Atch 2_PWS Paramedic Services.pdf

Solicitation No.: FA483022QS001 Contract No.: FA4830 Contract Title: Paramedic Services

23d Medical Group

Paramedic Services

PERFORMANCE WORK STATEMENT (PWS)

Current as of: 3 December 2021

23d Contracting Squadron Moody Air Force Base, Georgia

Contract Title: Paramedic Services

TABLE OF CONTENTS

Paragraph Title Page

1.0 Description of Services 4

1.1 General

Description of Services/Introduction Background Objective Scope Paramedic Tasks Contractor Qualifications Contract Type Organizational Conflict of Interest (OCI) Transition Plan Period of Performance

1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9

1.10 1.11

2.0 Services Summary 9

2.1 Performance Evaluation-Measurement

3.0 Government Furnished Property and Services 11

3.1 Facilities

3.2 Utilities

3.3 Equipment

3.4 Vehicles

3.5 Materials

3.6 Publications

4.0 Contractor Furnished Material 13

4.1 General

4.2 Contract Employee Training

4.3 Contractor Health Requirements

5.0 General Information 13

5.1 Contract Organization

5.2 T1 Investigation

5.3 Government Security Instructions

5.4 Contractor Identification, Dress and Appearance

5.5 Physical Security

5.6 Employment of Government Employees

5.7 Hours of Operation

5.8 Federal Holidays

5.9 Records Management

5.10 For Official Use Only (FOUO)

5.11 Continuation of Essential Contractor Services

During Crises

5.12 Government Performance During Labor Strikes

6.0 Contractor Personnel and Quality Control 16

6.1 Listing of Employees

6.2 Contractor Personnel

6.3 Quality Control

6.4 Government Quality Assurance

6.5 Re-Performance

7.0 Moody AFB Standard Operating Procedures 19

7.1 Utilities

7.2 Communications

7.3 Local Area Networking (LAN) Contractor Use

7.4 Base Refuse Collection

7.5 Base Emergency Medical Treatment Service

7.6 Security Forces

8.0 Appendices (Definitions, GFP Listings, Workload 20

Data, Maps, etc.)

8.1 Appendix A: Definitions

8.2 Appendix B: Privacy Act Notifications

8.3 Appendix C: Section H, Special Contract Clauses

8.4 Appendix D: CAR Report

8.5 Appendix E: Government Surveillance Form

1.0 DESCRIPTION OF SERVICES

1.1 General: This is a non-personal services contract to provide Paramedic services. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.2 Description of Services/Introduction: The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Paramedic Services as defined in this PWS except for those items specified as Government furnished property and services. The Contractor shall perform to the standards in this contract.

1.3 Background: This requirement has been historically satisfied through contracted positions working in the 23d Medical Group. The service is currently on an existing contract.

1.4 Objective: To procure paramedic services to provide treatment in emergency ambulance response; in-flight emergency response; non-in-flight emergency response; transfer and transport services for active duty military personnel, their dependents, retirees, their dependents and other eligible beneficiaries, in accordance with the terms and conditions of this contract. The Paramedics shall be required to assist with patient care within the military treatment facility (MTF) when not performing emergency response or transport services. Paramedics shall cover the range of services provided in a civilian medical treatment facility, such as emergency patient care. The Paramedics shall operate under the medical direction of the awarded Contractor’s Medical Director and protocols. The protocols will be provided/approved by the Contractor’s Medical Director. The Paramedic will be assisted by an emergency medical technician (EMT) from the MTF.

1.5 Scope:

1.5.1. The Contractor shall supply all necessary equipment and labor required to perform services for the MTF. Additionally, the Contractor monitors, manages and reports on services for higher management and develops plan to improve timeliness and accuracy rates, service availability, and overall MTF performance and compliance.

1.6 Paramedic Tasks:

1.6.1 The Paramedic shall be responsible for creating, maintaining, and disposing of medical documentation as required.

1.6.2 Performs a full range of ambulance services on site at the MTF and in the field when performing ambulance emergency or in-flight response, transfer, or transport services. The paramedics will respond to calls within Moody AFB jurisdiction which includes the main base, Grand Bay, Quiet Pines Housing and Magnolia Grove Housing. The Paramedics shall practice within the guidelines set by the NCOIC, Flight Commander and the Contractor’s Medical Director. Provides emergency hospital and pre-hospital care for all types of patients (all ages).

1.6.3 Maintains the Government provided (GOV) ambulance according to local policy

Contract No.: FA4830 Contract Title: Paramedic Services ensuring preparedness and availability for immediate response in accordance with local policy, AFI 24-302, and Technical Order 36-1-191. A local checklist will be provided for daily/monthly checks. Shall obtain a valid Government driver’s license for on-base response. A flight line driver’s license is also required.

1.6.4 Responds to advance life support (ALS) emergency calls within established time frames according to DoDI 6055.06, Table E3.T1: Aggregate Response Times (ART) for ALS calls will be within twelve (12) minutes for 90% of the calls. 23 CES/CEF Fire Control will be the official time keeper who screens all emergency calls and dispatches them via Government issued hand-held radios or radios hard mounted in the ambulances.

1.6.5 Assesses, plans, implements, and evaluates emergency care for patients of all ages.

Workload includes the evaluation and treatment of emergent, urgent, and non-emergent patients ranging from infants to the elderly. Contractor shall adhere to all relevant guidelines established in Rules of Department of Public Health Office of Emergency Medical Services, Chapter 511-9-2, Emergency Medical Services.

1.6.6 Recognizes medical emergencies and responds appropriately. Initiates Cardiopulmonary resuscitation (CPR) if required, and administers advanced cardiac life support measures when necessary.

1.6.7 Provides/documents and completes patient exam on approved forms; provides verbal/written reports to receiving physician and medical facility. Performs documentation audit after each response is complete, to ensure documentation compliance with peer review standards.

Peer reviews are conducted after each ambulance run. The results which are reviewed for trends and appropriate feedback will be sent to the Contractor via the Contracting Officer Representative (COR). Enter patient information into the computer database.

1.6.8 Immediately cleans, sanitizes, and restocks GOV ambulance with MTF supplies according to established policy.

1.6.9 Assisted by EMTs the Paramedic shall be fully integrated into the nursing team, responsible for direct patient care.

1.6.10 Responsible for and assists with orientation and training of newly assigned and inexperienced personnel.

1.6.11 Participates in base exercises, in-service training, and continuing education programs.

Maintains MTF training record.

1.6.12 Establishes and maintains good interpersonal relationships with co-workers, families, peers, and other health team members.

1.6.13 MTF Requirements. The Contractor shall complete all MTF-specified orientation program(s), initial and all required annual training, and comply with all MTF policies, procedures, productivity standards and instructions as provided by the MTF.

1.6.14 Health Insurance Portability and Accountability Act (HIPAA) OF 1996:

All individuals performing services at an Air Force MTF are required to complete an initial and annual refresher HIPAA Privacy and Security Rule training as provided by the MTF for its personnel and will be held accountable for complying with health information privacy and security policies and procedures. Reference Section 8.3 Appendix C, Section H, Special Contract Clauses, for detailed HIPAA language.

1.6.15 Periodic Continuing Medical Education (CME) may be conducted at the MTF and will be available, at no cost, to any healthcare provider desiring to attend.

1.6.16 During contingencies, the Government may require an additional Contractor to respond to emergencies if there is no military personnel available to accompany the paramedic on duty.

If needed, the contracting officer will notify the company of the requirement.

1.7 Contractor Qualifications:

1.7.1. Knowledge. The following USAF specific knowledge must be completed within 30 days of the Contractor start date:

1.7.1.1. Emergency Medical Treatment; Job and Office Safety Standards; Aseptic and Surgical Technique; Infection Control, Communicable Diseases; Medical Ethics and Legal Aspects;

Operation and Maintenance of Therapeutic Equipment; Medical Terminology; Transportation of the Sick and Injured; Disaster Preparedness Procedures, National Incident Management System (NIMS).

1.7.1.2 Knowledge of current hospital and pre-hospital protocols within 30 days of the Contractor employee start date, in order to assess, plan, implement, and evaluate care of patients in hospital and pre- hospital settings. The Paramedic shall be required to assist with patient care within the MTF when not performing emergency response or transport services.

1.7.1.3 Knowledge and skill in CPR and advanced life saving measures used to initiate resuscitation measures when necessary and assist unit in providing support measures.

1.7.2 Education. Graduation from an accredited EMT-Paramedic certification program; a current, valid paramedic license and certification from the National Registry of Emergency Medical Technicians (NREMT); or State of Georgia Office of Emergency Medical Services (OEMS); Current certification in Basic Life Support (BLS); Advanced Cardiac Life Support (ACLS); Pediatric Advanced Life Support (PALS); and Hazard Materials Awareness.

Certificate/license provided at time of Contractor award or prior to start date for a replacement employee. An updated copy will be kept in their Competency Assessment Folder. Certifications shall be through an American Heart Association and/or Red Cross approved training program and shall be renewed every two years.

1.7.3 Experience. One (1) year of full-time experience having performed as a paramedic within the last three (3) years. Experience in personnel management is highly desirable.

1.7.4 Language Skills. The Paramedic must be able to read, write, and speak fluent English.

All documentation shall be completed in English.

1.7.5 Driving Skills. Drivers must not have any reckless or dangerous driving citations within the previous twenty-four-(24)-month period and have no Driving While Intoxicated (DWI) or Driving Under the Influence (DUI) convictions in the previous five (5) years. Drivers can have a maximum of six (6) points per year assessed under the state of Georgia driving infraction system. Certificate/license provided at time of award or prior to replacement employee start date. An updated copy kept in their Competency Assessment Folder. Flight Line Driver’s license is required. Training will be provided by and scheduled by the Government.

1.7.6 Physical Abilities. The Paramedic must be able to run 100 yards and lift 175 lbs with assistance. Verification provided at time of award or prior to replacement employee start date.

An updated copy will be kept in their Competency Assessment Folder.

1.7.7 Non-Personal Service Healthcare Worker (HCW) Licensure. Non-personal service HCWs requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in the U.S.

jurisdiction within which the HCW is performing as outlined in the applicable regulation or instruction at the place of performance. All licenses must be unencumbered and remain in effect during the duration of the HCW performance on the contract.

1.7.8 Health Requirements. Contractor personnel shall have records showing proof of immunization against Hepatitis A and B, Measles, Mumps, Rubella, Varicella, Influenza and any other vaccines recommended by the Center for Disease Control (CDC) or health organizations. The offeror shall also provide proof of negative tuberculosis (TB) skin test taken within the past 12 months. A 2 step tuberculin skin test (TST) is required. If the TB test was positive, submit proof of negative chest x-ray within the past 12 months. Contractor shall comply with CDC Health and Prevention record requirements and any other applicable guidance. The Contractor shall comply with all health requirements in the contract. No later than 10 days prior to physical performance of services by the HCW, the Contractor shall provide documentation certifying health requirements such as immunizations, annual vaccinations, medical testing, (i.e., tuberculosis/N95 particulate respirator duckbill mask fitting) 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. Documentation shall be provided to the

COR.

1.7.9 Annual Immunizations. The Contractor shall ensure HCWs are immunized annually with the seasonal influenza vaccine and any other vaccine recommended by the Advisory Committee on Immunization Practices (ACIP) of the CDC for HCWs or service/MTF specific guidance as outlined in DoDD 6205.02E, Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries. The annual influenza vaccine may be provided by the Government, if available, as determined by the MTF. Alternately, the HCW may obtain the vaccine at another facility, at no cost to the Government, and provide proof of vaccination to the Government.

1.7.10 Immunization Tracking. 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 the HCWs are in compliance.

1.7.11 Blood Borne Pathogen Exposure. HCWs shall participate in the MTF’s Blood Borne Pathogen Program, which outlines the post blood borne exposure protocols for testing, treatment, and monitoring.

1.7.12 Tuberculosis Screening. Prior to reporting for service at an MTF, each contract HCW shall be screened at Contractor expense for risk of exposure to tuberculosis (TB). A 2 step TST is required. If the initial screening results in a determination that the HCW has an increased risk of exposure to TB, the Contractor is responsible for ensuring that the HCW receives targeted screening and testing IAW CDC Guidelines for Healthcare Settings at Contractor expense and submitting timely records of subsequent screening or testing to the COR.

1.7.13 Health Notifications. The Government will notify the Contractor of any work hazards.

If work hazards exist, it will be the Government’s decision whether the HCW continues work in the environment.

1.7.14 Medical Tests. No medical tests or procedures required by the contract will be performed by the Government with the exception post blood borne exposure protocols after exposure.

1.7.15 Paramedics will maintain good personal hygiene and a well-groomed, professional appearance. Paramedics shall wear identifying badges (e.g., MTF-issued identification badge and/or Contractor badge) above the waistline during duty hours.

1.7.16 Qualifying document packages must include certifications, licensure, resume and experience. The Government will review the credentialing package to include Health Requirements, BLS/ACLS/PALS and any other documents listed under Qualifications.

1.8 Contract Type: The Government will award a Firm-Fixed Price contract.

1.9 Organizational Conflict of Interest (OCI): Contractor and Subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.10 Transition Plan:

The Contractor shall provide a transition plan that outlines:

• Phase-In at the beginning of the Contract and each Option Year

• Transition Out

• Replacements when position vacancies arise

Prior to the end of the period of performance, the Contractor shall support a ten (10) business day (80 hours) transition period with the in-coming Contractor or Government personnel who will take over the Contractor duties. During this period, all programs, information, data, etc. will be passed from the incumbent Contractor to the incoming personnel so that there is no break in project support. As vacancies occur, the Contractor is expected to provide a suitable replacement within 15 days after notification.

1.11 Period of Performance: The period of performance shall be for one (1) base period of eleven (11) months and four (4) twelve (12) month option years. The Period of Performance reads as follows:

Base: 20 January 2022 – 19 December 2022 Option 1: 20 December 2022 – 19 December 2023 Option 2: 20 December 2023 – 19 December 2024 Option 3: 20 December 2024 – 19 December 2025 Option 4: 20 December 2025 – 19 December 2026

2.0 SERVICES SUMMARY (SS)

2.1 Performance Evaluation-Measurement: The purpose of this paragraph is to state the performance objectives, the paragraph and identify the performance thresholds (standards) to determine the overall effectiveness of services delivered to the Government. The SS will be used in evaluating Contractor performance.

Paramedic:

Performance Objective PWS/SOW Paragraph Performance Threshold Frequency

SS-1

Maintains the GOV ambulance according to local policy ensuring preparedness and availability for immediate response.

1.6.3

Demonstrates 100% compliance.

Periodic Inspection and/or Customer Complaint/Feedback

Monthly

SS-2

Responds to advance life support (ALS) emergency calls within established time frames according to DoDI 6055.06: Aggregate Response Times (ART) for ALS calls will be within 12 minutes for 90% of the calls.

1.6.4

Demonstrates ART for ALS calls within 12 minutes for 90% of the calls.

Periodic Inspection

SS-3

Provides/documents complete patient exam on approved forms, provides verbal/written reports to receiving physician and MTF.

1.6.7

Demonstrates 95% completion of all peer review standards set forth by 23 MDG Executive Committee of Medical Staff (ECOMS).

Periodic Inspection

SS-4

Establishes and maintains good interpersonal relationships with co-workers, families, peers and other health team members.

1.6.12

No more than one (1) complaint per month.

Periodic Inspection

In evaluating the quality of Contractor’s performance, the following performance ratings may be used. The reference is FAR 42.1503(h)(4).

Rating Definition Note

(a) Exceptional Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

To justify an Exceptional rating, identify multiple significant events and state how they were of benefit to the Government. A singular benefit, however, could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

(b) Very Good Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

To justify a Very Good rating, identify a significant event and state how it was a benefit to the Government. There should have been no significant weaknesses identified.

(c) Satisfactory Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the Contractor appear or were satisfactory.

To justify a Satisfactory rating, there should have been only minor problems, or major problems the Contractor recovered from without impact to the contract/order. There should have been NO significant weaknesses identified. A fundamental principle of assigning ratings is that Contractors will not be evaluated with a rating lower than Satisfactory solely for not performing beyond the requirements of the contract/order.

(d) Marginal Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the Contractor has not yet identified corrective actions. The Contractor’s proposed actions appear only marginally effective or were not fully implemented.

To justify Marginal performance, identify a significant event in each category that the Contractor had trouble overcoming and state how it impacted the Government. A Marginal rating should be supported by referencing the management tool that notified the Contractor of the contractual deficiency (e.g., management, quality, safety, or environmental deficiency report or letter).

3.0 GOVERNMENT FURNISHED PROPERTY AND SERVICES

3.1 Facilities: The Government will furnish the following: Office and rest room at Building 900, 3278 Mitchell Blvd, Moody AFB, GA for 1 employee (in the event a contingency paramedic is needed, accommodations will be made to support the additional employee since a military member would not be present). Dormitory capabilities to include sleeping quarters, showers, and restrooms for 1 employee at Building 621, 8169 Apron A Road, Moody AFB, GA (in the event a contingency paramedic is needed, accommodations will be made to support the additional employee since a military member would not be present). The Government will provide the necessary workspace in the MTF for the Contractor staff to provide the support outlined in the PWS to include desk space, telephones, computers, and other items necessary to maintain an office environment.

3.2 Utilities: The Government will provide all utilities in the facility which will be available for the Contractor’s use in performance of tasks outlined in this PWS. If utilities are furnished, the following is required: The Contractor shall instruct employees in utilities conservation practices. The Contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment.

3.3 Equipment: The MTF will provide computer equipment required to schedule, check in, document, order ancillary services, and maintain appropriate electronic medical information that support the hard copy medical record. The MTF will provide required training for these systems. The Contractor is required to use the computer systems that are standard for the support of health care delivery at the MTF. All software and hardware, passwords/access to military internet/e-mail and applicable databases will be available within the scope of this contract. The Contractor shall comply with local, Air Force and DoD policies concerning Information Management and Information Technology applications and connectivity to military systems.

The MTF will provide medical and non-medical supplies commonly used in the facility for the care and management of patients. Commonly used supplies are those routinely stocked by the MTF. The Government will furnish the Contractor with appropriate Personal Protective Equipment (PPE), e.g.: gloves, masks, gowns, equipment, etc. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform, laboratory coat, or respirator devices.

(e) Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the Contractor’s corrective actions appear or were ineffective.

To justify an Unsatisfactory rating, identify multiple significant events in each category that the Contractor had trouble overcoming and state how it impacted the Government. A singular problem, however, could be of such serious magnitude that it alone constitutes an unsatisfactory rating An Unsatisfactory rating should be supported by referencing the management tools used to notify the Contractor of the contractual deficiencies (e.g., management, quality, safety, or environmental deficiency reports, or letters).

3.4 Vehicles: The Contractor shall have use of a Government-supplied modular ambulance for emergency response according to the terms of this contract. The vehicle is a Standard Modular Type One Ambulance meeting Department of Transportation specifications. Must comply with licensing requirements of the State and local motor vehicle laws and shall be certified, by the Contractor and at the Contractor’s expense, as being fully qualified to operate the vehicles/equipment to which they are assigned in accordance with AFI 24-301, VEHICLE OPERATIONS, Section 8E, Licensing for Federal Civilian Employees, Contractor Personnel, and Federal Prison Camp Inmates, and paragraph 8.10, Licensing Contractor Personnel.

3.5 Materials: The Government will provide Standard Operating Procedures and Policies.

3.6 Publications: Basic publications and forms that apply to the PWS are listed on the following table:

Publications No. Title Date DoD 6025.18 Health Information Privacy 13 Mar 19 DoDMAN 5200.2 Procedures for the DoD Personnel Security Program 3 Apr 17, Ch1, 29

Oct 20 AFMAN 16-1405 Air Force Personnel Security Program 1 Aug 18 DoDD 5400.11 DoD Privacy and Civil Liberties Programs 29 Jan 19 DoDD 5500.7 Standards of Conduct 29 Nov 07 DoDD 8500.1 Cybersecurity 7 Oct 19 DODD 5400.07 Freedom of Information Act (FOIA) Program 5 Apr 19 DoDI 3020.37 Continuation of Essential DoD Contractor Services During a Crisis Nov 1990, Ch1, Jan 1996

DoDI 6055.06 DoD Fire and Emergency Services (F&ES) Program 3 Oct 19 AFI 41-210 Health Services 10 Sep 19 AFI 44-108 Infection Prevention and Control Program 5 Jun 19 AFI 33-322 Records Management Program 23 Mar 20 AFI 33-332 Privacy Act Program 10 Mar 20 AFI 41-117 Medical Service Officer Education 25 Mar 15 AFI 41-200 Health Insurance Portability and Accountability

Act(HIPAA) 10 Apr 20 AFI 44-119 Medical Quality Operations 16 Aug 11 AFI 48-123 Medical Examinations and Standards 5 Nov 13 AFI 71-101 V4 Counter Intelligence 2 Jul 19 AFI 91-203 Air Force Consolidated Occupational Safety Instructions 11 Dec 18 AFI 64-106 Air Force Industrial Labor Relations Activities 4 Oct 19 MDGI 44-1 Plan for the Provision of Patient Care 22 Feb 16

4.0 CONTRACTOR FURNISHED MATERIAL

4.1 General: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Section 3 of this PWS.

4.2 Contract Employee Training: The Contractor shall maintain at no cost to the Government, current certification in either the American Heart Association BLS Course C or the American Red Cross CPR/BLS Course. The Contractor shall continue to meet minimum Continuing Medical Education requirements as prescribed by AFI 44-117, Medical Service Officer Education and shall be obtained at no additional cost to the Government and shall be reported to the COR. The Contractor shall train, qualify and certify personnel for specific job tasks to be performed in Medical Services. Records of training, qualifications and certifications shall be maintained by the Contractor on file and provided to the Government upon request. The Contractor shall fund any additional training required to meet the scope of this contract and maintain the proficiency of contract personnel during the performance period. If trained personnel resign prior to the end of this contract, the Contractor, not the Government shall be responsible for all training costs for replacement personnel.

4.3 Contractor Health Requirements: The Contractor shall be responsible for annual immunizations, health requirements and medical tests with the exception of post blood borne exposure protocols after exposure.

5.0 GENERAL INFORMATION

5.1 Contract Organization: 23d Contracting Squadron, Moody AFB, GA

5.2 T1 Investigation: Contract employees shall be subject to a suitability investigation. This a Public Trust position.

5.3 Government Security Instructions: Contract employees shall be subject to the following security investigative processes to include appointments with the Security Managers. The security appointment will be scheduled on the first day of work. The COR will be the point of contact for security. Employees shall be required to have fingerprints taken. Fingerprint appointments may be scheduled prior to the start of work. HCWs will be required to have social security account card and 1 Federal/State picture Identification with them during the scheduled fingerprint appointment. The Government may request a replacement candidate if fingerprint results indicate a record. Employees shall complete an OF306 and e-Qip Shell Form and the completed forms will be sent to the Contracting Officer Representative NLT 15 days prior to start of work. OF306 shall be typed and HCW shall sign the form. The HCW will not begin performance until required security forms and electronic e-Qip questionnaire are completed. Hard copy SF85/86 forms will only be required when the e-Qip system is down. Copies of blank form shall be provided via email to the contract company when candidate has been accepted by the 23d Medical Group.

5.3.1 Pass and Identification. Pass and identification items, required for contract performance, shall be obtained for Contractor personnel.

5.3.2 The Contractor shall obtain personnel pass application forms from the Contracting Office’s Contract Administrator. The Contractor employee shall complete and carry the forms to the Security Forces, Pass and Registration Office.

The Contracting Officer Representative will provide a base pass for new employees working at the 23d Medical Group.

5.3.3 Retrieving pass and identification items shall be accomplished by the contract manager and given to the COR upon the departure from employment, prior to contract expiration, of any Contractor employee and turned in to the Visitors’ Center, Pass and Identification Office. Common Access Card’s and Medical Group badges will be turned in to the COR prior to the employee leaving. In addition, employee will out process. If employee is unable to turn in items, the company will send items to the COR.

5.4 Contractor Identification, Dress and Appearance: Contract personnel shall present a neat and professional appearance. Employees are required to wear a Medical Group issued identification badge and/or Contractor badge above the waistline during duty hours.

5.5 Physical Security: The Contractor shall be responsible for safeguarding all Government property provided for Contractor use. At the close of each work period, Government facilities, equipment, and materials shall be secured.

5.6 Employment of Government Employees: The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of Defense (DoD), either military or civilian, unless such person seeks and receives approval in accordance with Title 5, USC, Section 5536, DoD 5500-7-R (1993), as amended, and service directives.

5.7 Hours of Operation: Standard Duty Hours. The Contractor shall maintain services twenty-four (24) hours/day, 365 days/year.

5.8 Federal Holidays: The Contractor is required to provide services on the following days:

New Year’s Day 1 January Martin Luther King’s Birthday Third Monday in January

President’s Day Third Monday in February Good Friday Friday before Easter

Memorial Day Last Monday in May Juneteenth 19 June

Independence Day 4 July Labor Day First Monday in September

Columbus Day Second Monday in October Veterans Day 11 November

Thanksgiving Day Fourth Thursday in November Christmas Day 25 December

5.8.1 Good Friday: The Contractor may substitute the “Good Friday” holiday time-off for the day after Thanksgiving, which is usually considered a “family day” for the general base population. If the Contractor takes advantage of this option, this arrangement must be finalized between the CO, Contractor, and COR two (2) weeks prior to the holiday and at no cost to the Government.

i. On work days that have been declared “family days,” the Base may be minimally manned with many offices and facilities closed. On these days, the COR shall ensure that the Contractor can gain entrance to the work site.

ii. Holiday Services. Services will be provided during holidays. The Contractor shall respond to emergency events such as earthquake, or national security events, if needed. Historically, this has not occurred more than once per year.

iii. Base down days and/or goal days: The Contractor shall provide support during base down days and/or goal days.

iv. Base Closures: The Contractor shall provide service during base closures.

5.9 Records Management:

5.9.1 All records, files, and documents, regardless of media (e.g., paper, electronic, etc.), as described in this PWS, which are the responsibility of the Contractor are the property of the Government and shall remain so upon termination or completion of the contract.

5.9.2 The Contractor shall keep these item(s) current and maintain and dispose of them in accordance with the requirements established in AFI 33-322, Records Management Program.

5.9.3 Service Contract Reporting (SCR). The Contractor shall report ALL

Contractor labor hours (including Subcontractor labor hours) required for performance of services provided under this contract for the Air Force via a secure data collection site. The Contractor is required to completely fill in all required data fields using the following web address: https://www.sam.gov.

5.10 For Official Use Only (FOUO): The Contractor shall comply with DoD 5200.1R, Appendix C, Section 2, Information Security Program requirements. This regulation sets policy and procedures for marking, handling, transmitting, and safeguarding FOUO material.

5.11 Continuation of Essential Contractor Services During Crises:

5.11.1 Services. All services under this PWS shall be performed during periods of crisis including any wartime operations. Wartime operations are those actions, including contingency planning, which would be required to support current or future United States Air Force wartime requirements. The CO or the COR shall notify the Contractor of a crisis by any means of communication. There shall be no costs paid by the Government to the Contractor during a crisis except those incurred for work performed under this contract. Notwithstanding any other provision of this contract, the Contractor agrees that, in the event of the occurrence of any wartime-related contingency, the Government shall have the unilateral right to extend performance of this contract as long as the wartime contingencies exist. Contract payment will be in accordance with the existing contract rate.

5.11.2 The Government will notify the Contractor within three (3) hours of any crisis declared by the national combatant commander by telephone, email, or in person.

5.11.2.1 The Contractor shall prepare a list of all essential positions and personnel required to support any crisis and submit to the CO at the pre-performance conference.

5.11.2.2 The Contractor providing services designated as “essential” by Moody AFB is expected to use all means at their disposal to continue to provide such service in accordance with the terms and conditions of the contract during periods of crisis until appropriately released or evacuated by the proper authorities or given notice by the CO to cease providing services until further notice.

5.11.2.3 The Contractor is responsible for providing the requested information as required in the DFARS Clause 252.237-7023 and the DFARS Provision 252.237- 7024 of this contract.

5.12 Government Performance of Services During Labor Strikes:

5.12.1 The services called for under this PWS are of critical importance to the Air Force, and the Government reserves the right to take over performance in the event of a labor strike by the Contractor’s employees which impairs the Contractor’s ability to satisfactorily perform the contract. In such event, the Government may elect to perform services with exclusively Government personnel in accordance https://www.sam.gov./ with AFI 64-106, Air Force Industrial Labor Relations Activities, paragraph 2.2.

5.12.2 Under such circumstances and at the direction of the CO, the Contractor agrees to remove its non-striking force from the performance site and not to interfere in any way with Government performance.

5.12.3 Contractor further agrees under such circumstances to permit the Government to use any essential Contractor-furnished property. The Government will equitably compensate the Contractor for use of such property.

5.12.4 Contractor shall not be entitled to payment for any performance period or parts thereof during which the Government assumes performance.

6.0 CONTRACTOR PERSONNEL AND QUALITY CONTROL

6.1 Listing of Employees: Listing of Employees. The Contractor shall maintain and provide to the CO/COR a current listing of employees. The list shall include the employee's name, social security number, and type of investigation if contract work involves unescorted entry to Air Force restricted areas or other sensitive areas designated by the Installation Commander. An updated listing shall be provided when an employee's status or information changes.

6.1.1 Key Personnel. At least 30 days prior to removal of any Contractor personnel from this contract, the Contractor must identify potential replacements and describe qualifications to assume duties. The Contractor shall replace personnel without interruption of services required by this contract.

6.2 Contractor Personnel: Contract Manager. The Contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of the contract manager and who shall act for the Contractor when the manager is absent, shall be designated in writing to the Contracting Officer (CO) prior to contract start date. The contract manager may also serve as a Contractor Employee.

6.2.1 The contract manager shall have full authority to act for the Contractor on all contract matters relating to the daily operation of this contract.

6.2.2 The contract manager, alternate(s) and employee performing services shall be able to read, write, speak, and understand English.

6.2.3 Contractor Employees. The CO may restrict the employment under the contract of any Contractor employee, or prospective contract employee who is identified as a potential threat to the health, safety, security, general well-being or operational mission of the installation and its population.

6.2.4 Contract personnel shall present a neat and professional appearance.

6.2.5 The Contractor shall ensure that employees have current and valid professional certifications before starting work.

6.2.5.1 The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person could create a conflict of interest, nor shall the Contractor employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval in accordance with DOD 5500.7-R Joint Ethics Regulation (JER), Chapter

2. In addition, the Contractor shall not employ any person who is an employee of the Department of the Air Force if such employment would be contrary to the policies contained in AFI 64-106, Air Force Industrial Labor Relations Activities, paragraph 3.

6.2.6 The Contractor is cautioned that off-duty active military personnel hired under this contract may be subject to permanent change of station (PCS), change in duty hours, or deployment. Military Reservists and National Guard members may be subject to recall or active duty. The abrupt absence of these personnel could adversely affect the Contractor’s ability to perform. Their absence at any time shall not constitute an excuse for nonperformance under this contract.

6.2.7 The Government reserves the right to conduct site visits in all Contractor-operated facilities in conjunction with the solicitation of offers for any follow-on contract. In the event the follow-on contract is awarded to other than the incumbent, the successor or Contractor is responsible for obtaining all information from the incumbent Contractor, necessary to permit a smooth transition without an interruption in service during the transition period. Additionally, the incumbent Contractor shall cooperate to the extent required to permit an orderly changeover to the successor Contractor. With regard to the successor Contractor's access to incumbent employees, a recruitment notice may be placed in each facility.

6.3 Quality Control:

6.3.1 The Contractor shall provide a comprehensive Quality Control Plan (QCP) for all work required in this PWS. The written QCP shall be submitted to the CO for validation no later than the pre-performance conference. The CO will notify the Contractor of validation or of any modifications that may be required to be made to the plan.

6.3.2 The plan shall include, at a minimum:

6.3.2.1 A description of the inspection system to cover all services listed on the Services Summary (SS). The description shall include specifics as to the areas to be inspected on a scheduled and unscheduled basis, frequency of inspections, submission of QC schedule and the title and organizational placement of the quality control inspectors (QCIs). Additionally, control procedures for any Government-provided keys or lock combinations shall be included.

6.3.2.2 A description of the methods to be used for identifying and preventing defects in the quality of service performed.

6.3.2.3 A description of the records will be kept to document inspections and corrective or preventive actions taken. This includes the use and distribution of required forms and reports.

6.3.2.4 The records of inspections shall be kept and made available to the Government throughout the contract performance period and for the period after contract completion until final settlement of any claims under this contract.

6.4 Government Quality Assurance: The Government’s COR may evaluate the Contractor’s performance at any time during the duration of this contract. Inspections will be conducted with the intent of verifying compliance with contract requirements and performance within the performance thresholds included in the SS. The COR will record all surveillance/assessment observations. When observation indicates defective performance, the COR will require the Contractor to initial the observation. This initialing of the observation(s) does not necessarily constitute concurrence with the observation, only acknowledgment that the Contractor’s representative has been made aware of the defective performance. If performance defects are identified and validated by the COR, the Contractor shall be provided the opportunity to re- perform. Disputes between COR and Contractor personnel over performance standards shall be referred to the CO for final determination. The Government reserves the right to inspect any tasks on the contract, even if not shown on the SS.

6.5 Re-Performance:

6.5.1 Re-performance of Service. When service performed does not conform to contract requirements, the Contractor shall re-perform the service in conformity with the contract specifications at no additional cost to the Government. Re-performance of the service(s) shall commence immediately upon notification by the COR, and the Contractor shall have a sufficient workforce dedicated to ensure corrections are accomplished by noon the next day without degradation to standard services.

6.5.2 Acceptable Performance. Acceptable performance is achieved when the Contractor’s performance meets the minimum the contract standard(s).

6.5.3 Unacceptable Performance. Unacceptable performance exists when the Contractor does not meet the minimum contract performance standard(s).

6.5.4 When the Contractor’s performance is unacceptable, the COR will determine the cause of the unacceptable performance. If any Government action, or lack of action, caused or contributed to the unacceptable performance, the unacceptable performance will not be counted against the Contractor. The COR will take action to ensure Government action, or lack of action, does not interfere with the Contractor’s performance in the future. The COR will completely document the circumstance accordingly. When the unacceptable performance is not the result of Government action, or lack of action, COR shall promptly notify the Contractor and may issue a *Corrective Action Report (CAR) to the Contractor to assure corrective action is taken. By initialing and dating the CAR, the Contractor representative is acknowledging that he/she has been informed of the unacceptable performance and is not necessarily agreeing with the performance assessment. The COR shall direct the Contractor to re-perform the service, if possible, without additional cost to the Government. If the Contractor challenges the validity of the COR unacceptable assessment finding, and the COR and Contractor cannot come to an agreement, the matter shall be referred to the CO for resolution. The Contractor shall be required to return all completed CARs to the COR no later than the suspense date indicated on the CAR.

*Note: The COR should discuss with the CO before issuing a CAR.

6.5.5 Unacceptable performance re-performed by the Contractor and acceptable to the COR shall not be considered a defect. However, unacceptable performance not corrected or re- performed in the timeframe required and still considered unacceptable by the COR will be considered “a defect”.

6.5.6 Procedures for performance that does not meet contract standards shall be as cited in accordance with FAR 52.212-4, Contract Terms and Conditions— Commercial Items (a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of the contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or re-performance of nonconforming services at no increase in contract price. If repair/replacement or re-performance will not correct the defect(s) or is not possible, the Government may seek an equitable price reduction or an adequate consideration for acceptance of nonconforming supplies or services.

7.0 MOODY AFB STANDARD OPERATING PROCEDURES

7.1 Utilities: The Government will furnish reasonable amounts of utilities to include electricity, water, sewage, and heating. The Contractor shall exercise responsible use of all utilities.

7.2 Communications: The use of Government-supplied telephones is provided solely for official Government business and shall not be used to transact personal business by Contractor or their employees. The Contractor shall contact the COR for repair service. The Government will not be responsible for charges for long distance telephone calls made or accepted by Contractor personnel for unofficial purposes.

Telephone services will be subject to the standard monitoring requirements of the Government telephone network.

7.3 Local Area Networking (LAN) Contractor Use: The Contractor is required to use the computer systems that are standard for the support of health care delivery at the MTF. All software and hardware, passwords/access to military internet/e-mail and applicable databases will be available within the scope of this contract. The Contractor shall comply with local, Air Force and DoD policies concerning Information Management and Information Technology applications and connectivity to military systems.

7.4 Base Refuse Collection: The Contractor may use the Base existing dumpsters for official duty refuse only. All paperwork produced on Moody AFB must be shred and recycled when disposed of according to base-wide 100% shred policy.

7.5 Base Emergency Medical Treatment Service: The 23d Medical Group, Moody AFB will provide emergency (cases where loss of life, limb, sight or hearing is possible) medical services, if required, on a reimbursable basis. The Contractor shall be responsible to reimburse the Government.

7.6 Security Forces:

7.6.1 Traffic Laws. The Contractor and its…