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This is a performance work statement for a personal services contract solicitation seeking two full time equivalent Medical Laboratory Scientists/Medical Technologists, eight full time equivalent Medical Laboratory Technicians, and two full time equivalent Phlebotomists to provide services at the 81st Medical Group Blood Donor Center at Keesler Air Force Base, Mississippi. The contractor personnel will perform duties including donor registration and care, blood collection and processing, component manufacturing, storage and distribution, records maintenance, quality control, and equipment maintenance in accordance with regulations. The performance work statement outlines required qualifications, training, security clearances, and deliverables for the contractor personnel. The government will provide facilities, equipment, supplies, identification credentials and administrative support for performance of the work.

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Attachment 1

PR# F2J4PC0140AW03

1 June 2020

PERFORMANCE WORK STATEMENT

MEDICAL TECHNOLOGIST/MEDICAL LABORATORY SCIENTIST, MEDICAL

LABORATORY TECHNICIAN, AND PHLEBOTOMIST

Personal Services

1. DESCRIPTION OF SERVICES AND GENERAL INFORMATION. The Contractor shall provide two Full Time Equivalent (FTE) Medical Laboratory Scientists (MLS)/Medical

Technologists (MT) for donor center, eight FTE Medical Laboratory Technicians (MLT), two

FTE Phlebotomists to provide services in the Medical Laboratory (Blood Donor Center) required for Government beneficiaries on a personal service basis including labor, management, supervision, consultations, and reports required at the 81st Medical Group (81 MDG), Keesler

Air Force Base (KAFB), Mississippi (MS), also referred to as the “Medical Treatment Facility”

(MTF) herein. The board certified MLT/MT/MLS, shall perform a wide range of procedures involved in the collection, processing, validating, testing, and shipment of whole blood and blood components (cellular and plasma) of donors and patients, as well as tracking and documenting donor center procedures. The Phlebotomists shall perform collection of whole blood from donors and patients as appropriate. The Phlebotomists and Laboratory Professionals may supplement main laboratory operations when the Blood Donor Center mission permits. The Contractor shall perform services in accordance with (IAW) the ethical, professional, and technical standards of the healthcare industry and the Air Force (AF) medical department. Performance shall be according to the requirements contained in this Performance Work Statement (PWS), the regulations of the Food and Drug Administration (FDA), Center for Biologics Evaluation and

Research (CBER), the standards of practice of the American Association of Blood Banks

(AABB), the American Society of Clinical Pathology (ASCP), the College of American

Pathologist (CAP), the professional standards of practice of The Joint Commission (TJC), the Air

Force Inspection Agency Office of the Health Service Inspector (HSI), current Good

Manufacturing Practices (cGMPs) and applicable AF regulations.

1.1. CONTRACTOR MANAGEMENT STAFF RESPONSIBILITIES.

1.1.1. Verification and Validation of Candidate Qualifications. The Contractor shall verify and validate candidate qualifications against Government minimum requirements prior to submission of qualifying documents.

1.1.2. Placement of Contractor Personnel. The Contractor shall recruit and place contractor personnel in a timely manner:

Non-credentialed Contractor Personnel. The non-credentialed contractor personnel shall physically start work no later than 30 calendar days from the initial date on the period of performance.

1.1.3. Replacement of Contractor Personnel. The Contractor shall replace permanent contractor personnel such that vacancies will not exceed 30 consecutive calendar days for non-credentialed

1 June 2020 positions. When replacing contractor personnel, the consecutive calendar days begin when the contractor personnel terminates employment. For non-credentialed positions, the replacement contractor personnel must begin work within 30 consecutive calendar days after the previous non-credentialed contractor personnel departed the position.

1.1.4. Substitute or Temporary Coverage. The Contractor shall substitute permanent contractor personnel whenever a temporary absence is expected to exceed 30 consecutive calendar days.

The Contractor shall promptly notify the Contracting Officer Representative (COR) and

Government supervisor of any projected absences exceeding 30 consecutive calendar days and ensure no temporary absence exceeds 30 consecutive calendar days through the use of a qualified substitute.

1.1.5. Resolve Performance Issues. The Contractor shall adequately resolve MTF and patient complaints regarding contractor personnel which satisfy Government concerns.

1.2. SPECIFIC PROCEDURES FOR WHICH THE CONTRACTOR SHALL BE

RESPONSIBLE.

1.2.1. The Contractor shall provide all labor, management, supervision, consultations, and reports necessary to ensure all tasks meet the requirements in this PWS and Services Summary

(SS) (section 2). All MLS/MT, MLT, and Phlebotomist positions in this PWS are considered

FTEs; furthermore, the Contractor may use no more than two qualified individuals to satisfy each

FTE position requirement. Contractor personnel shall be productive and shall perform duties wih mimimal Government superviosry direction. Specific duties and qualifications are outlined below.

1.2.1.1. Personnel assigned to the Core Laboratory shall perform the following duties:

1.2.1.1.1. Adhere to and maintain a system of supply inventory management with unit supply custodian to ensure adequate stock levels of consumable supplies are available within the work center and clinical laboratory to minimize waste and ensure uninterrupted services.

1.2.1.1.2. Practice general hospital safety, infection control, aseptic and sterile techniques for safe handling of sharps, electrical equipment, and blood or blood products, to include cleaning of work areas and equipment.

1.2.1.1.3. Participate in the orientation, training, and evaluation of duty performance of newly assigned personnel MLS/MT, MLTs, and phlebotomists, ensuring compliance with standards of care and practice.

1.2.1.1.4. Ensure a safe work environment and safe employee work habits.

1.2.1.1.5. Possess/maintain proper certification and skills to perform required duties within regulatory compliance and with minimal oversight.

1 June 2020

1.2.1.1.6. Perform assigned test/phlebotomy procedures within the clinical laboratory.

1.2.1.1.7. Complete applicable documentation to include manual and computer methods.

1.2.1.2. Personnel assigned to the blood donor center shall perform the following duties:

1.2.1.2.1. Assist in recruitment of blood donors.

1.2.1.2.2. Perform phlebotomoty. Take immediate care of donors and patients by recognizing adverse reactions to the procedure and instituting immediate corrective measures.

1.2.1.2.3. Review Blood Donation Record for completeness and identify discrepancies.

1.2.1.2.4. Complete applicable administrative documents for blood donor center operations to include manual and computer methods.

1.2.1.2.5. Assist in set-up and breakdown of mobile blood drives to include lifting and moving of equipment and supplies.

1.2.1.2.6. Adhere to and maintain a system of supply/reagent inventory management with unit supply custodian to ensure adequate stock levels of consumable supplies are available within the blood donor center to minimize waste and ensure uninterrupted services.

1.2.1.2.7. Practice general hospital safety, infection control, aseptic, and sterile techniques for safe handling of sharps, electrical equipment, and blood or blood products, to include cleaning of work areas and equipment.

1.2.1.2.8. Participate in the orientation, training, and evaluation of duty performance of newly assigned personnel MLS/MT, MLTs, and phlebotomists, ensuring compliance with standards of care and practice.

1.2.1.2.9. Ensure a safe work environment and safe employee work habits.

1.2.1.2.10. Possess/maintain proper certification and skills to perform required duties within regulatory compliance and cGMPs with minimal oversight.

1.3. MEDICAL LABORATORY SCIENTIST (MLS)/ MEDICAL TECHNOLOGIST

(MT). Contractor personnel shall manage, direct, supervise, and perform analyses of biologic and related materials in hospital, environmental, occupational, epidemiological, toxicological, or research and development laboratories; and teach medical laboratory sciences.

1.3.1. SPECIFIC TASKS. Contractor personnel shall:

1 June 2020

1.3.1.1. Perform donor registration in the Laboratory Information System (LIS) and donor care for allogeneic, autologous, and therapeutic collections. Perform physical exam and evaluate medical history to determine donor eligibility.

1.3.1.2. Understand all immunohematologic procedures required for appropriate donor ABO/Rh

(blood grouping and Rh factor) testing. Comprehend and interpret all donor screening test results to maintain quality of products and their effectiveness. Enter and verify results accurately in LIS.

1.3.1.3. Perform records review, labeling, and lot release of all manufacturing records. Review documentation for completion and compliance with accreditation and licensure requirements;

verify suitability of products released based upon review.

1.3.1.4. Perform component collection, processing and manufacturing to include the preparation of red blood cells, fresh frozen plasma, recovered plasma, and apheresis platelets and plasma.

1.3.1.5. Store blood and manufactured products under appropriate conditions; quarantine blood components, if applicable.

1.3.1.6. Process donor units for transport to 81 MDG Blood Donor Center, as appropriate.

Prepare, receive, and distribute blood product shipments to required destinations.

1.3.1.7. Plan and monitor the day-to-day workflow within the unit. Consult with the Offcer In

Charge (OIC) to establish daily requirements for blood and components.

1.3.1.8. Troubleshoot equipment and schedule preventative maintenance through Medical

Equipment Repair Custodian (MERC), as needed or recommended by the equipment manufacturer and national regulating agencies and perform appropriate equipment maintenance.

1.3.1.9. Adhere to and maintain a system of supply inventory management with unit supply custodian to ensure adequate stock levels of consumable supplies are available within the blood donor center to minimize waste and ensure uninterrupted services.

1.3.1.10. Assist in the follow-up of positive donor notifications IAW regulatory requirements.

1.3.1.11. Ensure appropriate weekly blood component quota compliance is met and shipped within the requisite time frame.

1.3.1.12. Coordinate with supervisor in planning workflow and duty schedules for assigned section(s). Anticipate problems with tests to be performed and discuss possible solutions with the technicians.

1.3.1.13. Maintain records as required by regulatory agencies. Prepare/review reports.

1.3.1.14. Consult with other medical staff members to determine requirements for effective donor care.

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1.3.1.15. Participate in proficiency testing, research, evaluation, validation, and/or implementation of instrumentation or methodology applicable to the blood donor center.

1.3.1.16. Aid in the drafting and completion of operating instructions.

1.4. MEDICAL LABORATORY TECHNICIAN (MLT). Contractor personnel shall perform analyses of biologic and related materials in hospital, environmental, occupational, epidemiological, toxicological, or research and development laboratories; and teach medical laboratory sciences.

1.4.1. SPECIFIC TASKS. Contractor personnel shall:

1.4.1.1. Perform donor registration in the LIS and donor care for allogeneic, autologous, and therapeutic collections. Perform physical exam and evaluate medical history to determine donor eligibility.

1.4.1.2. Understand all immunohematologic procedures required for appropriate donor ABO/Rh

(blood grouping and Rh factor) testing. Comprehend all donor screening test results to maintain quality of products and their effectiveness. Enter results accurately in LIS.

1.4.1.3. Perform component collection, processing, manufacturing, and labeling to include the preparation of red blood cells, fresh frozen plasma, recovered plasma and apheresis platelets, and plasma.

1.4.1.4. Store blood and manufactured products under appropriate conditions and quarantine blood components, if applicable.

1.4.1.5. Process donor units for transport to 81 MDG Blood Donor Center, as appropriate.

Prepare, receive, and distribute blood product shipments to required destinations.

1.4.1.6. Consult with the OIC or Technical Supervisor to establish daily requirements for blood and components.

1.4.1.7. Troubleshoot equipment and schedule preventative maintenance through the Medical

Equipment Repair Center (MERC) as needed or recommended by the equipment manufacturer and national regulating agencies. Perform appropriate equipment maintenance.

1.4.1.8. Adhere to inventory management with unit supply custodian to ensure adequate stock levels of consumable supplies are available within the blood donor center to minimize waste and ensure uninterrupted services.

1.4.1.9. Assist in the follow-up of positive donor notifications IAW regulatory requirements.

1.4.1.10. Ensure appropriate weekly blood component quota compliance is met and shipped within the requisite time frame.

1 June 2020

1.4.1.11. Coordinate with supervisor in planning workflow and duty schedules for assigned section(s).

1.4.1.12. Maintain records as required by regulatory agencies. Prepare/review reports.

1.4.1.13. Consult with other medical staff members to verify requirements for effective patient care.

1.4.1.14. Perform and interpret clinical laboratory tests in any one or a combination of areas as described in the following sections of the laboratory when donor center mission permits:

hematology, chemistry, urinalysis, serology, shipping, microbiology, and blood bank. Calculate test results and notice pertinent details of specimens under microscopic study.

1.4.1.15. Obtain lab specimens and blood donor units directly from patients/donors by venipuncture/phlebotomy.

1.4.1.16. Prepare slides for microscopic analysis, as necessary.

1.4.1.17. Record test results and file reports in the CHCS and LIS.

1.4.1.18. Perform records review, labeling, and lot release of all manufacturing records. Review documentation for completion and compliance with accreditation and licensure requirements;

verify suitability of products released based upon review.

1.4.1.19. Communicate with the section supervisor, pathologist, or general laboratory supervisor regarding unusual or abnormal test results.

1.4.1.20. Assist in proficiency testing, research, evaluation, validation, and implementation of instrumentation or methodology applicable to the Donor Center/Clinical Laboratory.

1.4.1.21. Assist in the completion of operating instructions.

1.5. PHLEBOTOMIST. Contractor personnel shall perform a wide range of procedures involved in the collection of blood. These procedures involve assembling required equipment, locating an accessible vein, disinfecting the area, performing venipuncture, treating the puncture site, labeling blood containers, and managing patient or donor reactions.

1.5.1. SPECIFIC TASKS. Contractor personnel shall:

1.5.1.1. Provide immediate care to donors and patients by recognizing adverse reactions to procedures and instituting immediate corrective measures.

1.5.1.2. Receive and interpret laboratory request slips, review request slips for required information, and determine the fitness of the patient for tests requested by the healthcare provider/physician (i.e., fasting state, liquid intake, medication, dietary instruction). Ensure

1 June 2020 specimens are collected in the amount and type of specimen required (e.g., with or without a particular anticoagulant) for each laboratory test. Enter test requests into the CHCS.

1.5.1.3. Perform timed blood collection procedures, such as glucose and lactose tolerance tests.

Instruct patients on collection of timed urine collections. The purpose of this procedure is to determine if the patient is hyperglycemic or hypoglycemic before administering the glucose load.

1.5.1.4. Collect blood specimens from ambulatory or bed patients or donors via venipuncture, finger, heel, or toe stick, as appropriate, using standardized procedures. For most specimens, this entails the application of a tourniquet, selection of the proper vein, disinfection of the puncture site, and entering the vein using a sterile blood collection and vacutainer. The blood collection may require the use of a lancet, capillary tube, pipette, or glass slide for blood smears.

1.5.1.5. Perform blood donor vital sign screening prior to blood donation.

1.5.1.6. Dress the skin puncture site after blood unit/vial collections. Carefully observe the donor/patient for any sign or symptoms of physiological reactions after blood collection and take appropriate first aid measures to prevent injury and stabilize the donor/patient.

1.5.1.7. Review Unit/specimen labels, properly label collected blood specimens with appropriate donor/patient identification information, and deliver blood units/specimens to the Processing/

Central Operations section within the established specified time frame.

1.5.1.8. Maintain blood collection tray in a clean, hygienic state and replenish blood collection supplies as needed. Maintain supply levels for drawing stations and shelves on a daily basis.

1.5.1.9. Answer telephones, look up test results in the laboratory computer, and give test results to requesting healthcare providers/physicians.

1.5.1.10. Process patient and donor demographic data into the laboratory automated data system or manual system. Identify and correct patient or donor data errors. Verify physician, patient care, and records location identifiers, such as Medical Expense and Performance Reporting

System (MEPRS) codes, ward and clinic locations, and provider codes for entering accession information into the computer terminal. Work with wards, clinics, and other medical personnel to resolve missing or incorrect data.

1.5.1.11. Receive telephone calls and visitors to the laboratory or blood donor center.

Determine nature of call or visit. Direct callers or visitors to appropriate personnel. Personally provide the information requested when routine or procedural matters of the laboratory are involved. Apply established guidelines concerning the release of information on test results, adhering to the provision to the Privacy Act and Freedom of Information Act (FOIA).

1.6. PATIENT SENSITIVITY. Contractor personnel shall provide patients with the utmost care and attention. All patients shall be assured of their privacy and personal dignity.

1 June 2020

1.7. COMMUNICATION. Contractor personnel shall maintain open and professional communication with members of the MTF staff. Complaints validated by the Flight

Commander/Medical Director shall be reported in writing to the Contract Administrator and the

Contractor for action. Failure of the Contractor to correct validated complaints raised by the

MTF staff and the Contracting Officer (CO) will be considered a failure to perform.

1.8. DOCUMENTATION. Contractor personnel shall prepare all documentation (to include patient records) to meet or exceed established standards of the MTF, to include but not limited to, timeliness, accuracy, content, and signature. Only MTF and Air Force-approved abbreviations shall be used for documentation of the patient/donor health records.

1.9. CONTINUING HEALTH EDUCATION (CHE)/ CERTIFIED EDUCATION UNITS

(CEU) REQUIREMENTS. Contractor personnel registered or certified by national/medical associations shall continue to meet the minimum standards for CHE to remain current as prescribed in Chapter 5, AFI 41-117, Medical Service Officer Education, 25 Mar 15. CHE hours will be reported to the Medical Director, annually on the first normal duty day in January for the previous calendar year. Periodic CHE may be conducted at the MTF and will be available, at no cost, should the Contractor personnel desire to attend. Attendance will be at the discretion of the

Flight Commander/Medical Director and will not be billable.

1.10. TRAVEL REQUIREMENTS. All medical technologists, medical laboratory technicians, and phlebotomists assigned to the Donor Center will be required to travel to blood drives on a regular basis.

1.10.1. There will be approximately two to four blood drives per week, with at least one of those blood drives located on base. At least twice per month, contractor personnel will be required to travel outside the local area for blood drives.

1.10.2. In addition to the above mentioned drives, when the need arises, contractor personnel may be required to travel to blood drives outside the local area and stay overnight. This is expected to occur at least once per quarter. Any such travel shall be at Government expense.

Expenses (travel and lodging) will be reimbursed as per the Joint Federal Travel Regulations

(JFTR).

1.10.3. On occasion personnel may be required to attend operational conferences/trainings not in the local area such as AABB, Armed Services Blood Program Quaility Assurance, or other trainings related to the performance of duties or implementation of new equipment. Any such travel shall be at Government expense. Expenses (travel and lodging) will be reimbursed as per the JFTR.

1.11. PERSONNEL.

1.11.1. POINT OF CONTACT (POC). The Contractor shall provide a POC who shall be responsible for the performance of the work. The POC shall have full authority to act for the

Contractor on all matters relating to the daily operation of this contract. The POC may be

1 June 2020

Findividual, in writing, to the CO before the contract start date. An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary POC.

1.11.2. AVAILABILITY. The Contractor’s designated project manager shall notify Government

Supervisor, as early as possible of programmed absences of the contractor personnel to allow for planning of service coverage and workload distribution.

1.11.2.1. Hours of Operation. KAFB and the MTF operates on a 24/7 basis. Personnel assigned to Core Lab will be scheduled 40 hours a week, Monday through Friday (M-F), 0700-1600.

Personnel will be allotted a one hour lunch each day. All personnel must be in the work area and available for work at the appointed times.

1.11.2.2. The normal duty schedule for Blood Donor Center personnel is 40 hours a week, 0800-

1700 M-F. In order to take advantage of blood drive opportunities outside of these normal duty days, schedules may occasionally flex into Saturday and Sunday of the same pay period. In these cases, the schedule will continue to adhere to the normal baseline of 40 hours per work week.

Personnel will be allotted a one hour lunch each day. Blood Donor Center personnel may supplement the clinical laboratory depending on donor center mission needs. All personnel must be in the work area and available for work at the appointed times.

1.11.2.3. During blood drives the duty schedule will vary. Contract personnel shall be scheduled between the hours of 0300-2359 on blood drive days. There will be approximately two to four drives per week. Depending on blood donor turnout (during blood drives), lunches may be delayed, to meet military contingency needs. Blood drive work hours can extend to, but not limited to, 9-12 hour work days. All personnel must be in the work area and available for work at the appointed times.

1.11.2.4. Overtime hours may be required to meet military contingency/health care needs.

1.11.2.5. Contractor staff shall be required to log in time worked in both the Defense Medical

Human Resource System – internet (DMHRSi), as well as any locally established duty tracking system as established by the duty section.

1.11.2.6. Holidays. The Contractor shall not be required to provide services on the following

Federal holidays (or the actual day set aside for observation): New Year’s Day, Martin Luther

King Jr. Day, Presidents’ Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans’ Day, Thanksgiving Day, and/or Christmas Day.

1.11.2.7. Vacation/Absences. Contractor personnel are authorized excused absences for vacation, sick leave, CHE, and miscellaneous reasons. Absences are to be coordinated at a minimum two weeks in advance with, and at the discretion of the Government Supervisor. Three months' notice is requested for the purposes of scheduling.

1.11.2.8. Overage. Overage hours are defined as those worked outside of the normal baseline of

40 hours per work week.

1 June 2020

1.11.2.9. Unplanned Closures. In the event of an unplanned closure of the facility due to natural disasters, military emergency, or severe weather, Contractor personnel shall be allowed to account for those hours as billable to the Government.

1.11.2.10. Emergency Situations. In the instance where the Government Supervisor directs the

Contractor personnel to remain on duty in excess of the scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the Contractor personnel shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the shift. If the contract includes overage hours, the Government Supervisor may use those overage hours. If the contract does not include overage hours, the Government Supervisor shall adjust the

Contractor personnel’s work schedule for the additional hours such that the number of duty hours on the contract is not exceeded.

1.12. PERSONNEL REQUIREMENTS.

1.12.1. ENGLISH LANGUAGE REQUIREMENT. Contractor personnel shall read, understand, speak, and write English fluently.

1.12.2. APPEARANCE AND CONDUCT. Contractor personnel shall present a professional, conservative, and neat appearance. Contractor personnel shall report for duty in appropriate attire befitting a health care setting and having complied with socially acceptable standards of personal hygiene expected of health care workers. The Contractor personnel shall display a professional, positive, and cooperative attitude while in the workplace.

1.12.2.1. While on duty, the Contractor personnel shall be neat and clean, free from visible dirt and stains, well groomed, and appropriately dressed. The Contractor personnel’s clothing shall fit correctly to provide a professional, modest appearance, in keeping with normally accepted community standards of dress for the work being performed.

1.12.2.2. Facial hair (including beards, mustaches, and sideburns) shall be controlled

(restrained) or trimmed. It shall not interfere with safe work practices, look unkept, or be unclean. Facial hair shall not interfere with the face seal if a tight-fitting respirator (e.g., N95) is required to be worn for normal duties.

1.12.2.3. The Contractor personnel shall display legible MTF-provided identification media on his/her outer clothing.

1.12.2.4. Protective Clothing. When required and supplied by the Government, Contractor personnel shall wear special protective clothing and shoe covers. When duties will be performed in specified areas, a disposable protective suit with other appropriate personal protective equipment (PPE) (for example, gloves, boots, etc.) shall be worn to ensure universal precautions are observed. The Government will provide ALL PPE. These items shall remain the property of the Government and shall not be removed from the MTF. After use, protective clothing shall be turned in or destroyed as directed by the Chief of Service.

1.12.3. FORMAL EDUCATION. Contractor personnel shall meet the following formal education requirements depending on the position. Contractor personnel must provide documentation of degree completion prior to providing services at the 81 MDG.

1.12.3.1. MEDICAL LABORATORY SCIENTIST (MLS)/ MEDICAL TECHNOLOGIST (MT).

Contractor personnel shall possess a baccalaureate degree in Medical Technology/Medical Laboratory

Science or a baccalaureate degree in a related scientific field. Must be certified by the ASCP, National

Credentialing Agency for Laboratory Personnel (NCA), or American Medical Technologists (AMT) as an MT or MLS.

1.12.3.2. MEDICAL LABORATORY TECHNICIAN (MLT). Contractor personnel shall graduate from a medical laboratory technician training program accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS). Certification as a Medical Laboratory Technician by the

ASCP, NCA, AMT, as a Medical Laboratory Technician required.

1.12.3.3. PHLEBOTOMIST. Contractor personnel shall have a minimum of a high school diploma or equivalent (GED) and have completed a phlebotomy course or equivalent on-the-job-training (OJT).

Contractor personnel shall be certified by the ASCP, NCA, AMT, or equivalent.

1.12.3.4. Licensure/Registration. Not applicable

1.12.3.5. Certification. Contractor personnel shall be certified (registered) (MLS/MT, MLT or

Phlebotomist) IAW an approved certifying agency (e.g., ASCP, NCA, AMT). Contractor personnel must provide proof of board certification prior to providing services to the 81 MDG and maintain their certification throughout their employment.

1.12.3.6. Contractor personnel shall possess and provide proof of, and maintain certification in

Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS). Contractor must provide proof of this.

1.12.4 EXPERIENCE.

1.12.4.1. MLS/MT a minimum of five years of work experience in a laboratory accredited by a

CMS (Center for Medicare & Medicaid Services) approved accreditation organization (i.e., AABB, CAP, COLA, DNV, TJC, etc.).

1.12.4.2. MLT a minimum of three years of work experience in an accredited laboratory (i.e., AABB, CAP, COLA, DNV, Joint Commission, etc.). Certified entry level MLT with less than three years of laboratory experience would be considered if prior military service, National

Guard, Reserve or internship at this facility and experience less than 3 years as a MLT.

Candidate acceptance will be at the discretion of the Government Supervisor and is not guaranteed.

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1.12.4.3. Phlebotomist a minimum of one year of phlebotomy experience within the previous 24 months. Certified phlebotomy technicians with less than one year of laboratory experience would be considered if prior military service, National Guard, Reserve or internship at this facility and experience less than 1 year as a Phlebotomist. Candidate acceptance will be at the discretion of the Government Supervisor and is not guaranteed.

1.12.5. Security Clearance: National Agency Check with Written Inquiries (TIER 1). As a minimum, Contractor personnel shall successfully complete a Tier 1 (T1) investigation before operating Government-furnished workstations that have access to AF automated information systems. Tier 1 investigations will be submitted for those Contractor personnel that are not in a position to aggregate and/or extract PII. If the Contractor personnel are in a position that requires them to have access to systems that aggregate and/or extract PII, they must have at a minimum a

Tier 3(T3)/Secret Clearance. Requests for Contractor personnel hired at the beginning of the contract shall be submitted to the Government not later than 45 workdays from the contract start date, when possible. Requests for Contractor personnel hired subsequent to contract start date shall be submitted to the Government not later than ten workdays from the Contractor personnel’s first duty day. Contractor personnel receiving unfavorable Tier 1’s or Tier 3's shall not be employed. The Government will submit requests for investigations at no additional cost to the

Contractor. Any personnel with access to classified material will be submitted by the Contractor’s

Facility Security Officer (FSO) for a Secret security clearance. The Contractor shall comply with the requirements of DoD 5200.02, Procedures For The DoD Personnel Security Program, 3 Apr

17; AFMAN 16-1405, Air Force Personnel Security Program, 1 Aug 18;and Air Force Manual

(AFMAN) 33-152, User Responsibilities and Guidance for Information Systems, 1 Jun 12.

1.12.5.1. Contractor personnel shall comply with the requirements of AFI 71-101, Volume 1, Criminal Investigations, 4 Feb 15 and AFI 71-101, Volume 2, Protective Service Matters, 23 Jan

15. These regulations require Contractor personnel to report any information or circumstances of which they are aware that may pose a threat to the security of DoD personnel, Contractor personnel, resources, and classified or unclassified Defense information to their immediate supervisor. The immediate supervisor of Contractor personnel shall brief on this requirement during initial on-base assignment and as required thereafter.

1.12.5.2. The Unit Security Manager will assist the Contractor with any Joint Personnel

Adjudication System (JPAS) Joint Clearance and Access Verification System (JCAVS) and eQIP by Design information for inputting Tier 1’s with assistance from 81 TRW/IP.

1.12.5.3. Security Monitoring. The Contractor shall comply with all security requirements.

Submit reports, classified if appropriate, of any information coming to their attention concerning any of their employees who have been cleared or are in the process of being cleared for access to classified information, which indicates that such access or determination may not be clearly consistent with the national interest. Reports shall be submitted to the Defense Industrial Security

Clearance Office (DISCO) immediately upon notification of any adverse information, change in employee’s status, official investigation, or any other reason. In addition, a copy of this report shall be furnished to the Contracting Officer’s Representative(s) (COR(s)) and 81 TRW

Installation Commander (81 TRW/CC).

1 June 2020

1.12.5.4. Listing of Employees. The Contractor shall maintain a current listing of all Contractor personnel. The list shall include Contractor personnel’s names, Social Security numbers, and level of security clearance. The list will be validated and signed by the Company Program

Manager (CPM) or the FSO and provided to the CO, COR, Base Visual Information Manager

(BVIM), 81 TRW/IP, Unit Security Manager, and FSO prior to the contract start date. Updated listings shall be provided when a Contractor personnel’s status or information changes.

Documents will be marked as FOUO as a minimum.

1.12.5.5. CRIMINAL HISTORY BACKGROUND CHECKS. Contractors shall perform criminal history background checks on all employees to ensure they can pass the Government required background checks for issuing Common Access Card (CAC). For Contract employees involved on a frequent and regular basis in the provision of care and services to children under the age of 18, Contractors shall perform the criminal history background checks in accordance with DoDI 1402.5, (Criminal History Background Checks on Individuals in Child Care Services), 11 Sep 2015. The background checks are required by Criminal Control Act, P.L. 101-647, Section 231 (CC Act 1990, 42 U.S.C. Section 13041). The Contractor shall assemble all necessary documentation required by

DoDI 1402.5 for the background checks and submit with qualifying documents.

1.12.5.5.1. Background checks will be based on fingerprints of individuals obtained by a Government law enforcement officer and inquiries conducted through the Federal Bureau of Investigation (FBI) and state criminal history repositories.

1.12.5.5.2. With the consent of the CO, the Contractor may provide contract services prior to completion of background checks. However, at all times while children are in the care of that individual, the Contractor personnel shall be within sight and continuous direction of a staff person whose background check has been completed.

1.12.5.5.3. Contractor personnel shall have the right to obtain a copy of any background check pertaining to them and to challenge the accuracy and completeness of the information contained in the report.

1.12.5.5.4. Contractor personnel who have previously received a background check shall provide proof of the check to the DTF CC or authorized representative or obtain a new one.

1.12.6. CONFLICT OF INTEREST. 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 the Air Force, either military or civilian, unless such person seeks and receives approval IAW DoD Directive (DoDD) 5500.7, Standards of Conduct, 29 Nov 07, and AF policy.

1.13. HEALTH REQUIREMENTS.

1.13.1. Contractor personnel shall receive a pre-employment physical examination prior to commencement of work. The Contractor personnel shall report to a civilian physician to receive a pre-employment examination and immunizations prescribed by the MTF, IAW CDC guidelines.

1 June 2020

1.13.2. Not later than five working days prior to commencement of work, certification shall be provided to the Functional Services Manager (FSM) that the Contractor personnel has completed the medical evaluation required above. This certification shall state the date on which the examination was completed, the name of the doctor who performed the examination, and a statement concerning the physical health of the individual. The certification shall also contain the following statement: “(Name of Contractor personnel) is suffering from no contagious diseases to include, but not limited to, Tuberculosis, Hepatitis, and Venereal Disease.”

1.13.3. The Occupational Safety & Health Administration (OSHA) requires that all Contractor personnel who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity to Hepatitis B infection. Contractor personnel who sign declinations may change their minds at any time and receive the Hepatitis B vaccine without penalty.

1.13.4. The Contractor is responsible for reporting to the OIC/Medical Director, all information necessary to assure hospital records can be maintained correctly, and therefore comply with the

TJC, OSHA, and Centers for Disease Control (CDC) health record requirements.

1.14. EMERGENCY HEALTH CARE. The MTF will provide emergency health care for the

Contractor personnel for injuries incurred while on duty in the MTF. These services will be billed to the Contractor at the current full reimbursement rate.

1.15. OCCUPATIONAL HEALTH PROGRAM / MEDICAL TESTS. Contractors are solely responsible for compliance with Occupational Safety and Health Administration (OSHA) standards and the protection of their employees unless otherwise provided by law or regulation to be specified in the contract. Thermoluminescent Dosimetry (TLD) monitoring will be provided only to occupational radiation workers who require personnel radiation dosimetry monitoring as identified by the Installation Radiation Safety Officer (IRSO). No medical tests or procedures required by the contract will be performed by the Government, with the exception of

Tuberculosis testing; post blood borne exposure protocols after start of work or exposure.

Expenses for all required tests and/or procedures identified in the contract (e.g., N95 particulate respirator duckbill mask fitting) shall be borne by the Contractor or Contractor personnel at no additional expense to the Government.

1.16. MEDICAL QUALITY IMPROVEMENT/RISK MANAGEMENT (QI/RM).

1.16.1. Contractor personnel shall participate in QI/RM activities to the extent required by

Section 2C, AFI 44-119, Medical Quality Operations, 16 Aug 11, and the individual MTF QI/RM plan or regulation.

1.16.2. The Government will evaluate the Contractor personnel’s professional, as differentiated from administrative, performance under this contract using Quality Improvement standards specified in AFI 44-119 paragraphs 2.12 and 2.13. Nothing in this paragraph precludes the

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Government from also conducting inspections under the Inspection/Acceptance requirement of

FAR clause 52.212-4.

1.17. PERFORMANCE EVALUATION MEETINGS. The CO will require the Contractor to meet with the CO, Contract Administrator, FSM/FD, and other Government personnel as often as deemed necessary. Contractor personnel may request a meeting with the CO when deemed necessary.

1.18. ORIENTATION. The Contractor shall ensure that all Contractor personnel participate in the MTF orientation procedures for newly assigned personnel to include regulations specific to their professional specialty and hospital and Air Force policy and procedures.

1.19. SECURITY REQUIREMENTS. All Contractor Personnel employed by the Contractor in the performance of this contract, or any representative of the Contractor entering the Government installation, shall abide by all security regulations of the installation (i.e., 81 TRW Plan 31-101, Integrated Defense, or AFI 31-101, Integrated Defense.). The Contractor shall sign an agreement stipulating the security requirements of this contract.

1.19.1. Base Access. The Contractor shall obtain personal identification passes for all Contractor

Personnel and vehicle passes for all Contractor Personnel’s personal vehicles, to include prospective Contractor Personnel, requiring entry onto KAFB. Additionally, the Contractor shall keep current, for Government inspection, a list of the names of Contractor Personnel employed on this contract. Contractor Personnel shall complete Keesler AFB Form 299, Application for

KAFB Identification Card, and submit it through the CO to the Security Forces and Pass and

Registration. Vehicle registration, proof of insurance, and a valid driver’s license must be presented for all vehicles to be registered.

1.19.2. Pass and Identification Requirements. Contractor Personnel whose duties require access to KAFB computer system are required to obtain a Common Access Card (CAC). To obtain a CAC, Contractor Personnel shall coordinate with their gaining unit’s security manager or the 81st Communications Squadron Consolidated Client Support Activity (CSA) at 228-376-

4335.

1.19.2.1. Applicability.

a. These requirements apply to Contractor Personnel requiring entry/access to KAFB for service contracts with periods of performance (POP) exceeding 60 days when a CAC is not issued.

(1) Contract POP begins at performance start date. The POP end date is based on the contract completion date.

(2) These requirements shall be included (flow down) to subcontracts at every tier.

b. These requirements do not apply to Contractor Personnel requiring entry/access to KAFB with a POP of 60 days or less. Entry/Access to KAFB for Contractor Personnel with a POP of 60

1 June 2020 days or less will be coordinated between the Contractor and the 81st Security Forces Squadron

(81 SFS).

c. When work under this contract requires unescorted entry to controlled or restricted areas, the Contractor shall comply with AFI 31-101, Integrated Defense, 24 Mar 20, and DODM

5200.02, Procedures For The DOD Personnel Security Program, as applicable.

d. Contractor Personnel are not covered by Federal Acquisition Regulation (FAR) 52.222-3, Convict Labor, for the purposes of entry/access to installations/locations.

1.19.2.2. Badging System Data Requirements.

a. The Contractor shall provide the following to the Contracting Office:

(1) “Listing of personnel requiring access/entry.” The list shall contain the following:

(a) Contract number.

(b) Contract award date.

(c) POP dates.

(d) Work site(s) or location(s).

(e) Each employee’s full name and Social Security Number (SSN). For those without SSNs, a working visa or Permanent Resident Card with a Resident Alien number must be provided, or base entry will be denied.

(f) Identify up to two (2) Contractor Personnel for designation as “sponsor” authorities. Badges will identify the Contractor Personnel with sponsorship privileges.

(2) Completed KAFB Form 299 shall authorize Security Forces to fingerprint

Contractor Personnel and conduct additional background checks. The consent form will outline the following:

(a) The Contractor Personnel for the purpose of the KAFB Form 299.

(b) The information on the form is collected IAW 18 U.S.C. 1382 and DoD

Directive 5200.8, both of which permit installation commanders to limit access to installations for security reasons.

(c) Completion of the form is voluntary.

(d) Agreement to provide a specimen of fingerprints.

(e) Awareness of a list of “disqualifying factors.”

(f) Consent and authorization for Security Forces to conduct background screening and to compare fingerprints against State and Federal criminal databases.

(g) Knowing and willful false statements on the form can be punished by a fine, imprisonment, or both (10 U.S.C. 1001).

(h) The consent form shall remain valid for 24 months after the end of the contract.

b. The Contractor Personnel list and consent form(s) shall be submitted as follows:

(1) 81 SFS/PASS & ID e-mail account: 81 sfs.pass.id@us.af.mil. Personnel list must be submitted IAW the PWS. The signed KAFB Form 299 must be submitted in person to the 81

SFS/PASS & ID office.

(2) Refer questions regarding the Contractor Personnel list and KAFB Form 299 to

81 SFS/PASS & ID at 228-377-1845 or 228-377-3844.

1.19.2.3. Background Checks.

1.19.2.3.1. Upon receipt of the KAFB Form 299 with a copy of Driver’s License and Social

Security card, a background check will be accomplished. Background checks will be categorized as favorable or unfavorable. Unfavorable background checks contain any one of the

“disqualifying factors.” Any person with an unfavorable background check will be denied entry/access to the installation.

1.19.2.3.2. “Disqualifying factors” include:

a. Barred from entry/access to any military installation or facility.

b. Wanted by federal or civil law enforcement authorities.

c. Name appears on any federal agencies “watch list” or “hit list” for criminal behavior or terrorist activity.

d. Conviction of firearms or explosives violation within the past seven (7) years.

e. Incarcerated regardless of offense or violation.

f. Conviction of aggravated assault, armed robbery, felony drug possession, drug possession with intent to sell, or drug distribution within the past seven (7) years.

g. Conviction of espionage, sabotage, treason, terrorism, murder, sexual assault, rape, or child molestation.

mailto:81%20sfs.pass.id@us.af.mil

1 June 2020

h. Terrorist or terroristic threats or repetitive history of criminal history.

i. Currently serving parole or probation for a felony case.

j. U.S. citizenship, immigration status, or Social Security Account Number cannot be verified.

1.19.2.3.3. An unfavorable background check/denial may be appealed through the 81 SFS/PASS

& ID. The appeal shall include a signed letter of rebuttal and any associated supporting documentation to the 81 SFS/PASS & ID.

1.19.2.3.4. Given a reasonable cause, condition, or reason, these requirements do not circumvent the installation/location commander’s unilateral authority to deny or withdraw any individual’s entry/access to an installation/location.

1.19.2.3.5. Badge and Fingerprint Schedule. 81 SFS/PASS & ID will notify the Contractor upon completion of background checks. Badging and fingerprinting shall be scheduled by contacting the Contractor by phone. Contractor Personnel shall report to the 81 SFS/PASS & ID with a photo ID issued by a federal/state organization (i.e. Driver’s License, State ID card, U.S.

Passport, etc.). IAW the Real ID Act, Individuals will no longer be able to access Air Force installations with a state-issued identification card or driver's license from Minnesota, Missouri, Washington or American Samoa beginning 15 Aug 2016. If no approved photo ID is shown, a badge will not be issued.

1.19.2.3.6. Change in Employee Entry/Access Status (Deletions).

a. No later than five (5) workdays after a change in status for Contractor Personnel requiring entry/access, the Contractor shall return identified badges to the 81 SFS/PASS & ID.

b. The Contractor shall notify the Contractor Personnel of their change in status for entry/access.

c. Unfavorable fingerprints shall constitute immediate deactivation of the issued badge(s) to the disqualified Contractor Personnel.

(1) 81 SFS may confiscate badge(s) of the Contractor Personnel present on base at the time of the unfavorable result notification. 81 SFS may escort the Contractor Personnel from

KAFB IAW Security Forces guidelines.

(2) 81 SFS/PASS &ID shall notify Contractor of an unfavorable fingerprint result and request the Contractor to return the badge IAW this PWS (unless already confiscated).

1.19.2.3.7. Badge Loss/Replacement.

a. Contractor Personnel requiring a replacement badge shall contact the 81 SFS/PASS &ID at 228-377-3844 to schedule a badge appointment.

b. Lost badge(s) require a signed letter from the Contractor and Contractor Personnel that lost the badge requesting replacement of badge(s) due to loss or damage.

1.19.2.3.8. Contract Completion, Return of Badges. No later than five workdays after contract completion, the Contractor shall return all badges to 81 SFS/PASS & ID. All badges are returned collectively by the Contractor, not incrementally/individually by the Contractor Personnel. The badge turn-in shall identify the contract name.

1.20. RECORDS. The Contractor shall create, maintain, and provide Government-owned/Contractor-held records, regardless of media, in performance of this contract IAW the following directives:

AFI 33-322, Records Management and Information Governance Program, 6 March 2020

Air Force Information Management System database (AFRIMS) (access through the Air

Force Portal at https://www.my.af.mil/afrims/afrims/afrims/rims.cfm)

Air Force Electronic Records Management Solution

1.20.1. The Contractor shall segregate the Government-owned records from the Contractor-owned records and identify all records required to be created by the PWS on the AFRIMS records inventory. The Contractor shall create and maintain paper and electronic records (\\52mahg-fs-

106) as appropriate. The Contractor shall maintain the software and background data to retrieve official electronic Government records throughout the lifecycle of the records.

1.20.2. The Contractor maintains and disposes of records IAW the AF records disposition schedules.

1.20.3. Electronically Stored Information (ESI). The Contractor shall maintain Government owned electronic non-official records on the organizational shared network drive according to subjective categories (example: template, common, reference material, and working files). The

Contractor shall grant the base records manager access to all files located on the organizational shared network drive.

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