

g. Laredo Field Office (Laredo, Texas)

h. Falcon Dam Field Office (Falcon Heights, Texas)

i. Lower Rio Grande Field Office (Mercedes, Texas)

VIII. Schedule:

a. The base period of performance of this contract is from Time of Award through 09/30/2017.

b. If exercised, the first option period/year will extend the contract period of performance from 10/01/2017 through 09/30/2018.

c. If exercised, the second option period/year will extend the contract period of performance from 10/01/2018 through 09/30/2019.

d. If exercised, the third option period/year will extend the contract period of performance from 10/01/2019 through 09/30/2020.

e. If exercised, the fourth option period/year will extend the contract period of performance 10/01/2020 through 09/30/2021.

IX. Billing The Contractor shall invoice monthly for services provided in accordance with this SOW. All invoices shall be sent to the USIBWC Finance & Accounting Division (FAD) on a monthly basis by email to invoices@ibwc.gov. Payment shall be made in accordance with contract clause 52.212-4.

X. Other

a. Confidentiality: The Servicing Agency adheres to professional and legal standards of confidentiality of records consistent with the needs and requirements related to specific services.

b. Employee Medical Files: Employee medical records created or maintained under this contract will be managed submitted to the Agency within 30 days of completing and closing requested medical services.

END OF SOW