Atch D - Statement of Work WRSU Ortho REV.pdf

Attachment D: Statement of Work

STATEMENT OF WORK

The overall intent of this contract is to acquire non-personal health care services from a qualified Contractor for a Government service contract. The contractor(s) shall provide the necessary education, training, licensing, previous work experience and competence in being able to provide one or more of the services within the department. Work performance shall be performed according to the requirements and conditions contained in this Statement of Work.

It is the intent of the Whiteriver Indian Hospital to acquire Professional Orthopedic Surgeon specialty physician healthcare services for the Whiteriver Service Unit (WRSU), hereafter referred to as the “Service Unit” located in Whiteriver, Arizona. Most of these services will be provided at the Whiteriver Indian Hospital in Whiteriver, Arizona. For significantly complex surgical and medical care patients are typically transferred to Phoenix, Tucson, Albuquerque, or Flagstaff.

The Whiteriver Indian Hospital is a 24-bed, TJC-accredited critical access hospital. WRSU Outpatient Services include general medical care to adults and pediatrics. Outpatient visits for the

WRSU totaled 73,898 for Fiscal Year 2016, including 40,000 Emergency Department visits. Due to the relatively remote location of the WRSU, which is located 40 miles from Pinetop-Lakeside, AZ, the WRSU has experienced some challenges with locum tenens Contractors being able to meet all of the WRSU needs for Orthopedic Surgeon services. This has resulted in frequent shortages of qualified Contractors being able to provide the required Services. In addition, locum tenens Contractors have had difficulty meeting credentialing requirements for nearby hospitals.

The Contractor(s) shall provide the required Services under a performance based service contract under the Contractor’s management, with the direct supervision of the WRSU.

1. SCHEDULES/LOCATIONS/SHIFTS/QUALIFICATIONS/CERTIFICATIONS:

SCHEDULE: The Contractor(s) is requested to provide Orthopedic Surgeon Physician Healthcare Services, for a 12 month base period with four (4) one (1) year option periods.

LOCATION: Services typically will be performed at the following location:

1) Whiteriver Indian Health Center

200 W. Hospital Drive

Whiteriver, AZ 85941

SHIFTS: The Contractor will be expected to abide by the facility’s Uniform Code and shift hour assigned, modalities of charting and care delivery and other rules and regulations of the facility.

Specifically, the Contractor must be available for two days of outpatient orthopedic surgical visits and two to three days per week of operating room services. The Contractor must also be available after-hours for occasional in person consultation for patients of WRSU with orthopedic problems.

These services may include after-hours emergency surgical procedures as required for optimal patient care.

Work within a designated schedule prepared by the Chief Medical Officer or his/her designee. Any period of absence or changes in the schedule will be communicated with the Chief Medical Officer or his/her designee 14 days prior, except for emergency situations.

A) Orthopedic Physician

SHIFTS: Total shifts worked shall be in accordance to the total number of work hours allocated for the year by WRSU. As WRSU is also developing a position for an employee orthopedic surgeon, the total hours worked by the Contractor in a year may decrease at the discretion of WRSU and in discussion with the Contractor, depending upon the needs of the Service Unit.

Thirty (30) minute lunch breaks are included in shift hours and Government does not pay time taken for lunch. The Service Unit shall make every effort to submit a schedule two (2) weeks in advance.

Shifts may be cancelled or shortened without time restriction or monetary penalty before the Contractor’s employee arrives for duty.

ORTHOPEDIC SURGEON PHYSICIAN SERVICES

Day shift: 8:00 A.M. – 5:00 P.M. (0800-1700) with after-hours availability as indicated above.

Currently outpatients are seen on Mondays and Wednesdays and surgical procedures are scheduled for Tuesdays and Thursdays. Specific days may change based upon the needs of

WRSU.

It is estimated that the standard day shift may process 2-3 patients per hour.

Contractors shall attend assigned meetings, participate fully as staff members, and actively participate in ongoing quality management activities and any other WRSU or Indian Health Service initiatives deemed applicable to the specialist’s work.

QUALIFICATIONS/CERTIFICATIONS:

Education: The Orthopedic Specialist(s) shall have four (4) years of accredited medical school leading to MD/DO doctorate level diploma.

Training: Minimum five (5) years of residency training in orthopedics.

Experience: One (1) year in the past three (3) years in appropriate specialty.

Licensure: State License issued by any of the 50 states or District of Columbia as directed by state law. Credentialing at Summit Regional Health will require Arizona licensure.

Certification: The Orthopedic Specialist(s) shall have and maintain board certification by the

American Board of Orthopedic Surgery or equivalent and current BLS (Basic Life Support) certifications.

Insurance: Appropriate medical malpractice liability coverage.

Privileges: The Orthopedic Specialist(s) shall maintain admitting and consultative privileges at a hospital within 100 miles of the Service Unit with an orthopedic services unit capable of providing care for pre-op and post-op hospitalized patients.

2. PRICE SCHEDULE – Completion of Attachment A – Rate Schedule

The unit prices paid to the Contractor(s) shall be considered as payment in full for services provided under this award. In no way, unless directed by the IHS, shall any provider attempt to bill or collect from any IHS patient, or from any alternate resource for which the patient may be eligible, any monies for services provided under this award.

Services shall be inclusive of all other fees (holiday, nights, weekend, On-Call, and Call-Back), including travel expenses, per diem, lodging, all city, state, federal and local taxes, and all miscellaneous costs associated with the provision of services.

Contractor(s) shall be paid for actual time services are performed under the terms of the contract at the firm fixed price. The hours are estimated and estimated totals not to exceed. There is no provision for OVERTIME, On-Call, and Call-Back rates.

Contractor’s employee must be present and must be actually performing the required services for a WRSU patient to receive payment for services.

Government housing not available.

3. STATEMENT OF WORK:

The overall scope of this contract is to acquire a qualified Contractor under a Government service contract. The contractor shall provide the necessary education, training, licensing, previous work experience and competence in being able to provide the services within the department. Work performance shall be performed according to the requirements and conditions contained in this

Statement of Work. The contract resulting from this solicitation includes:

On-Site Orthopedic Surgeon Services

1. Contract physician(s) serve as a Medical Officer (Defined Specialist Field of Medicine) which involves performance of Ambulatory Medical Treatment for emergency, surgical and medical care services, in the Outpatient Care Department at Whiteriver Indian Hospital.

2. The contract physician(s) of this position are designated as Medical Officer (Specialty Medicine) who provides direct care and services in the specialty area of their training.

3. Assignments include providing comprehensive and continuing health and medical care services for adult and pediatric patients (age 8 and above). The contract physician is expected to handle the full range of cases and problems in specialty, including the very difficult and complex. Cases are sometimes critical and require immediate decisions.

Contract physician also functions as consultant specialist to Whiteriver Indian Hospital medical personnel and to physicians at Indian Health Service field hospitals. Participates in teaching activities as needed.

4. Provides outpatient specialty care as required, by interviewing (if possible) and examining any and all patients seeking emergency care. Contract physician(s) review past medical history, and immediately requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case.

5. Contract physician(s) make preliminary diagnosis, directs, prescribes or provides treatment, or arranges for specialized care or patient referral as required. Physician(s) base medical decisions upon information obtained and professional medical knowledge and skills.

Contract physician(s) makes notes of observations and incorporates these into clinical records. Contract physician(s) provide definitive management, in all medical categories, for cases that do not require a referral. The provider gives total patient care including prevention, developing patient care plans, health maintenance, early diagnosis, providing instruction/counsel, treatment, and follow-up services to patients under his/her care.

6. Provider(s) conducts urgent/emergent services, making observations appropriate to the patient’s underlying disease and treatment plan. Physician(s) review the patient’s medications, diet therapy course, and management plan. The provider modifies regimen as indicated. Physician instructs and counsels patients and family members as required.

7. Contract physician(s) refer patients to appropriate contracted medical (or other) facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided at local IHS facilities when needed. Coordinates and integrates information obtained into the ongoing Health Care Program at the Service Unit and assures timely follow-up care as required. Contract physician(s) also complete all necessary paperwork for Patient Referred Care (a.k.a. Contract Health Services) for all patients referred.

8. Contract Physician(s) work closely with allied health professionals (i.e., nursing, Community Health Nurse, Social Workers, Health Educator, etc.) to utilize and coordinate the services of Health Care Professionals in the management of the patient’s medical, psychological and social problems.

9. It is required that all contract physicians hold privileges in their prescribed discipline of training at a regional hospital within a 100 mile radius. All contract physicians must be able to provide and/or facilitate care coordination and provision for pre-op or post-op evaluations, and surgical/procedural services. It is requested that this should be done within a 100 mile radius from WRSU as to limit the impact on serviced patients with limitations to transportation resources.

The contractor shall be expected to assist and provide services and duties as may be requested for the normal operational requirements for the department and personnel. The contractor shall provide work that is consistent with the guidelines and procedures of the IHS. Failure of the contractor to meet these standards can result in cancellation of this contract. The contractor’s performance and abilities shall be evaluated based upon performance standards that are contained in this statement of work.

The contractor shall prepare and complete in a timely fashion, the medical and other required records for all parties he/she admits or in any way provides care for the hospital or health care facility (Service Unit Medical Staff Bylaws). Documentation in the patient’s health record are to be completed on the day services are rendered. During the performance of their duties, the contractor shall provide for the consistent performance of patient care processes according to the standards for TJC accreditation program within IHS. These standards include: The

Comprehensive Accreditation Manuals for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

The contractor shall possess a professional medical education from a post-secondary academic institution or be licensed in a field of medical study. The contractor should be proficient in writing, typing and have a basic working knowledge and understanding of computer hardware and software applications. The contractor shall have sufficient knowledge, competence and experience in providing these services on a regular schedule to the Service Unit or similar medical clinic or hospital. The contractor shall possess sufficient initiative, interpersonal relationship skills, social sensitivity and appropriate professional behavior such that the contractor can relate constructively to IHS employees, contractors, vendors and individuals from the Native

American community. The contractor shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services. The contractor shall maintain acceptable standards of personal hygiene, grooming and professional attire such that their image as a Federal contract employee is compatible with the expectations of the IHS staff.

The contractor shall be required to utilize the electronic health record for chart documentation, after receiving training at Government expense.

The Contractor’s employee(s) shall be sensitive to the unique culture factors of the people they treat, which may include use of an interpreter as necessary in communication of services being rendered. Unique cultural factors that may contribute to the patient’s treatment include: use of their language communications; village and tribal customs; use of traditional healers; isolation; housing conditions and lack of resources.

4. CONDITIONS FOR REMOVAL/REPLACEMENT OF CONTRACTORS

EMPLOYEE):

As mutually agreed between the Contracting Officer and the Contractor, there may be grounds for removal and/or replacement of a Contractor employee. The Contractor’s employee shall be removed from an IHS facility if services are not performed in accordance with terms and conditions of this award.

The Contractor shall request government pre-approval to substitute or replace any of the Contractor’s employee of which it has provided qualifications and resumes under this contract.

All Contractor-requested substitutes or replacements’ qualifications, experience and professional certifications must be at least equal to or greater than the original Contractor’s employee provided by the Contractor under this contract.

Unilateral Removal of Contractors Employee: Contractor’s employee may be removed at any time if the WRSU bylaws are not followed in compliance or if the contractor’s employee proposes risk to the patient.

5. CONTRACTOR REQUIREMENTS:

To be considered for award, the offer must comply with the following responsibility factors.

Failure to provide the following responsibility factors in the response may disqualify an offeror from further consideration.

The Contractor may be an individual, group or organization in which a qualified provider providing services meets the stated qualification requirements described herein.

A qualified provider shall be in attendance for every scheduled shift.

The Contractor shall provide services in such a manner as to meet the highest standards of professional ethics and conduct particularly in regard to confidentiality and patient rights. If at any time during the term of the contract, the Government suspect's unprofessional behavior and practices, the Contractor will be contacted and requested to take appropriate action to correct the behavior or remove the Contractor’s employee.

The Contractor shall contact the Chief Medical Officer or the Acting and be responsible for all documentation required for eligibility and temporary staff privileges at Whiteriver Indian

Hospital.

The Contractor shall be responsible for notifying the Chief Medical Officer or the Acting in case of an emergency or inclement weather that would prevent him/her from providing his/her schedule/shift.

The Contractor shall be proficient in writing, typing and have a basic working knowledge and understanding of computer hardware and software.

The Contractor shall not be authorized to perform any services for the Government until the IHS Governing body has granted the Contractor such privileges in writing. Federal contract employees do not accrue any form of retirement, social security, insurance or any other form of benefits.

The Contractor shall comply with all IHS facility infection control and safety procedures, and standards.

The Contractor shall provide for the consistent performance of patient care process according to the standards of TJC and/or Centers for Medicare Services (CMS) who supplies accreditation to the health center(s). These standards shall include: The Comprehensive Accreditation Manual for Hospitals, the Laboratory Standards, and Ambulatory Care Standards as they represent the scope of services of this contract.

The Contractor shall assist and provide services and duties as may be requested for normal operational requirements for the department and personnel. The Contractor shall provide work that is consistent with the guidelines and procedures of the IHS. Failure of the Contractor to meet these standards can result in the cancellation of the contract.

The Contractor shall have sufficient knowledge, competence and experience in providing these services on a regular scheduled clinic at Whiteriver Indian Hospital. The Contractor shall possess sufficient initiative, interpersonal relationship skills, social sensitivity and appropriate professional behavior such that the Contractor can relate constructively to IHS employees, Contractors, patients, clients and individuals from the Native American Community.

The Contractor shall inform the COR, Contracting Officer or Program Manager or their designated representative of any problems encountered or which may be encountered in connection with meeting the needs of the Contractor’s duties.

The Contractor shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services as there will be some moderate lifting with regard to boxes of office supplies, boxes of medication, and equipment.

The Contractor shall maintain acceptable standards of personal hygiene and grooming such that their image as a Federal contract employee is compatible with the expectations of the IHS staff.

The Contractor shall be required to provide regular report of hours worked to the Designated COR with an invoice. This report shall be verified by the Chief Medical Officer, or, his/her designee, that can confirm the coverage.

If the Contractor is a locum tenens company, the Contractor(s) shall designate an individual who will be the “Project Manager” that will be available to discuss any problems or issues that arise with the COR. (Reference Addendum to FAR 52.212-2 Evaluation – Commercial Items, Technical Evaluation Factors, B. Key Personnel).

The Contract shall obtain and maintain, at his/her own expense, all state and/or medical licenses, registrations or certification required in the performance of the contract, and shall comply with all laws, regulations, (Federal, State, Tribal and respective hospital) ordinances in the performance of this contract.

If required by the Service Unit, the IHS will provide training for the Contractor’s employee on

Electronic Health Records (EHR), the Contractor shall complete medical records on the same day, in the EHR and/or via hand written notes, in accordance with The Joint Commission (TJC) requirements, the Scope of Work Statement, and in accordance with the Service Unit Medical

Staff Bylaws and Rules and Regulations. Failure to abide by this requirement is basis for cancellation of this contract. After given access the EHR, the Contractor(s) shall be required to enter medical patient information, laboratory and X-Rays, etc. into the electronic health record.

Medical Records will be the property of the U.S. Government and will be placed in each patient’s chart at the health center. The Medical Records shall not leave the premises.

Pursuant to the Federal Information Security Management Act (FISMA) of 2002 the Contractor shall complete the Computer Security Awareness Training (CSAT) course before computer access is provided or within a few days after receiving their access and annually after that.

Within the Health and Human Services (HHS), there is a requirement for this training to be completed annually by all employees that includes the Contractor.

The Contractor shall comply with all IHS facility infection control and safety procedures, and standards. During the performance of this contract, the Contractor shall provide for the consistent performance of patient care process according to the standards of TJC and/or Centers for

Medicare Services (CMS) who supplies accreditation to the Phoenix Area Indian Health Service hospitals and health centers. These standards shall include: The Comprehensive Accreditation Manual for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

The Contractor shall complete in a timely fashion, the medical and other required records for patients he/she admits or in any way provides treatment. Chart notes are to be completed on the day services are rendered. The Contractor shall abide by the Service Unit Medical Staff Bylaws and rules and regulations and meet all credentialing requirements in accordance with the Service Unit Medical Staff Bylaws.

Upon award, the selected Contractor’s employee shall undergo Indian Health Service (IHS) mandated security clearance for work on-site for the health center. The security pre-clearance requirement must be adhered to; the process includes a fingerprint check and a screen check through the Office of the Inspector General's exclusion list at http://exclusions.oig.hhs.gov/.

http://exclusions.oig.hhs.gov/

Documented evidence of the clearances shall be provided to the Contracting Officer Representative at the Whiteriver Indian Hospital.

All financial, statistical, personnel, and technical data which is 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. Such data or information shall not be released nor legal rights claimed by the Contractor without prior written consent of the Contracting Officer. Any presentation of any statistical or analytical materials, or any reports based on information obtained from performance by this contract will be subject to review and approval of the Contracting Officer. (Refer to HHSAR 352.270-4b Protection of Human Subjects).

6. MAJOR DUTIES REQUIRED:

The overall scope of this contract is to temporarily recruit and hire a qualified contractor under a

Government Non-Personal Services contract. The Contractor shall have the necessary education, training, licensing, previous work experience and competence in being able to provide the services within the department. The contract resulting from this solicitation shall:

a) The contractor(s) shall provide and maintain board certification by the American Board of

Orthopedic Surgery or equivalent with a certification BLS (Basic Life Support).

b) The Contractor shall provide performance improvement and support that include services as

Morbidity and Mortality, quality improvement activities, Temperature, Airway, Blood Pressure, Lab work, transport reviews and feedback.

c) The Contractor shall provide IHS patients treated under the terms of this contract proper and adequate medical care within accepted professional standards.

d) The contractor shall be available as a Clinical Specialist in privileged discipline to the medical staff and nurses in the program regarding policy and procedure.

e) The contractor shall show evidence of physical examination within the preceding twelve (12) months wherein a Physician certifies that the Contractor exhibits no medical condition or physical disability which would interfere with the performance of his or her duties.

g) The contractor(s) shall attend a WRSU orientation and all Contractors, Students, Volunteers and Temporary Staff are required to provide immunization records as proof of immunity or disease for MMR, Varicella, Hepatitis B or declination form, Hepatitis B titer for staff with potential for contact with blood or body fluids, seasonal influenza vaccine (October-March), Tdap and two TB Skin tests with results administered in the past 12 months, one must be within 30 days prior to the start date. Persons with LTBI are required to complete the TB screening form and will be referred to the Employee Health Provider. Volunteers, contractors, students and temporary staff without proof of immunity or vaccination cannot report to duty, be scheduled into orientation, or be issued a badge until the immunization status has been confirmed. Employee health creates a file for all contractors, students, volunteers, and temporary staff. Contracting Coordinators/Supervisor are responsible to obtain complete immunization records for contractors and fax to the Employee Health Office for clearance.

7. CONTRACTOR MINIMUM REQUIREMENTS/QUALIFICATIONS:

a) The contractor shall provide the Government with the qualified physician(s) who are Board Certified with a minimum of five (5) years of current medical specialty physician experience in a facility with a minimum annual census of 10,000 patients.

b) When Contractors employee have been confirmed for an assignment with the

Government, upon request, the contractor will provide the Government with the clinical certification and license requirements.

c) Registration: Applicants must have active, current unrestricted license in Arizona.

d) Each Contractor physician or LIP must be eligible for billing to Medicare and Medicaid

(CMS).

e) Each licensed physician shall present an original current license when reporting to the Whiteriver Indian Hospital for duty or for orientation whichever comes first. A copy is required for the contract file. No reimbursement will be made for contractors who report to work with an expired license or a license that is not in good standing.

f) According to current Whiteriver Indian Hospital Policy as referenced by the Whiteriver Indian Hospital Credentialing Education and Competency Plan. All Contractor’s employee’s personnel shall have current certification described.

g) All Contractors must provide copy of resume for file. Contractor file will be kept by the Whiteriver Indian Hospital for verification of license or certificate, also file will contain personal information such as home, address, and phone number, next of kin, person to notify in case of emergency, health requirements, mandatory in-service and continuing education, competency assessments and awards or disciplinary action.

h) Contractor is responsible for his/her own reliable transportation, travel, hotel, and per diem expenses in the performance of this contract.

i) Contractor is responsible for maintaining satisfactory standard of competence, conduct, appearance and integrity. The quality of work performance of the Contractor shall be subject to review.

j) Contractor shall abide by Whiteriver Indian Hospital Standard of Conduct and policies and procedures.

k) Contractor is responsible for notifying the Chief Medical Officer and the on-call Chief Medical Officer if he/she will be late or will be unable to work due to illness or any other reason.

l) Contractors who become sick while on duty will seek medical care from their own private physician, unless Contractor is eligible to receive health care from Indian Health Service.

m) Certification/License: The Contractors physician must possess and maintain an active unrestricted nursing licensure. Current certification is required in BLS (Basic Life Support), ACLS (Advanced Cardiac Life Support).

8. CONTRACTOR CREDENTIALS:

The contractor shall provide a list of potential qualified candidates and the following documents per candidate as applicable: (Yellow highlighter (Items A thru H): Due during Solicitation and other documents after award is made)

a) Current Resume.

b) Two (2) letters of reference from current or previous employers.

c) Verification of Employment (VOE) required from a current or previous employer within the last five (5) years.

d) Copy of valid credential of certification by the American Board of Orthopedic Surgeons or equivalent.

e) Copy of valid BLS (Basic Life Support) certification.

f) Copy of medical malpractice liability coverage.

g) Copy of College Transcripts; conferred degrees and certified training in the field.

h) Certificate of Immunization.

i) OF-306 – Declaration for Federal Employment (all questions must answered and signature with date in 17a is required)

j) OF-306 Addendum – Addendum to the OF-306 (Declaration for Federal Employment)

k) IHS Provisional Access Memo

l) Protecting Children from Sexual Abuse in Health Care Settings; complete the Certificate of

Completion

m) NoFEAR Act Training; complete the Certificate of Completion

n) OFI-86C form along with two fingerprint cards and applicable state forms

o) HHS-745, Section A

p) Two IDs (driver’s license and social security card – names must match and be unexpired)

NOTE: No photo submission of forms, please have the forms scanned. Wet signature and date is highly recommended. No PDF signatures will be accepted.

9. SECURITY CLEARANCES:

The contractor shall ensure their employees have been properly screened prior to presenting to Whiteriver Indian Hospital for employment under this contract. The contractor shall inform their employees to obtain Fingerprint cards or electronically submit their fingerprints through the Whiteriver Indian Hospital Human Resources Department and complete the appropriate background investigation form which will be submitted for processing. No performance under this contract shall be allowed until the contractor’s employee is cleared through the Whiteriver Indian Hospital Human Resources Department and issued a badge.

10. CREDENTIALS AND PRIVILEGING:

The contractor will participate in the credentialing and privileging process in accordance with existing procedure. Contractor shall provide no services prior to obtaining approval by the Government Medical Executive and Governing Board. The Contractor will be provided copies of current requirements and updates as they are published. Privileges will require renewal at least every one - two years in accordance with Government credentialing and privileging policy and TJC requirements.

11. SUPERVISORY CONTROLS:

The Chief Medical Officer, or supervising designee, provides primarily administrative supervision. The supervising designee sets overall health care objectives and specifies resources available. The Chief Medical Officer provides for clinical supervision on a 24-hour, media and tour of duty coverage. The Chief Medical Officer reviews work performance on a periodic basis in order to evaluate proficiency in providing health care, discuss deficiencies and problems encountered, outline and/or approve new or changed practices to be employed, and provides consultation on specific cases and related problems.

Work which involves out-of-the-ordinary diagnostic decisions or treatment is discussed with Chief Medical Officer or designee who keeps aware of the condition of such patients and all aspects of treatment regimen. Work performance is reviewed for conformance to IHS policy, procedures and accepted professional practices; and the Quality Assurance

Improvement Program of the Medical Staff of the Service Unit.

WRSU Medical professional(s) will provide guidance and instruction to the contractor’s staff providing services during each shift worked. Within established guidelines, contractor(s) exercise latitude in planning and carrying out health care assignments and in undertaking new procedures, practices and approaches to extend both services provided and increase individual proficiency. Overall work performance is reviewed jointly by the clinical director/supervising physician for effectiveness in meeting requirements for healthcare services.

12. DELIVERABLES:

The Contractor is required to provide a copy of each Contractor’s employee profile to the

Contracting Officer Representative prior to providing services at the Whiteriver Indian Hospital.

END OF STATEMENT OF WORK