AT PWS Korea Guam 05 JUL 26.pdf

PERFORMANCE WORK STATEMENT a/o 20 JULY 2026

HOLISTIC HEALTH AND FITNESS (H2F) SYSTEM

Part 1. INTRODUCTION-BACKGROUND-SCOPE-GENERAL

1.1. INTRODUCTION. The Contractor shall provide qualified Athletic Trainers (ATs) to function as integrated members of a Brigade-based or Area Support multi-disciplinary team focused on optimizing Soldier readiness and performance within the Army's Holistic Health and Fitness (H2F) System. The H2F System is the Army's primary investment in Soldier readiness and lethality, optimal physical and non-physical performance, reduced injury rates, improved rehabilitation after injury and increased overall effectiveness of the Total Army. The system empowers and equips Soldiers to take charge of their health, fitness, and well-being to optimize individual performance, while preventing injury and disease. H2F Performance Teams will generally consist of the following personnel: Athletic Trainer (AT), Cognitive Performance Specialist (CPS), Occupational Therapist (OT), Physical Therapist (PT), Registered Dietitian (RD), and Strength and Conditioning Coach

(SCC).

1.1.2. The H2F System will require ATs to be imbedded within H2F Performance Teams (Exhibit A, H2F Performance Team Structure) These H2F Performance Teams are currently located at eight-two (82) Brigades (BDEs) and one (1) Area Support Team (AST) across twenty-four (24) military installations (Exhibit B, Places of Performance). Several units are geographically dispersed and may place ATs at installations separate from the unit headquarters. The Army reserves the right to expand Future H2F Performance Teams to various military installations in accordance with Exhibit O, Future H2F Implementation BDEs and Locations.

1.1.3. The ATs will be assigned specifically to designated units but may be required to travel locally to various cantonment training areas to perform services. Travel mileage reimbursement will not be provided for travel within a 50-mile radius of the place of performance. Travel may be required 10-25% of the time to support units at other installations and/or to attend meetings or conferences and will be coordinated through the H2F BDE/AST Program Director (PD) and approved by the Installation Alternate Contracting Officer's Representative (ACOR) in advance of the travel.

1.2. DESCRIPTION OF SERVICES. The Contractor shall provide qualified and certified ATs who will be assigned specifically to designated units at the BDE/AST, Battalion (BN), or Company (CO) level. AT services may be provided in the following locations: fitness centers/gyms, BDE/AST/BN/CO or administrative areas, outdoors, ranges, field training environments, drop zones, and at the Soldier Performance Readiness Center (SPRC). Work includes providing forward Musculoskeletal (MSK) care, early medical intervention, Injury Risk Mitigation (IRM) and performance optimization services. Any medical treatment provided by the AT is subject to the supervision of a privileged government healthcare provider with primary oversight by a physician (MD/DO). The location for the performance of duty is under the control and direction of the resourced unit BDE/AST Commander in coordination with the COR.

1.3. BACKGROUND. Primary focus of this contract is to optimize individual and unit physical readiness and ability to perform warrior tasks and battle drills required for the BDE/AST's mission. Physical readiness is defined as availability for deployment and task-specific performance.

The AT will work as part of the H2F Performance Team (HPT) to develop a comprehensive, periodized education and services program integrated and synchronized with the battalion (BN) training calendar. Success is determined by the ability of the BDE to perform its combat mission.

1.3.1. The H2F concept is vastly different from a clinical setting. The ATs will be embedded at the BDE/AST level. Most work will be performed in a military training environment (i.e. fitness centers/gyms, BDE/AST/BN/CO or administrative areas, outdoors, ranges, field training environments, and at the SPRC).. Contractors are authorized short duration travel to support field training located between 50-250 miles from assigned place of performance. The contractor shall not operate tactical vehicles. The ATs will be required to observe BDE/AST and below (i.e. BN, CO, platoon, squad, team) specific training events (e.g., shooting range, obstacle courses, combatives training areas). The ATs must be physically able to hike austere environments and terrain (i. e.

rocky, no running water, no shelter, no bathroom, no climate control, inclement weather, loud, smoky) while carrying their own backpack with necessary supplies on occasion (<20% of the time).

Providing forward MSK care in the training environment, outside of the clinical setting, minimizes lost training time and ensures early identification of injuries. Well-trained, combat-ready Soldiers are best produced by allocating healthcare assets that facilitate the early identification and management of MSK injuries, prevention of injuries, and optimization of physical performance.

1.3.2. Soldiers perform repetitive physical tasks, such as foot marching, drill and ceremony, rifle marksmanship, and repeated obstacle course circuits, resulting in a high number of overuse-type injuries. The types of injuries commonly seen in the Army are very similar to those commonly seen in athletics, including sprains, strains, tendonitis, and stress fractures. To provide forward MSK care, increase physical resiliency, perform early intervention, and performance optimization services, the Army will contract AT services as part of a HPT for designated installation/BDE/AST sites.

1.4. SCOPE OF WORK

1.4.1. The contractor shall provide full-time equivalent (FTE) certified ATs that can meet the DoD and Defense Health Agency (DHA) credentialing requirements at designated site locations outlined in Exhibit B, Places of Performance, and in Exhibit O, Future H2F Implementation BDEs and Locations. The ATs shall provide forward based MSK care within their scope of practice. Any future modification to add additional locations, which are not guaranteed, will be priced in accordance with the contractor proposed pricing found on Exhibit L at the time of the original contract award.

1.4.2. The ATs will be embedded at the BDE/AST level in a military setting. The preponderance of work will be performed in a military training environment (e.g., fitness center, administrative area, outdoors, range, field training area etc.), which may require local travel.

Additionally, performance under this contract may require all contractor employees to ride on watercraft, aircraft, and other vehicles utilized by units to accomplish their missions.

1.4.3. While it is industry practice for ATs to interact with businesses/vendors and to accept gifts or free supplies, products, and materials for personal use in their practice, such gifts may not be accepted in conjunction with any aspect of performance on this contract.

1.4.4. The ATs at designated sites function to reduce medical attrition and increase military manpower. These ATs will improve BDE/AST readiness through Army-specific functional fitness training programs, in accordance with (IAW) Field Manual (FM) 7-22, Holistic Health and Fitness, the H2F Center for Army Lessons Learned (CALL) Manual, and ATP 7-22.03 Performance Team Operations which are designed to meet each BDE/AST's Program of Instruction (POI) requirements.

Services will target MSK injury prevention, rehabilitation, and reconditioning education services.

1.4.5. The ATs providing health care services shall perform duties under the appropriate clinical supervision of the designated privileged provider with physician (MD/DO) oversight. ATs, if needed, may communicate with the Government clinical supervisor through virtual health if that is the best method of communication for their location. All health care services performed on federal installations are in compliance with Department of Defense Instruction (DoDI) 6025.13, Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System (MHS) and Defense Health Agency Policy Manual (DHAPM) 6025.13 Clinical Quality Management in the MHS, volumes 1-7.

1.4.6. Period of Performance. The period of performance shall consist of a 60-day Phase-In with a 7 1/2 month Base Period, and four (4) 12-month Option Periods.

GENERAL INFORMATION.

1.5.1. Type of Contract. This contract is Firm Fixed Price.

1.5.2. Personal Services. This is a personal services contract. Services provided by ATs are personal and intended to create an employer-employee relationship between the Government and the individual contract ATs only to the extent necessary for providing the healthcare services required under this contract. The performance of healthcare services by the individual contract ATs under a personal services contract are subject to day-to-day supervision (direct, line of sight, virtually, or telephonically) by healthcare facility personnel comparable to that exercised over military and civil service healthcare professionals engaged in comparable healthcare services. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the contract ATs may be associated. The authority for personal services under this contract is 10 United States Code 1091 and SECDEF approval memo, Request Delegation of Authority to Execute Personal Services Contracts for the U.S. Army Holistic Health and Fitness System, dated 15 September 2025.

1.5.3. Quality Assurance. The Government will evaluate the Contractor's performance under this contract in accordance with a separate Quality Assurance Surveillance Plan (QASP). This Government-only plan is primarily focused on what the Government will do to ensure that the Contractor has performed IAW contract performance standards. The QASP provides a systematic method to evaluate performance to include how the performance standards will be applied, the frequency of surveillance, and the acceptable quality levels for each of the metrics identified in Exhibit D, Performance Requirements Summary (PRS).

1.5.3.1. Inspection and Acceptance. The inspection and acceptance point for all services rendered under this contract will be the BDE/AST PD. The performance by the ATs, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the COR or designated representative.

1.5.4. Contracting Officer's Representative (COR). The Government will identify an overarching contract COR. The COR shall monitor all technical aspects of the contract and assist in contract administration. Unless otherwise identified in a delegation letter, the COR is authorized to perform the following functions; assure that the Contractor performs the technical and administrative requirements of the contract; perform necessary inspections in connection with contract performance;, maintain written and oral communications with the Contractor concerning technical aspects of the contract; issue written interpretations of technical requirements; monitor the Contractor's performance and notify both the Contracting Officer (KO) and the Contractor of any deficiencies; coordinate availability of government furnished property; and provide facility access of contractor personnel. Only the COR can certify payments. The KO will send a letter of designation to the COR and the Contractor, which states the specific responsibilities and limitations of the COR.

The COR is not authorized to change any of the terms and conditions of the contract.

1.5.4.1. Government Technical Monitor (GTM). While a COR is the only officially appointed representative of the KO, given the scope and complexity of some service contracts, other individuals may assist the COR in monitoring a contractor’s performance against the requirements in the Contract. These individuals will be identified as Government Technical Monitors (GTMs). For this Contract, the Government will appoint the BDE/AST PDs at each BDE/AST as GTMs. The most common reason for designating additional individual monitors to support the COR is physical proximity to the Contractor's worksite, although they may also be appointed because of special skills or knowledge necessary for effective monitoring of the Contractor's work. The BDE PD/ASTs will aid in observing a contractor’s performance and reporting discrepancies to the COR and/or COR.

The BDE/AST PD is not authorized to change any of the terms and conditions of the contract.

1.5.5. Recognized Holidays. The following is a list of legal Federal holidays as referred to elsewhere in the contract:

New Year's Day Memorial Day Labor Day Martin Luther King Jr.'s Birthday Juneteenth Day Columbus Day President's Day Independence Day Veteran's Day Thanksgiving Day Christmas Day

1.5.5.1. Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above.

1.5.6. Training Holidays. The military may designate a weekday as a Training Holiday and/or a mandatory training day if doing so would provide a three-day or four-day holiday weekend (e.g., Thanksgiving weekend, Friday is usually a military training holiday). However, training holidays do not apply to Contractor employees. Contractors will be required to work but may telework with approval from the PD. Teleworking guidelines are provided in section 1.5.8.3.

1.5.7. Organizational Activities. During organizational activities the BDE/AST may close for normal operations. However, organizational activities do not apply to Contractor employees.

1.5.8. Hours of Operation. The Contractor shall be responsible for conducting business Monday thru Friday, except federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

The Contractor shall always maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

The Contractor shall provide services as scheduled, which may occur outside of normal hours of operation and on weekends due to varying BDE/AST schedules and location.

1.5.8.2. Scheduling. Schedules are subject to change due to training events/schedules, exodus, holidays and unexpected events. Some workdays may be less or more than eight hours. ATs are expected to work a 40-hour workweek and/or 80-hours within a two-week period to accommodate training schedules. No overtime payment is authorized. Hours worked begin at the first place of duty for the day and end at the last place of duty for the day.

1.5.8.3. Telework: The Government may permit telework by Contractor employees on occasions when determined to be in the best interest of the Government in meeting work requirements. In furtherance of Continuity of Operations Planning (COOP), a telework program may be enacted to ensure the Government's mission-critical operations stay operational during times of Local/National Emergency or incidents of Local/National significance. Guidance from Army Senior and/or Installation leadership will be adhered to for those incident's mitigation strategies (e.g.

pandemic). Telework may be implemented on an installation-by-installation basis. The Contractor's telework plan, to include the date (s), hours of operation, and description of tasks to be performed, shall be submitted to the Contracting Officer (KO) for review and approval NLT 30 days after Contract award and prior to implementation. The Contractor shall coordinate what specific requirements can be performed via telework and/or at an alternate work location with the Contracting Officer's Representative (COR) at the requiring activity and are instructed to abide by their official company policies for telework and utilizing alternate work locations to perform the Government's requirements called for under the Contract. This plan shall include a component for short-term (two working days or less) as well as long-term (greater than two working days). The Contractor shall obtain BDE/AST Program Director (BDE/AST PD) approval prior to commencement of any telework, except as noted in PWS 1.5.8.3.1. Use of alternate work locations and /or Telework shall be at no additional cost to the Government to include but not limited to equipment, facilities, Internet connectivity/access, etc. The Government is not authorizing the use of off-site rates to accomplish alternate work locations and will not be responsible for any associated costs. Personal or company issued equipment may not be used to access the Government network infrastructure; examples include using Virtual Port Network (VPN) or a corporate network.

1.5.8.3.1. Telework is authorized without preapproval in the event of an unexpected installation closure. The Contractor shall notify the BDE/AST PD and the COR should this occur.

1.5.9. Planned Absences. All requests for time off will be coordinated in writing with the BDE/AST PD at least 14 calendar days prior to the requested days off. Such notification will be in compliance with local procedures and does not negate the AT's requirement to notify the contract company of absences.

1.5.9.1. Unplanned Absences. Unscheduled absences shall be called into the BDE/AST PD no later than two hours prior to the scheduled shift. Such notification will be in compliance with local procedures. The ATs shall call in each duty day they are unable to report to work. Such notification does not negate the AT's requirement to notify the contract company of absences.

1.5.9.2. Unplanned Absences for ATs greater than three days. The Contractor shall notify the BDE/AST PD or COR when a scheduled contract AT cannot fill a shift for greater than a 3-day absence due to illness, emergency, injury, or death. Notification should be as soon as possible but no later than two hours after the start of a scheduled shift. Replacement requirements will occur in compliance with paragraph 1.5.10 for Substitute ATs.

1.5.10. Substitute ATs. If the Contractor substitutes permanent ATs for a temporary period of time, the substitute shall meet the same qualification standards, health requirements, and terms as stated in the contract. A substitute notification shall be submitted to the COR providing an explanation of the circumstances necessitating the proposed substitute of personnel as soon as it is determined a substitute is required.

1.5.11. Replacement ATs. If the Contractor replaces an AT as a permanent placement, the replacement shall meet the same qualification standards and health requirements as stated in the contract. A replacement notification shall be submitted to the COR providing an explanation of the circumstances necessitating the proposed replacement of personnel as soon as it is determined a replacement is required.

1.5.11.1. Replacement Time Frame. The Contractor shall replace permanent ATs such that vacancies will not exceed 30 consecutive calendar days at each location outlined in Exhibit B, Places of Performance. The consecutive calendar days start once the incumbent AT leaves the position. Within 10 calendar days after notification of a departing AT, the Contractor will notify the COR of an intended replacement, provide their security paperwork, and initiate the credentialing process to OTSG standards. If a vacancy exceeds 30 days, the contractor will not be paid for each day not worked at the hourly rate specified in Exhibit L for the effected location.

1.5.12. Places of Performance. The work to be performed under this contract will be at installations in accordance with Exhibit B, Places of Performance and Exhibit O, Future H2F Implementation BDEs and Locations. When the Government requires BDE/ASTs at the locations outlined in Exhibit O, Future H2F Implementation BDEs and Locations, the Government will notify the contractor 90 calendar days prior to the required start date and modify the contract no later than 60 days prior to the required start date. Soldiers of non-resourced units are authorized to participate in the planned H2F training (time, location, and architecture) of resourced units to utilize unused capacity. Additional/separate training shall not be scheduled to support non-resourced units. While each AT may be assigned to a primary location or specific BDE/AST, the Government retains the right to assign an AT, permanently or temporarily, to another location within a 50- mile radius of their assigned unit. The reassignment will be to a H2F resourced unit providing the same or similar services and within the scope of the AT's duties, expertise and qualifications. Temporary assignments may occur on an as needed basis or with last-minute notification. For long-term reassignments, the contract ATs shall receive notification two weeks prior to the permanent reassignment. Under a mutual agreement between the Contractor and the Government, this two-week notice may be waived. ODC travel will be utilized to support subordinate units at geographically dispersed locations greater than 50 miles from the BDE headquarters

1.5.13. Non-Mission Essential. The ATs under this contract are considered non-mission essential personnel. That means that in the event of inclement weather conditions or other circumstances, the ATs will work in accordance with installation guidance for non-mission essential personnel. If the installation is closed and non-mission essential personnel are not required to work, the ATs will not report to work. If the installation has a delayed opening (i.e., two-hour delay due to weather), the AT shall make every attempt to be at work at their assigned unit, when the installation is open and operational.

1.5.14. Use of Government Property. The ATs shall not use government facilities, supplies, or equipment in private practice or for any purpose other than providing the health care services required under this contract.

1.5.15. Non-Compete Clauses. The use of non-compete conditions in employment agreements or in subcontracts (to prevent loss of personnel by the contractor) effective only during the period of the contract performance is acceptable. However, the use of non-compete conditions in employment agreements and/or in subcontracts that prevent employees and/or subcontractors of the incumbent from being interviewed by, employed, or accepting offers of employment and/or subcontracts by the new contractor on the follow-on contracts is unacceptable. It hinders the Government's ability to accomplish the mission of providing medical care to beneficiaries. Awardee, and their subcontractors, may not include such conditions in employment agreements and/or subcontracts while performing under this contract.

1.5.16. Media and Other Inquiries/Engagements. The ATs shall not respond to any media inquiries or complaints. All inquiries and complaints from the media, third parties, private or public agencies shall be immediately relayed to the COR.

1.5.16.1. Social Media. The ATs shall not post any information, documents or photographs related to their position and/or duties related to this contract. Posting information on Soldiers or any other items related to their contract position is strictly forbidden. A re-post from an official Army social media account is acceptable, however posting on personal accounts about H2F, sharing pictures of Soldiers, and stating a specific BDE/AST is not authorized.

1.5.16.2. Research. The ATs shall not share information, documents, healthcare inquiries, photographs or data to any outside entities, under any circumstance, particularly with regard to any research requests. Any research inquiries or requests for information shall immediately be referred to the COR. The ATs shall share data inquiries when requested by Government personnel providing contract oversight. Presentations at a professional conference may only be presented with pre-approval by BDE PAO, COR, and BDE/AST leadership. Contractors are not authorized to represent the Army and need to include a disclaimer when giving presentations. Contractors shall not wear H2F gear that represents their unit. However, they may wear clothing that represents their Contracting company.

1.5.16.3. Tobacco Usage. The Contractor shall ensure that ATs comply with the Government tobacco policy.

1.5.17. Fraternization. The ATs shall not fraternize with Soldiers or Department of the Army Civilian (DAC) employees that are supported by or associated with this contract, to include "the perception of fraternization" as is reflected in Army Regulation (AR) 600-20. Such conduct will be grounds for immediate dismissal. This includes fraternization via social media, meeting outside of official duties, and undue familiarity. Examples of familiarity that may become "undue" can include repeated visits to bars, nightclubs, eating establishments, or homes between the ATs and Soldiers.

The contractor may frequent the establishments but should not socialize with the Soldiers when off duty.

1.5.17.1. Business Agreements. The ATs shall not enter into business agreements with Soldiers with the exception of a landlord agreement. The Contractor shall not enter into business agreements with any Soldiers or DA Civilian employees (or their immediate family) being supported by or associated with this contract.

1.5.18. Billing of Beneficiaries. The Contractor and ATs shall not request or accept compensation of any kind for beneficiaries treated, procedures performed, or any other actions provided outside the terms and conditions of this contract. While on duty, ATs shall not advise, recommend, or suggest to individuals authorized to receive services at government expense that such individuals should receive services from the AT(s) when he/she is not on duty, or from a partner or group associated in practice with the Contractor or AT.

1.5.19. Confidentiality of Information. All financial, statistical, personnel, and technical data furnished, produced, or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor or AT shall not use Soldier care rendered pursuant to this contract as part of a study, research project, publication, or presentation at professional conference. Contractors are not privy to patient information based on AT patient care interactions. The ATs shall adhere to standards pertaining to the access of all patient information laws and regulations. The Contractor shall not persuade, induce or influence ATs to expose patient information for any reason. The ATs shall prepare medical records, forms and documents as required in accordance with established OTSG regulations and guidelines.

1.5.20. Privileged Communications. The ATs shall abide by federal and DOD, DHA and US Army policies, instructions, regulations and requirements concerning the nature of limited privileged communication between Soldiers and the AT as may be necessary for security and personnel reliability programs. The ATs shall also abide by federal and DoD, DHA and US Army policies, instructions and regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

1.5.21. Off-Duty Employment. The ATs are not prohibited from conducting a private practice of their profession or from engaging in other employment. However, the ATs shall not, while performing under this contract, engage in other employment that creates a conflict of interest, violates federal law or potentially compromises the quality of their work under this contract.

Further, such private practice or other employment shall not be conducted during those hours in which the AT is required to render services under this contract. The ATs shall make no use of the Government facilities or property provided under this contract in connection with other employment.

1.5.22. Employment of Government Personnel. The Contractor shall not employ active-duty military or Government civilian employees to perform services under this contract unless approved by the KO on a case-by- case basis.

1.5.23. Emergency Health Care. The MTF will provide emergency health care for injuries or life- threatening medical emergencies to contracted ATs occurring while on duty. The Contractor shall reimburse the Government for medical services provided unless the required health care is both not covered by worker's compensation insurance and the AT is otherwise entitled to receive Government medical services.

1.5.24. Government Systems. The AT shall utilize and operate automated systems that may include, but are not limited to, Ambulatory Data System (ADS), Military Health System (MHS) GENESIS, and Clinical Information System (CIS) Medical Operational Data Systems such as Medical Readiness Portal, H2FMS, and unit SharePoint sites.

1.6. GENERAL REQUIREMENTS.

Quality Control Plan (QCP). The Contractor shall have a planned and systematic QCP that outlines the quality control process covering every aspect of the Contractor's operation under this contract and procedures to ensure that services are performed IAW this PWS throughout the life of the contract. The Contractor shall develop and implement a Quality Control Plan (QCP) specific to this contract that addresses processes and procedures implemented to ensure performance meets all requirements of the contract and submit to the KO within 30 calendar days of contract award for Government review and approval IAW Contract Data Requirements List (CDRL) C001. Any changes to the QCP during performance of the contract shall be submitted to the COR and KO, within five business days of the proposed change, for review and approval. The QCP shall contain at a minimum:

• Contract and TO number.

• Description of processes and controls used to verify acceptable performance.

• Contractor developed metrics used to verify performance level of each TO objective.

• The metrics will be reported as a quantitative value (%, >, <, etc.) and the definition and numerical figures used to calculate the % or reportable outcome.

• The contract/TO objectives, associated standards, metrics, and quantitative values for each metric shall be reported in the Monthly Status Report that clearly identifies the monthly performance level against each contract/TO objectives.

1.6.1.1. Written Code of Business Ethics. The contractor shall have a written code of business ethics which includes the process of identifying and handling ethical issues related to business practice.

1.6.1.2. Written Emergency Management Plan. The Contractor shall have a written emergency management plan which includes an analysis of potential emergencies that could affect service performance, notification processes, backup communication systems, and a periodic test of the plan.

1.6.1.3. Written Policy to Address Privacy, Confidentiality and Security of Information.

Policies shall include information about the appropriate use of social media with regard to treating military personnel; and proper handling of data collection/research in accordance with the government contract.

1.6.1.4. Government Oversight and Quality Assurance (QA): The Government will provide oversight and surveillance of contract/TO performance through the coordinated effort of the assigned KO, COR- and GTM at the installation and BDE/AST levels. The Government may designate GTMs at other levels as deemed appropriate by the KO. The Government will monitor the Contractor’s performance under this contract IAW the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government must do to ensure that the Contractor has performed IAW the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the maximum acceptable defect rate(s).

1.7. SECURITY.

1.7.1. Security Identification Badges (IDs). Contracted ATs shall wear Government-furnished IDs as required by installation or OTSG policy. The Contractor shall not alter or obscure the badge.

1.7.1.2. The Contractor is responsible for ensuring AT IDs are renewed before expiration to prevent installation access problems. Absences caused by expired IDs shall not relieve the Contractor of its obligation to perform the services.

1.7.1.3. The ATs shall immediately report any lost or stolen IDs to the COR.

1.7.1.4. The ATs shall turn in all IDs to the ACOR, or a designated government representative, upon termination of their services or upon demand by the COR or designated government official.

1.7.2. Identification of Contractor Employees. The ATs shall use the label "contractor" in e-mail addresses and identify themselves as contract personnel in all meetings, telephone conversations, and written correspondence with government personnel.

1.7.2.1. Should the Force Protection Condition (FPCON) at any facility or installation change, the Government may require changes in contractor security matters or processes.

1.7.3. Safeguarding Information. The Contractor shall be responsible for safeguarding all Government property provided for Contractor use. The Contractor shall safeguard information of a confidential or sensitive nature. Neither the Contractor nor any of its ATs shall disclose or cause to be disseminated any information concerning the operation of the installation and/or the MTF that could increase the possibility of a breach in security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or deposition in lawsuits or other administrative, civil, or criminal proceedings.

1.7.4. Key Control. If applicable, the Contractor shall be responsible for any keys issued by the Government to the ATs for use in government facilities. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost or duplicated keys and any associated locks. Lost or duplicated keys and/or locks shall be reported to the issuing party, clinical Supervisor, or COR immediately upon recognition of the loss or duplication. No unauthorized personnel shall be allowed entry into the locked area. The Contractor shall ensure that its ATs lock all areas for which they possess a key when they are not using the area and at the close of the work period.

1.7.5. Training Requirements: The Contractor shall track all training requirements and ensure that all employees working on this contract are compliant. If the training requirements are not met, the Government may refuse access to systems or work location. The Contractor shall report each employee’s training status in the Monthly Status Report. The Contractor shall maintain a training file for each employee and make it available for inspection upon request from the Government. The Contractor shall comply with and participate in any pertinent Army, command, and installation security training programs when performance or services will occur on a Government installation, and the Contractor employee(s) are embedded or integrated into the Government activity or office. If additional training is needed due to mission changes, the Government will conduct required training. This training will be at no cost to the Contractor. The BDE PD will schedule this training.

1.7.5.1 Antiterrorism Level I Training. Pursuant to DOD Instruction (DODI) Number 2000.16, “DoD Antiterrorism Standards,” dated November 20, 2019, all Contractor employees, to include Subcontractor employees, requiring access to Army installations, facilities and Federally controlled information system(s) and access areas shall complete AT Level I awareness training within five calendar days after receipt of CAC and annually thereafter and receive a certificate of completion. The training is accessible from any computer and is available at the following website:

https://jkodirect.jten.mil/html/COI.xhtml?course_prefix=JS&course_number=-US007. The Contractor shall ensure that all applicable employees have completed AT awareness training prior to accessing a federally controlled installation or information system. The Contractor shall certify that its workforce has completed the training by reporting employee training status in the Monthly Status Report.

1.7.5.1. iWATCH Training. The Contractor and all associated Subcontractors shall brief all employees performing services under this contract on the local iWATCH program (training standards provided by the requiring activity ATO). The Government will provide training standards.

This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the CORs. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance with the results reported in the Monthly Status Report.

1.7.5.2. Account Validation System (AVS). All ATs requiring network access to the hosted applications shall request access through AVS. The AVS website is located at https://jkosupport.jten.mil/. The contractor is responsible for maintaining an active database of ATs' AVS status and providing status to the COR, as requested. ATs may still be required to complete the PDF version of DD 2875 / DD 7789 for any systems/applications not leveraging AESMP, NSAR, or

AVS.

1.7.5.3. Operations Security (OPSEC) Training. Per AR 530-1, Operations Security, the Contractor employees must complete Level I OPSEC Awareness training within 30 calendar days of their reporting for duty and annually thereafter. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance with the results reported in the Monthly Status Report.

1.7.5.4. DoD Cyber Awareness Challenge Training. The Contractor shall ensure all Contractor and Subcontractor personnel with access to a Government information system are registered in the Army Account Validation System (https://iga.army.mil/) and complete the DoD Cyber Awareness Challenge training (https://learn.atis.army.mil/). The training shall be completed prior to obtaining access to information systems, within 14 days of start of work/employment, and annually thereafter.

Training status shall be reported in the Monthly Status Report. ATs are encouraged to place all training certificates in their individual Competency Assessment Folder (CAF) immediately upon completion of training.

1.7.5.5. Computer User Agreement. Contractor employees will be required to sign a Computer User Agreement Acceptable Use Policy (AUP) and complete End User Awareness Training prior to being given access to a government computer or the local network. Despite anything to the contrary in the Computer User Agreement AUP, Government computers and other resources shall only be used for official Government business related to the performance of this contract. The Government will be implementing a database management system, Holistic Health and Fitness Management System (H2FMS) and will be required to participate in training to access role-based system access.

(E.g., H2FMS User Agreement or H2FMS Role-Based Training Requirement.

1.7.5.6. Sexual Assault Prevention and Response (SAPR) Training: The Contractor shall provide SAPR training to all Contractor personnel providing services under this contract within seven days of full performance of the contract or employment date for newly hired employees and annually thereafter. The Government shall provide the Contractor the SAPR training support package to be utilized to meet the initial requirement. After the initial training, Contractors will participate in the face-to-face SAPR training conducted annually by the Government at their duty location. The Contractor shall report the completion of SAPR training on the Monthly Status Report.

https://jkosupport.jten.mil/ https://usg01.safelinks.protection.office365.us/?url=https%3A%2F%2Flearn.atis.army.mil%2F&data=05%7C02%7Cangel.rosa.mil%40army.mil%7C41b93f2fe0d24c89885508de85f4d2c5%7Cfae6d70f954b481192b60530d6f84c43%7C0%7C0%7C639095483879356530%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=E1vTzoC7zPyknoXQITZsb%2BcDvf7cidnvoVA5rCYxU3Y%3D&reserved=0

1.7.5.7. Information Assurance (IA)/IT Training: All Contractor employees and associated Subcontractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter with the results reported in the Monthly Status Report. All Contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M and AR 25-2 within six months of appointment to IA/IT functions

1.7.5.8. Combating Trafficking In Persons (CTIP). All Contractor employees and associated Subcontractor employees shall complete training for CTIP upon hire and every three years after according to DoDI 2200.01, "Combating Trafficking in Persons (CTIP).

1.7.5.9. HIPAA: The Contractor shall ensure all employees and Subcontractors complete Health Insurance Portability & Accountability Act (HIPAA) of 1996 (HIPAA) and Privacy Act Training within 30 calendar days of employment and on an annual basis based on the employee’s birth month thereafter. The training is located at https://jkodirect.jten.mil/html/COI.xhtml?course_prefix=DHA&course_number=-US001. The Contractor shall maintain copies of HIPAA training certificates and provide them to the COR immediately upon request.

1.7.5.10. Controlled Unclassified Information (CUI) Training: The Contractor shall ensure all employees and Subcontractor employees working on a Government installation complete CUI Training within 30 calendar days of employment and annually thereafter. The training is located at https://securityhub.usalearning.gov/. The Contractor shall maintain copies of CUI training certificates and report the completion of CUI training on the Monthly Status Report.

1.7.5.11. Equal Opportunity / Equal Employment Opportunity (EO/EEO) Fair Treatment: The Contractor shall provide EO/EEO training to all Contractor personnel providing services under this TO within seven days of full performance of the TO or employment date for newly hired employees and annually thereafter. The COR will provide the Contractor the EO/EEO training support package to be utilized to meet the initial requirement. After the initial training, Contractors will participate in the face-to-face EO/EEO training conducted annually by the Government at their duty location. The Contractor shall report the completion of EO/EEO training on the Monthly Status Report.

1.7.5.12. Counterintelligence Awareness and Reporting (CIAR) (formerly TARP): In accordance with AR 381-12, dated 13 June 2025, and DoDD 5240.06 all DoD personnel, including contractors, shall complete CIAR training within 30 days of employment and every 12 months thereafter. The training can be completed with an in-person brief or online by registering for and completing course CI116.16 at https://www.cdse.edu/.

1.7.6 Access and General Protection/Security Policy and Procedures.

1.7.6.1. The Contractor shall ensure all ATs comply with government security requirements.

The Contractor shall schedule appointment(s) for new ATs with the requesting location security manager for their first duty day no later than 14 calendar days prior to submission of a complete and accurate package. The Contractor shall ensure that ATs are able to submit all complete and accurate security investigation paperwork on their first day of work at the requesting location.

1.7.6.2.Background Checks. The ATs shall not begin performance under this contract until the complete documentation for a Personnel Background Investigation (PBI) has been submitted in accordance with local policies and procedures. Because ATs will have access to and/or process information requiring protection under the Privacy Act of 1974, these positions are considered "Sensitive" and compliance with DoD Instruction 1402.05, DoD Instruction 5200.2, AR 25.2, and AR 380- 67 is mandatory. Therefore, a Tier 1 clearance is required for each AT under this contract.

The Contractor shall fully adhere with security requirements and the provisions of referenced https://www.cdse.edu/ publications by having each of their contract ATs performing on this contract, make an appointment through the BDE S2/G2 security office at the installation. Everyone will be fingerprinted and required to complete the appropriate forms, usually a Standard Form 85, Questionnaire for Public Trust Positions. Contract workers that are or may be involved in the delivery of health care to patients under the age of 18 must undergo a Child Background Check (CBC) as part of the CHBC as required by agency or place of performance guidelines.

1.7.6.3. Identification Badge (ID), Common Access Card (CAC), and Vehicle Registration Issuance. An ID badge, the Common Access Card (CAC) and the Vehicle Registration will not be issued until the Contract AT has been fingerprinted and complete documentation has been submitted to the appropriate installation, MTF or other Security Manager(s), as required at the facility. Upon award of the contract, the Contractor will immediately contact the BDE/AST PD for processing procedures to meet the security requirements, information needed for initial access to the installation/MTF and in-processing forms.

1.7.6.4. Security or Background Investigation Results. The Government may allow an interim clearance to perform duties on this contract. However, if a security or background investigation results in an unfavorable finding and final clearance will not be awarded, the Contractor and individual Contractor employee will be notified. The Contractor employee will not be granted further access to the installation and will not be qualified to perform services on the contract. All Identifications (IDs), Common Access Cards (CACs) and any other items previously issued by the Government shall be returned to the Government.

1.7.6.5. Installation Access Procedures. The ATs shall comply with the local installation requirements for access to military installations.

1.7.6.6. Entry Security and Vehicle Search. The ATs may encounter long delays for entry security, vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the AT for time spent at installation checkpoints.

1.7.6.7. Access to Systems Containing Personally Identifiable Information (PII): The Contractor shall comply with the Privacy Act and all applicable agency regulations on individual privacy, to include DoD Directive 5400.11 “Department of Defense Privacy Program” and DoD 5400.11-R, Department of Defense Privacy Program.

1.7.6.8. Data Security: The Contractor, unless otherwise authorized by the Government, shall limit access to PII to those employees and Subcontractors who require the information in order to perform their official duties under this TO. The Contractor, Contractor employees, and Subcontractors shall physically or electronically protect PII when not in use and/or under the control of an authorized individual. During the course of TO performance, when PII is no longer needed or required to be retained under applicable Government records retention policies, the Contractor shall coordinate with the KO to either turn over the PII to the Government or destroy it through means that will make the PII irretrievable (i.e., permanently unavailable for access by any person). The Contractor shall only use PII obtained under this TO for purposes of the TO and shall not collect or use such information for any other purpose without the prior written approval of the KO. At expiration or termination of this TO, the Contractor shall coordinate with the KO to either turn over all PII managed under the TO that is in its possession to the Government or successor Contractor, or if the Government so directs, destroy the PII. The Contractor shall ensure all documents and case records are maintained in a confidential and secure manner IAW the Privacy Act and applicable local regulatory guidance. Additionally, the Contractor shall ensure:

• Soldier information is maintained and retained in strictest confidence and prevent the unauthorized duplication, use, and disclosure of such information.

• Information shall only be provided to personnel having a need to know such information in the performance of their duties involved or associated with the H2F System.

• Any documents with Soldier information will remain at the unit in a secure location designated by the H2F BDE PD.

1.7.7. DATA BREACH RESPONSE AND NOTIFICATION

1.7.7.1. For Privacy Act and Health Insurance Portability and Accountability Act (HIPAA) refer to exhibit M.

1.7.7.2. Data Breach Response and Notification: The Contractor shall adhere to the reporting and response requirements for PII set forth in Memorandum, Office of the Secretary of Defense, Subject: Safeguarding Against and Responding to the Breach of PII, June 5, 2009, ALARACT 050/2009, DoD 5400.11-R, and any amendments.