9 - IONM Solicitation N62645-21-Q-0002 FINAL.docx

N6264521Q0002

Section SF 1449 - CONTINUATION SHEET

NOTICE TO QUOTERS

NOTE: THIS IS A SEVERABLE SERVICE CONTRACT AND SPECIAL REPORTING REQUIREMENTS EXIST UNDER 10 USC 2410a, 41 USC 3902 AND IN ACCORDANCE WITH FAR 32.703-3(b).

QUOTER QUESTIONS

All questions from quoters concerning the Request for Quote (RFQ) shall be submitted via email to the following address:

E-MAIL: felicia.w.smith.civ@mail.mil

IN SUBJECT LINE REFERENCE: “N62645-21-Q-0002”

Questions with other titles may be missed; all questions must be submitted no later than 12:00 PM on 30 November 2020. Facsimiles and phone calls will not be accepted. Identify the solicitation paragraph in question. Responses may be presented in an amendment to the solicitation, which may or may not extend the quote due date. Potential quoters will direct all comments or inquiries as described above; no direct contact will be made with other Department of Navy personnel regarding the open solicitation.

QUOTER POC

If the Quoter’s Point of Contact information changes at any time during the Pre-Award/Solicitation phase, the quoter is solely responsible for providing updated Company Point of Contact information. The Government is not responsible for following up with the quoter for updated information.

START-UP PERIOD

It is intended to make award of the resultant contract in time to allow up to a sixty (60) day start-up period in advance of the actual commencement of the performance period. The contractor shall make all necessary preparations, during this start-up period, to assume full responsibility for contract performance as of the contract start date. It is noted that invoicing by the contractor will begin as of the commencement of services and no reimbursement will be paid by the Government for efforts expended during the start-up period.

CONTRACTOR SUPPORT

Notice: Navy Use Of Support Contractor For Contract Closeout Functions

Naval Medical Logistics Command (NMLC) uses two private contractors in support of the contract closeout process. Those companies are Contracting Resources Group (CRG) of Federal Hill, MD, doing business under the authority of the Small Business Administration’s 8(a) program and the Ability One Program, doing business under the authority of the Javits-Wagner O’Day Act (41 U.S.C. § 47).

The contract closeout process includes activities such as processing deobligation modifications, obtaining contractor and requiring activity concurrence, preparing the DD-Form 1594 (Contract Completion Statement), and preparing closed files for archiving. Support contractors may perform additional administrative duties, including filing and processing simple administrative modifications. Performing these functions require the contractor employees to have access to the contract file. Therefore, information the Contractor provides to the Government or information already in the possession of the Government may be viewed by these support contractors in the course of performing contract close-out functions. The information that may be made available to the contractor may include pricing and technical responses and performance information.

NMLC has signed Non-Disclosure Agreements with each support contractor employee and has required both contractors to provide a Conflict of interest Mitigation Plan to ensure these employees are firewalled from all business development activity.

By submitting a quote in response to this RFQ, the quoter consents to access of their business sensitive/confidential or proprietary data by the Government’s support contractor personnel in order to perform close out services.

COR

The Contracting Officer's duly authorized representative, the Contracting Officer’s Representative (COR), will perform inspection and acceptance of services to be provided.

For the purposes of this clause, the following individuals are the authorized representatives of the Contracting Officer:

COR will be identified in the resultant contract and individual task orders.

Inspection and acceptance will be performed at the assigned location(s) according to the performance work statement.

TASK ORDER CONTRACT

Services will be procured via the award of Task Orders issued against the basic contract. Task Orders will be awarded on a firm fixed price basis. Task Order will be issued via a SF 1449 signed by the Contracting Officer and will be transmitted electronically via e-mail.

The resultant contract shall be performed in accordance with the detailed obligations to which the contractor committed itself to in its quote dated (To be filled in at contract award) in response to NMLC Solicitation N62645-21-Q-0002.

The contractor shall not engage a teaming partner (subcontractor, partner, mentor, protégé, parent company, sister company, etc.) that is not mentioned in their Administrative/Business quote to procure services under the resultant contract without prior written approval of the Contracting Officer. Changes regarding teaming partners or duties and roles of the teaming partners as described in the Administrative/Business and Technical Approach quotes shall not be made under the resultant contract without prior written consent of the Contracting Officer.

The contractor shall furnish qualified workers in accordance with the Performance Work Statement, individual Task Orders for these services, and all other terms and conditions set forth herein. Government requirements for contracted workers shall be filled in response to Task Orders issued by the Government against the contract.

The following activity is the sole authority to issue Task Orders:

Naval Medical Logistics Command Acquisition Management and Analytics Directorate, Code 05 693 Neiman Street Fort Detrick, MD 21702

Each Task Order will contain at a minimum the following information:

The estimated ordering period is for 60 months, beginning at the start of contract services, or until the time the Government has issued Task Orders for the agreed upon Ordering Period. The period of performance for the base period or any subsequent Task Orders shall be of one year or less in duration.

Intraoperative Neuromonitoring

FFP

The contractor shall provide intraoperative neuromonitoring services in support of Naval Medical Center San Diego, CA on behalf of the Government in accordance with the terms and conditions and the performance work statement contained in this contract.

Ordering Period: 01 March 2021 through 28 February 2026 This is a firm, fixed price requirement. Each CLIN includes an estimated number of procedures/occurrences. The Quantities listed in the SubCLINs are based on historical data and projected need. The contractor shall only be paid for services and quantities provided.

ESTIMATED

NET AMT

0001AA

Intraoperative Neuromonitoring

Intraoperative Neuromonitoring Services - Scheduled Procedures, duration up to 4:59 hours

Price (to be completed by Quoter):

Price per procedure for the period 01 March 2021 through 28 February 2022: $ Price per procedure for the period 01 March 2022 through 28 February 2023: $ Price per procedure for the period 01 March 2023 through 29 February 2024: $ Price per procedure for the period 01 March 2024 through 28 February 2025: $ Price per procedure for the period 01 March 2025 through 28 February 2026: $ Fixed price for each procedure is for billing purposes.

FOB: Destination

PSC CD: Q510

ESTIMATED

0001AB

Intraoperative Neuromonitoring

Intraoperative Neuromonitoring Services - Scheduled Procedures, duration from 5 hours up to 9:59 hours

Price (to be completed by Quoter):

Price per procedure for the period 01 March 2021 through 28 February 2022: $ Price per procedure for the period 01 March 2022 through 28 February 2023: $ Price per procedure for the period 01 March 2023 through 29 February 2024: $ Price per procedure for the period 01 March 2024 through 28 February 2025: $ Price per procedure for the period 01 March 2025 through 28 February 2026: $ Fixed price for each procedure is for billing purposes.

ESTIMATED

0001AC

Intraoperative Neuromonitoring

Intraoperative Neuromonitoring Services - Scheduled Procedures, duration 10 or more hours

Price (to be completed by Quoter):

Price per procedure for the period 01 March 2021 through 28 February 2022: $ Price per procedure for the period 01 March 2022 through 28 February 2023: $ Price per procedure for the period 01 March 2023 through 29 February 2024: $ Price per procedure for the period 01 March 2024 through 28 February 2025: $ Price per procedure for the period 01 March 2025 through 28 February 2026: $ Fixed price for each procedure is for billing purposes.

ESTIMATED

0001AD

Intraoperative Neuromonitoring

Intraoperative Neuromonitoring Services - Emergency Procedures, duration up to 4:59 hours

Price (to be completed by Quoter):

Price per procedure for the period 01 March 2021 through 28 February 2022: $ Price per procedure for the period 01 March 2022 through 28 February 2023: $ Price per procedure for the period 01 March 2023 through 29 February 2024: $ Price per procedure for the period 01 March 2024 through 28 February 2025: $ Price per procedure for the period 01 March 2025 through 28 February 2026: $ Fixed price for each procedure is for billing purposes.

ESTIMATED

0001AE

Intraoperative Neuromonitoring

Intraoperative Neuromonitoring Services - Emergency Procedures, duration from 5 hours up to 9:59 hours

Price (to be completed by Quoter):

Price per procedure for the period 01 March 2021 through 28 February 2022: $ Price per procedure for the period 01 March 2022 through 28 February 2023: $ Price per procedure for the period 01 March 2023 through 29 February 2024: $ Price per procedure for the period 01 March 2024 through 28 February 2025: $ Price per procedure for the period 01 March 2025 through 28 February 2026: $ Fixed price for each procedure is for billing purposes.

ESTIMATED

0001AF

Intraoperative Neuromonitoring

Intraoperative Neuromonitoring Services - Emergency Procedures, duration 10 or more hours

Price (to be completed by Quoter):

Price per procedure for the period 01 March 2021 through 28 February 2022: $ Price per procedure for the period 01 March 2022 through 28 February 2023: $ Price per procedure for the period 01 March 2023 through 29 February 2024: $ Price per procedure for the period 01 March 2024 through 28 February 2025: $ Price per procedure for the period 01 March 2025 through 28 February 2026: $ Fixed price for each procedure is for billing purposes.

ESTIMATED

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

28-FEB-2026

NAVAL MEDICAL CENTER SAN DIEGO

34800 BOB WILSON DRIVE

SAN DIEGO CA 92134

HT0500

28-FEB-2026

HT0500

28-FEB-2026

HT0500

28-FEB-2026

HT0500

28-FEB-2026

HT0500

28-FEB-2026

HT0500

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

Intraoperative Neuromonitoring Services

UID# 00259162955

Naval Medical Center San Diego, CA

SECTION 1 – SCOPE

1.1. BACKGROUND. This is a non-personal services contract covering a professional discipline which provides healthcare services to eligible beneficiaries of the Department of Defense (DoD) direct care system. The system comprises service-owned, staffed and operated hospitals and clinics throughout the world. Contracting has been chosen as a strategy to permit expansion of the healthcare capacity of DoD facilities by overcoming shortfalls in the numbers of uniformed practitioners and support personnel.

1.2 The contractor personnel shall provide intraoperative neuromonitoring (IOM) services for Naval Medical Center San Diego, CA (hereafter referred to as “NMCSD” and/or “MTF”) for surgical cases requiring live intraoperative neurophysiologic monitoring, auditory brainstem response, visual evoked response (VER), somatosensory evoked potential (Sep or SSEP), electroencephalography (EEG), electromyography (EMG), and nerve conduction studies. Service is required for a variety of surgical cases, including hearing loss, general and vascular surgery, spinal surgery, etc. Note this is not an exhaustive list meant to limit the type of service provided. This list is provided for informational purposes only. The health care services provided under this contract will be provided by an independent contractor.

1.2. SCOPE

The Contractor shall provide intraoperative neuro-monitoring services for the Main Operating Room (MOR) in Building 1, Level 4 at the MTF, located at 34800 Bob Wilson Drive, San Diego, CA 92134-5000.

SECTION 2 - DUTIES

2.1. GENERAL DUTIES

2.1.1. The Contractor shall perform a full range of duties consistent with their profession, education, training, and experience. General duties that apply to all Contractor personnel are given below:

2.1.1.1. Function with an awareness and application of safety procedures.

2.1.1. 2. Exercise awareness and sensitivity to patient/significant others' rights, as identified within the institution.

2.2. SPECIFIC DUTIES FOR PROVIDING INTRAOPERATIVE NEUROMONITORING SERVICES

2.2.1. The Contractor shall provide intraoperative neuro-monitoring services on an as needed basis. Services required include live intraoperative neurophysiologic monitoring, auditory brainstem response, visual evoked response (VER), somatosensory evoked potential (Sep or SSEP), electroencephalography (EEG), electromyography (EMG), and nerve conduction studies. The Contractor shall provide service in operating rooms (ORs). Work shall be performed in a medical setting. Long periods of standing may be required.

2.2.1.1. Service is required on a case by case basis for scheduled procedures. Performance of services are authorized in conjunction with the issuance of an applicable Task Order. Contractor shall be responsible for providing a toll-free number where the Government representative can call to request services for scheduled procedures. Requests shall be communicated with a live person and a confirmation number communicated to the Government representative. The Government representative will contact the toll free number to provide the date and time for each scheduled procedure to contract personnel approximately fourteen (14) days prior to the requirement for service. Procedures are scheduled during the hours of 0700 to 1700 Monday through Friday (normal operating hours), exclusive of Federal holidays. Contract personnel shall provide service until the end of each procedure, regardless of the time, and shall recognize that there may be instances where cases will not finish until after 1700 hours. Contract personnel shall recognize that the schedule is subject to change within that timeframe.

2.2.1.2. Service for emergency procedures shall be provided at any time Monday through Sunday, including after hours, weekends, and Federal holidays. The Contractor shall be responsible for providing a toll-free number where the Government representative will request services. Requests shall be communicated to a live person with a confirmation number communicated to the Government representative. A Government representative will contact the toll free number to provide notification, no more than 48 hours in advance, of the need for an emergency procedure.

2.2.1.3. The Contractor shall be prepared to provide service on up to three (3) cases at the same time.

2.2.1.4. Due to the nature of the requirement, services may be cancelled or rescheduled at any time prior to the procedure, including the day of the procedure after the Contractor arrives on-site at the MTF. The Government will not reimburse the Contractor for any fees relating to the cancellation or rescheduling of a procedure.

2.2.2. The Contractor shall furnish, set up/prepare, operate, troubleshoot, maintain the cleanliness, and perform inspection and maintenance of the intraoperative neurophysiologic monitoring system and supplies in accordance with the manufacturer’s guidelines. The Contractor shall provide evidence of required inspection/maintenance as requested by the Government.

2.2.2.1. The Contractor shall report to the MTF approximately one (1) hour prior to the start of each procedure to have their equipment undergo a biomedical check-in upon entry to the MTF, to be coordinated with the Contracting Officer’s Representative (COR), contact information to be provided upon award. The Contractor shall be responsible for transporting the intraoperative neurophysiologic monitoring system and all required supplies to the MTF each time service is required. The Government will not provide storage space for Contractor use.

2.2.2.2. The Contractor shall demonstrate detailed technical knowledge and troubleshooting ability for the intraoperative neurophysiologic monitoring system.

2.2.3. The Contractor shall position the patient in the OR, attach electrodes, monitor complex nerve impulses, and notify the surgeon regarding any danger to the patient nerve pathways during a surgical procedure. The Contractor shall be responsible for multiple types of recordings and measurement of the electrical activity of the central and/or peripheral nervous system.

2.2.4. The Contractor shall provide a post-surgical outcome report to the COR within one 48 hours from the end of each procedure. The report shall identify the date, hours worked, patient, and other clinical information as specified by the COR. This report shall be submitted via mail and cannot be submitted electronically as the contractor will not have access to the electronic patient record system or Government network.

2.2.5. Data on the cases completed in the year is provided for historic purposes only, see Attachment 2. The actual number/type/length of cases may vary.

2.3. EQUIPMENT AND SUPPLIES

2.3.1. The Contractor shall furnish all equipment and supplies necessary to operate the intraoperative neurophysiologic monitoring system and provide the services described herein.

2.3.1.1. The Contractor shall provide an intraoperative neurophysiologic monitoring system that can provide the services described herein.

2.3.1.2. The Contractor shall be responsible for supplying all necessary supplies to coordinate with the specific brand of system furnished and provide the services described herein. The following represents an estimated list of the supplies required and shall be used as reference information only: NIM EMG endotracheal tubes, APS electrodes, stim bur, probes, etc. It is the responsibility of the Contractor to ensure that all supplies needed to provide service on both a scheduled or emergent basis are available at all times.

SECTION 3 – HOURS OF OPERATION

3.1. Hours of operation are as described in Paragraphs 2.2.1.1. and 2.2.1.2.

3.2. All closings for severe weather or other emergency shall be at the sole discretion of the government. The Contractor shall maintain the required service schedule unless the COR notifies the Contractor that weather conditions or an emergency authorizes a closing. The Contractor will receive guidance from the COR of the MTF protocol for closings.

SECTION 4 – DELIVERABLES. All deliverables shall be submitted to the Contracting Officer’s Representative (COR) via email in Microsoft Office format, unless otherwise specified.

4.1. Quality Control Program (See Section 9)

4.2. Health Certifications for Employees (See paragraph 10.2)

4.3. Post-surgical outcome reports (See Paragraph 2.2.4)

SECTION 5 – PERFORMANCE

5.1. QUALITY ASSURANCE SERVEILLANCE PLAN (QASP) MATRIX

5.1.1

SECTION 6 – QUALIFICATIONS. The Contractor shall provide personnel having certain minimum levels of training and experience. This section is in no way intended to dictate a staffing plan to the Contractor for the performance of the services delineated in this performance work statement.

6.1. All contract personnel shall possess ad maintain the following minimum qualifications.

6.2. Contract personnel shall maintain current certification in American Heart Association Basic Life Support (BLS); American Heart Association Healthcare Provider Course; American Red Cross CPR (Cardio Pulmonary Resuscitation); or equivalent. Training shall be the responsibility of the contractor and is at no cost to the Government. Contract personnel, not in possession of current certification, must acquire certification prior to initiating contract performance. Web based classes do not meet these standards. A copy of the BLS instruction may be obtained from the World Wide Web at: http://www.med.navy.mil/directives/ExternalDirectives/1500.15E.pdf.

6.3. U.S. citizenship is a basic condition for assignment. U.S. citizens who are also dual citizens are not specifically excluded from occupying either sensitive or designated IT positions, however, a dual citizenship status raises foreign influence and foreign preference concerns that will most likely prohibit interim assignment pending favorable investigation and adjudication of these issues. Eligibility will not be established for persons who hold a foreign passport. See attachment 5.

6.4. SPECIFIC QUALIFICATIONS FOR PERSONNEL PROVIDING INTRAOPERATIVE NEUROMONITORING SERVICES

6.4.1. The service is typically provided by an audiologist; however, services are not required to be provided by an audiologist. The Contractor shall be responsible for determining the specific labor category necessary to provide the services described herein; however, the following qualifications are required:

6.4.1.1. Contract personnel shall possess at least one (1) of the following degrees:

6.4.1.1.1. Master’s degree in Audiology from a college accredited by the Council on Academic Accreditation in Audiology and Speech Language Pathology (CCA-ASHA);

6.4.1.1.2. Doctorate degree in Audiology (Au.D.) from a college accredited by the Council on Academic Accreditation in Audiology and Speech Language Pathology (CCA-ASHA);

6.4.1.1.3. Doctorate degree in Medicine (M.D.) from an accredited college approved by the Liaison Committee on Medical Education and Hospitals of the American Medical Association; or

6.4.1.1.4. Doctorate degree in Osteopathy (D.O.) from a college accredited by the American Osteopathic Association

6.4.2. The Contractor shall possess and maintain a board certification by the American Speech-Language-Hearing Association (ASHA), the American Board of Audiology of the American Academy of Audiology (AAA) or the American Speech-Language-Hearing Association.

6.4.3. Contract personnel shall possess a current, valid, unrestricted license to practice Medicine, State of California (M.D. /D.O.); or Current, valid, unrestricted license to practice Audiology, State of California (Au.D).

6.4.4. Contract personnel shall be current with and have completed all continuing education requirements specified by their professional licensure or certification.

6.4.5. The Contractor shall possess current Certification in Neurophysiologic Intraoperative Monitoring (CNIM).

6.4.6. SPECIFIC KNOWLEDGE FOR PERSONNEL PROVIDING INTRAOPERATIVE NEUROMONITORING SERVICES

6.4.6.1 The Contractor shall possess the following knowledge and, skills, and abilities:

6.4.6.2. Knowledge of scientific rationale in coordination of the patient care.

6.4.6.3. Knowledge of Universal Precautions.

6.4.6.4. Knowledge of safety and environment of care procedures.

6.4.6.5. Knowledge and expertise in the following areas of service: Auditory Brainstem Response (ABR), Visual Evoked Response (VER), Somatosensory Evoked Potential (SEP or SSEP), Electroencephalography (EEG), Electromyography (EMG), and Nerve Conduction Studies.

6.4.6.6. Knowledge of developments in the field of Intraoperative Neurophysiologic Monitoring and Evoked Potentials.

SECTION 7 – CREDENTIALING REQUIREMENTS

7.1. Following contract award, the Contractor shall submit to the Medical Staff Services Office (MSSO), via the COR, a completed Credentials Record (CR) for each required contract employee. The CR, which will be maintained at the MTF, contains specific information with regard to qualifying degrees and licenses, past professional experience and performance, education and training, health status, and competency as identified in DHA PM Number 6025-13 (and subsequent revisions). The Contractor shall not assign an individual to work at the MTF until the HCW’s CR has been approved by the designated Privileging Authority. CRs for contract employees who do not currently have a CR (previously referred to as an Individual Credentials File or ICF) on file at the facility shall be submitted at least 30 days prior to commencement of services. For those contract employees who currently have a CR on file, an updated Personal and Professional Information Sheet (PPIS) for Privileged Providers, with notation that a complete up-to-date CR is on file, shall be submitted no less than 15 days prior to commencement of services. Prior to contract employees providing services, the COR will verify the compliance of each employee with the qualification requirements appropriate to their employment category. The COR shall inform the Contractor of compliance of the qualification package or any discrepancies contained therein. The Contractor shall not assign an individual to work at the MTF until their CR has been approved and shall discontinue the service of an individual who fails to maintain compliance with qualification and credentialing requirements.

7.2. The contractor is responsible for prime source verification of all licenses and certifications prior to submission of the CR to the COR. The contractor shall provide written documentation from the verifying agency that includes the agency POC, their position and contact information, the agency name, and the date of verification. The contractor shall also include a copy of their outgoing letter to the primary issuing agency requesting written verification. Upon receipt by the contractor, the issuing agency's original letterhead verification response shall be provided to the MSSO, via the COR. Services shall not be performed until appropriate clinical privileges have been granted, or in the case of clinical support staff, credentials have been approved.

7.2.1. The contractor shall ensure that all documentation necessary to keep each individual CR current is submitted to the MSSO, via the COR, for inclusion in each file. The contractor shall maintain a complete credential file for each HCW during the life of this contract. It is emphasized that the file and the documents therein shall be kept current and shall be made available for Government inspection upon request if needed for further credential review.

7.3. Unless otherwise specified, the Government reserves the right to transfer to the gaining Contractor the credentials of a contractor’s employee who has been granted delineated clinical privileges on a predecessor contract/task order without a new or additional credentialing action. This extension may only occur: a) within the same command; b) when there is no increased clinical competency requirement of the contractor’s employee; c) when there is no significant change in the scope of clinical practice of the contractor’s employee; d) when there is no gap in performance between the contracts; and e) when the contractor’s employee has had acceptable performance evaluations.

7.4. Notwithstanding licensure and certification requirements given in DHA PM 6025.13, each contract employee is responsible for complying with all applicable licensure and certification regulations.

7.5. The privileging authority per DHA PM Number 6025-13 (and subsequent revisions) will grant clinical privileges where appropriate to those HCWs requiring privileges to perform services. If a HCW’s employment with the contractor ends for any reason, all clinical privileges and medical staff appointments shall be terminated without recourse to the fair hearing and appeals procedures specified by the medical staff bylaws and DHAPM number 6025.13, Volume 3 (and subsequent revisions).

7.6. Clinical Competency: Each HCW shall be required to demonstrate clinical competency within the past two years in the required clinical discipline as specified in this PWS.

7.7. The Contractor shall continuously maintain a current list of all individuals who have been privileged and credentialed for service under the contract, including reportables such as, but not limited to: flu shots, certifications (BLS, ACLS, PALS, etc.), licenses, and/or certification. The Contractor shall provide a copy of the updated list to the COR not later than the 3rd business day of each month, or more often as needed to keep the information current.

7.8. The Contractor shall inform the COR of any terminations of employment within 24 hours of the action.

7.9. The MTF will not credential more than seven (7) contract employees for this requirement.

7.10. Documentation containing HCW PII and/or HIPAA information shall be transmitted via encrypted email or through alternate secure means provided by the COR.

SECTION 8 - GOVERNMENT AND CONTRACTOR FURNISHED ITEMS.

8.1. GOVERNMENT FURNISHED ITEMS

8.1.1. The Government will provide, without cost, the facilities, badges and maintenance services, with the exception of intraoperative neurophysiologic monitoring system and supply maintenance, required to perform the duties of this Contract. Government furnished property will not be issued under this Contract.

8.1.2. Personnel background investigations must be initiated seven (7) calendar days after contract award and an advance fingerprint and NACLC results received by the MTF prior to a Common Access Card (CAC) being issued to Contractor personnel.

8.1.3. The Government will provide base access cards for all Contractor personnel to be used in accordance with base and MTF policy during the initial check-in procedure with the COR. Contractor personnel shall comply with the military base policies and instructions for gaining access to the military base. The identification badge shall be worn during performance of work and anytime Contractor personnel are on the premises. The Contractor shall ensure that each employee’s I.D. badge and CAC are returned to the COR when Contractor personnel are no longer providing services under this Contract due to termination/expiration of the contract.

8.2. CONTRACTOR FURNISHED ITEMS

8.2.1. INSURANCE. This is a non-personal service contract; therefore, the Contractor is required to have their own insurance.

8.2.1.1. AUTOMOBILE LIABILITY INSURANCE. Before commencing work under this Contract, the Contractor shall certify to the Contracting Officer in writing that the required automobile insurance has been obtained. The following insurance as referenced in Federal Acquisition Regulations (FAR) Clause 28.307, is the minimum insurance required: Automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing this Contract. Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

8.2.1.2. WORKERS’ COMPENSATION AND EMPLOYER’S LIABILITY. The Contractor shall comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with the Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 shall be required, except in states with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

8.2.1.3. MEDICAL LIABILITY. The Contractor shall comply with applicable requirements of the FAR Clause 52.2377, Indemnification, and Medical Liability Insurance (JAN 1997).

8.2.1.3.1. The Contractor shall complete the Malpractice Insurance Certification Form, Attachment 5, as part of the Quote and shall provide an updated form to the COR upon request.

8.2.2. SERVICES

8.2.2.1. During the term of this Contract, Contractor personnel shall provide, on behalf of the Government, intraoperative neuromonitoring services to active duty military personnel, their dependents, eligible Navy civilian employees, and other eligible beneficiaries, in accordance with the terms and conditions of the contract.

8.2.3. EQUIPMENT

8.2.3.1. The Contractor shall acquire, maintain, and provide in good working order the dedicated equipment, technology, and software required to provide intraoperative neuromonitoring services. The costs of repair and/or replacement of such equipment, technology, or software will be the sole responsibility of the Contractor. The Contractor agrees to abide by the MTF’s policies and procedures regarding the maintenance, use, and safety of any clinical equipment utilized on-site at the MTF. The Contractor shall ensure full maintenance of all equipment used in conjunction of the requirements of this Contract. All maintenance records are to be written and available for review by the Government with a minimum five (5) calendar day advance notice.

8.2.4. SUPPLIES

8.2.4.1. The Contractor agrees to provide all supplies required to provide intraoperative neuromonitoring services. The Contractor’s price should be inclusive of all costs to include any required labor, transportation, and consumable items/supplies. The Government will not provide any consumable items/supplies that are required for the operation of Contractor’s equipment.

SECTION 9 – QUALITY CONTROL

9.1. QUALITY OF SERVICE. This is a non-personal services Contract that supports the MTF mission to oversee and coordinate the delivery of economical and effective medical, dental and other health care services. The intraoperative neuromonitoring services required by this Contract support the provision of patient care in the medical treatment facilities within the Area of Responsibility (AOR) and ensure services are available to beneficiaries. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered.

9.1.1. The Contractor shall comply with applicable provisions of the law, rules, and regulations of all governmental authorities, including but not limited to, the regulations and standards of the MTF. The Contractor shall adhere to and comply with all Defense Health Agency, Department of Navy (DON), Bureau of Medicine and Surgery (BUMED) and MTF Instructions and notices which may be in effect during the term of this Contract.

9.1.2. To achieve the MTF mission, the Contractor shall establish, submit for government approval, and implement a Quality Control Plan (QCP) which is consistent with the MTF Quality Control Program. The Contractor shall also actively participate in the established medical Quality Improvement (QI) Plan of the MTF. Current copies of this Contract, the Contractor’s QCP, and the MTF’s QI plan shall be maintained on-site for ready reference by the Contractor during the term of this Contract. Contract personnel shall read, be familiar with, and implement this Contract, including the Contractor’s technical approach, QCP, medical QI Plan, and any revisions.

9.1.3. After contract award, but not later than commencement of services, the contractor shall submit a Quality Control Plan to the COR and the Contracting Officer for review. The contractor’s QCP shall be consistent with Joint Commission standards and the MTF Quality Control Program. The QCP shall, at a minimum, include (a) a plan for providing services by appropriately qualified personnel that includes a specific methodology for doing so;

(b) a plan to ensure maintenance and enforcement of Standards of Conduct for contractor personnel as specified in Section 11.3 and (c) a plan for a patient relations program that is compliant with the MTF's patient relations protocols and which includes a notification process for all patient compliments and complaints.

9.1.4. Upon receipt of the Contractor's QCP, the MTF will review and provide comments to the Contractor. If the MTF finds deficiencies in any portion of the proposed QCP, the Contractor shall have five (5) business days to correct the deficiencies. The MTF COR will provide final approval of the QCP.

9.1.5. Sixty days prior to the start of a subsequent task order under this contract, issued annually based on the dates in the contract award, the contractor shall submit to the COR an updated QCP that is consistent with updated Joint Commission standards and updated MTF Quality Control Program. The revised QCP shall be subject to the same review process as that required at the time of contract award.

9.2. INDEPENDENT CONTRACTOR. The services provided by the Contractor are provided in the capacity of an independent contractor. The government will evaluate the quality of services for purposes of contract inspection and acceptance. The Contractor shall be solely responsible for any and all liability caused by the acts or omissions of its agents or employees. The Contractor shall not in any manner represent or infer that it is an instrumentality or agent of the United States Government. The Contractor shall recognize that the Commanding Officer maintains administrative and operational responsibility for all activities within the Command and may take such actions as necessary to preserve and maintain the integrity of the Command, subject to the limitations prescribed by law and U.S. Navy Regulations.

9.3. MODIFICATIONS. The Contracting Officer will designate and authorize an individual to act as the Contracting Officer's Representative (COR). Any such representative appointed will be specifically designated by letter from the Contracting Officer. The COR exclusively represents the Contracting Officer in all technical phases of the work, but is not authorized to issue Change Orders, Supplemental Agreements, or direct any contract performance requiring contractual modification or adjustment. Changes in the scope of work can only be made by modification properly executed by the Contracting Officer. All observations made by persons other than the Contracting Officer or the COR are strictly advisory and shall not influence the Contractor's operations except for administrative requirements and responsibilities specified herein.

SECTION 10 - START OF SERVICES

10.1. BACKGROUND INVESTIGATION

10.1.1. The Contractor Appointed Personnel shall report to the COR on the first day of contract performance. The COR or technical assistant (TA) shall provide direction for a proper check-in and any additional documentation or instructions that may be necessary for contract performance. The Contractor Appointed Personnel shall return the completed check-in sheet to the COR within ten (10) business days.

10.1.2. Upon receipt of an adjudicated Federal background investigation or at a minimum advanced fingerprint results, the Command Trusted Agent will enter Contractor personnel into the Contractor Verification System (CVS). Contractor personnel are responsible for completing the CVS application for requesting issuance of a Common Access Card (CAC).

10.1.3. Thirty (30) calendar days prior to performance of services under this Contract, the Contractor’s Security Representative shall submit to the MTF Security Manager via the COR the necessary documents to obtain the appropriate Federal background investigation.

10.2. OCCUPATIONAL HEALTH REQUIREMENTS

10.2.1. Within 60 days prior to performance of services by the contractor, the contractor shall obtain, at contractor expense, documentation of required immunizations and physical testing, and a statement from the contractor employee’s medical practitioner or a report of a physical examination. The physical examination and immunization documentation shall indicate that the contractor employee is free from mental or physical impairments that would restrict contract personnel from providing the services described herein. The requirements are provided on the HEALTH EXAMINATION AND IMMUNIZATION/SCREENING REQUIREMENT FORM, the current version of which is available at:

https://www.med.navy.mil/sites/nmlc/handbooks/Physical%20Exam%20and%20Immunization%20Form.pdf The Contractor shall always obtain the current version from the web page and shall have the form completed in its entirety in accordance with its instructions. The MTF will identify any contract personnel who are not required to complete this documentation after contract award. Declinations shall only be permitted based on either the contract personnel’s religious convictions or medical contraindications (as documented by a qualified health care provider).

The Hepatitis B vaccine declination can be found on the World Wide Web at http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html.

10.2.1.1 Health Requirements - The Contractor shall comply with all health requirements in the contract. Prior to physical performance of services by personnel, at least 10 calendar days prior to start of work at the requesting location, but no more than 60 calendar days, the Contractor shall provide documentation certifying health requirements such as immunizations, annual vaccinations, medical testing (i.e., tuberculosis, N95 particulate respirator duckbill mask fitting) and physical examination when required at the time of initial placement and annually thereafter, as required. The expense for all health requirements, to include monitoring and tracking annual requirements, shall be borne by the Contractor at no additional cost to the Government.

10.2.1.2. Annual Immunizations. The Contractor shall ensure contract personnel are immunized annually with the seasonal influenza vaccine and any other vaccine recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control (CDC) for health care workers or service/MTF specific requirements.

10.2.1.2.1. Immunization Tracking. The Government may track immunizations information in a DoD computer system for all personnel. The Contractor shall maintain their own process and system of tracking the currency of health immunizations and shall not rely on the Government for ensuring their employees are in compliance.

10.2.1.2.2. Tuberculosis. On the occasion where there is a higher risk of transmission of tuberculosis, MTF policy may direct personnel be tested more frequently at no cost to the government.

10.2.1.2.3. Medical Tests. The MTF will not perform any medical tests or procedures required by the contract for non-beneficiaries except in the rare case of post-exposure IAW Air Force, DoD and CDC guidelines or recommendations. Except in the case of post-exposure, expenses for all required tests and/or procedures shall be borne by the contractor management staff or personnel, not the government.

10.2.1.2.4. Health Notifications. Contractor management staff shall inform the government if contractor personnel report any medical conditon to the contractor management staff. The government will notify the contractor management staff of any work hazards in accordance with BUMED Instruction 6570.3A CH-1. If work hazards exist, it will be the government’s decision whether the worker continues work in the environment and/or if temporary accommodations can be made.

10.2.2. BLOOD-BORNE PATHOGEN ORIENTATION PROGRAM. Contract personnel shall participate in the MTF’s Blood-borne Pathogen Orientation Program. Contract personnel shall also participate in all required annual training and in periodic training for all procedures that have the potential for occupational exposure to blood-borne pathogens.

10.2.2.1. All contract personnel shall comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes and the use of universal precautions to prevent the spread of infections.

10.2.3. MANAGING THE CLINICAL RISK IN THE WORK ENVIRONMENT. The work environment inherently involves risks typically associated with the performance of job duties. The Contractor personnel may be exposed to contagious diseases, infections and flying debris, requiring the wearing of personal protection equipment such as scrub attire, gloves, masks, and eye protection.

10.2.3.1. In the event of an exposure, the Contractor and the MTF will cooperate, in accordance with applicable MTF policy, regarding offering appropriate post-exposure testing to the affected contract personnel and the MTF will use its best efforts to appropriately test the source patient and obtain the patient’s consent to disclose the test results to Contractor personnel and the Contractor. The Contractor will be responsible for providing appropriate follow-up medical care and counseling, if applicable, and record-keeping.

10.2.3.2. Contractor personnel with a bona fide medical emergency occurring while on duty, or with an on-the-job injury, will be provided stabilizing medical care according to the procedures of the MTF. The Contractor shall reimburse the government for all medical services provided unless the Contractor personnel are otherwise entitled to government medical services.

10.2.3.3. All accidents which may arise out of or in connection with the performance of services required herein, and which result in injury, death or property damage, shall be reported to the Safety Department and the COR immediately and to the MTF QI Department within 24 hours. Verbal reports shall be followed by written reports within 24 hours. Statements of witnesses shall be included. If any claim is made by a third party against the Contractor on account of any accident which occurs in connection with the performance of this Contract, the Contractor shall promptly report the facts in writing to the Command Legal Advisor, the MTF QI Department, the Command Safety Department, and the COR.

10.3. ORIENTATION

10.3.1. All contract personnel providing service under this Contract shall undergo an orientation. On a case-by-case basis, the government may waive orientation sessions if the contract personnel are currently or have previously worked at the MTF.

10.3.2. Orientation shall be provided in conjunction with scheduled procedures. The hospital orientation will include familiarization with the facility complex, introduction to command rules and regulations, safety and fire regulations, introduction to military protocols such as military structure, time and rank, acquisition of parking permits and clarification of rights and responsibilities. Orientation will also include any familiarization with applicable departmental policies, rules, and regulations.