Attachement 1 PWS 22-Q-0005.pdf

PERFORMANCE WORK STATEMENT

1ID H2F CERTIFIED ATHLETIC TRAINER SUPPORT SERVICES UNITED

STATES ARMY 1st INFANTRY DIVISION

PART I

GENERAL INFORMATION

1. GENERAL: This is a non-personal services contract to provide the United States Army 1st Infantry Division (1ID) (Mechanized) with technical Certified Athletic Trainer Support Services. The Government will 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. The Contractor, in turn, shall be accountable to the Government for Contractor or subcontractor personnel.

1.1. Description of Services: The Contractor shall provide all personnel, equipment, supplies, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Certified Athletic Trainer Support Services as defined in this Performance Work Statement (PWS), except for those items specified as Government Furnished Property (GFP), Government Furnished Equipment (GFE), and services.

1.1.1. The Contractor shall perform in accordance with (IAW) the terms and conditions of the contract and consistently with the established standards in this PWS and contract.

1.2. Background: Headquarters Department of the Army (HQDA) has directed that the Holistic Health and Fitness (H2F) system be implemented in order to improve readiness through increased task-specific physical performance and medical availability. While full implementation on Fort Riley, Kansas (FRKS) will not begin until FY-24, Officers from the Specialty Corps (SP) including Physical Therapists (PTs), Occupational Therapists (OTs), and Registered Dieticians (RDs) are inbound to 1ID and will arrive NLT 17SEP21. Supplementation of these Officers with a small pool of contracted Certified Athletic Trainers (ATCs) will significantly augment the capabilities of the 1ID H2F team towards enhancing the physical readiness of 1ID Soldiers.

1.2.1. The Army Medical Department’s 2017 Health of the Force Report stated that musculoskeletal (MSK) conditions were responsible for 53% of temporary non-deployable status among active component Soldiers. In the same report, FORSCOM brigades were reported to have up to 27% of Soldiers on intermediate-length MSK profiles, which reflects the effectiveness of forward MSK care, injury risk reduction, human performance optimization, and profile management programs.

1.2.2. Results from the FORSCOM Soldier Readiness Test (SRT) Pilot conducted in 2017 indicate that the addition of a unit specific physical test, functional fitness training equipment, Certified Athletic Trainers, and embedded medical providers improved task-specific physical performance by 52% while decreasing the incidence of Soldiers non-deployable due to MSK injuries by 43%. Based on pilot and historical data, the pilot resulted in a potential $5.5M cost avoidance in training investment, pay, allowances, and VA disability payments through a decrease in chronically MSK injured Soldiers.

1.2.3 As a result of the success of the H2F, the U.S. Army is currently developing the Holistic Health and Fitness (H2F) Program. In this new program, a H2F Performance Team will now be assigned to U.S.

Brigades. Within this H2F Performance Teams will be Certified Athletic Trainers, supporting a Brigade team model.

1.3. Objectives: Improve unit readiness through unit-specific functional fitness training programs and MSK prevention, rehabilitation, and reconditioning education and services. To support 1ID BDEs and H2F Performance Teams, ATCs will be assigned to BDEs within 1ID based on Operational Tempo (OPTEMPO) and utilization.

1.4. Scope. The Contractor shall support 1ID Physical Readiness Training (PRT) by developing a strength and conditioning functional fitness training regimen and ensuring trained unit Master Fitness Trainers (MFTs) are overseeing the planning and execution of the unit training programs.

1.5. Period of Performance: The period of performance shall include one (1) twelve (12) month Base Year and two (2) twelve (12) month option periods.

Base period: 31DEC21 to 30DEC22 Option Period 1: 31DEC22 to

30DEC23

Option Period 2: 31DEC23 to

30DEC24

1.6. Quality Control: Quality Control is the responsibility of the Contractor. The Contractor shall develop, implement, and maintain a Quality Control Program (QCP) to ensure all work described in this contract is performed at or above the standard defined in the Performance Requirements Summary (PRS).

The QCP is developed by the contractor to ensure that it performs and delivers high-quality services and products. It shall include methods of documenting and enforcing quality control operations of both prime contractor and or subcontractor work; including inspection and testing.

1.6.1. The Contractor shall provide their final written Quality Control Plan QCP no later than (NLT) thirty (30) days after contract award. After acceptance of the QCP, the contractor shall receive the contracting officer’s (KO) acceptance in writing or any proposed changes to the QC procedures. The contractor shall submit QCP changes within five (5) days to the KO and Contracting Officer’s Representative (COR) for review and approval prior to implementation. The Quality Control Plan shall address as a minimum:

1.6.2. Inspection System. The contractor shall develop, implement and maintain a system to inspect their services as well as their subcontractor services and products to ensure compliance with PWS requirements, and applicable laws and regulations. It shall specify tasks or areas to be inspected on a scheduled or unscheduled basis, the manner in which inspections are to be conducted, the titles of the individuals who will perform the inspections, and the percentage of the work that will be inspected on a recurring basis.

1.6.3. Inspection Files. The contractor shall document all inspections conducted, and the necessary corrective and preventive actions taken.

1.6.4. Deficiency Identification, Prevention and Correction. The QCP shall include a method of identifying and preventing deficiencies in the quality of services performed before the level of performance becomes unacceptable as defined in the PRS, without dependence upon Government direction. The contractor shall identify and prevent defects in quality of products and services performed before the level becomes unacceptable and before they are provided to the Government. The QCP at a minimum shall address process control and continuous process improvement; procedures for scheduling, conducting and documentation of inspection; discrepancy identification; procedures for root cause analysis; corrective and preventive action procedures to include procedures for addressing Government discovered non-conformances; procedures for trend analysis; and procedures for collecting and addressing customer feedback/complaints. The QCP shall document process control and process performance measurement procedures that shall include how the Contractor shall implement preventive corrective actions. The Contractor shall demonstrate that it has designed quality into the delivery of services thereby mitigating the risk(s) associated with delivery of deficient or nonconforming services.

1.6.5. The contractor shall keep records on-site of all inspections conducted by the Contractor and necessary corrective action taken. These documents shall be available for inspection by the Government during the term of the contract.

1.6.6. The QCP shall contain methods of communications (direct and indirect) with the Government regarding performance of the contract. Communication shall include informal nd formal meetings with the Government for review and analyses of key process indicators, analysis of process deficiencies, and problem resolution.

1.6.7. The QCP shall have a customer comment processing system for correction of COR validated comments received verbally or through the Interactive Customer Evaluation (ICE) program. The system should be designed to provide feedback to the Government based on customer contact, investigation of derogatory comments, rebuttal to derogatory comments, or corrective action(s). Government collected and graded customer satisfaction comment cards will be part of the Government’s performance evaluation process. The contractor shall document all customer complaints and report the complaint to the COR within one workday after receipt of complaint. The contractor shall use electronic mail or other written memoranda as notification. Each customer complaint reported to the COR shall have a scheduled completion date subject to COR approval.

1.6.8. Detail how continuous quality improvement will be a sustaining focus throughout the QCP and report monthly via a Process Improvements Tracker (PIT) ongoing initiatives to streamline processes, improve service and detail benefits to the Government.

1.6.9. Upon request from the COR, the Contractor shall provide, all reports generated as a result of the Contractor’s quality control efforts. This shall include any summary information used to track quality control, including any charts/graphs.

1.7. Non-Conformance Report (NCR): When the Contractor's performance is unsatisfactory, a NCR will be issued within 3-5 days. The Contractor shall reply in writing within five (5) work days from the date of receipt of the NCR, giving the reasons for the unsatisfactory performance, corrective action taken, and procedures to preclude recurrence.

1.8. Quality Assurance: The COR will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the COR must do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s). When an observation indicates defective performance, the COR will require the Contractor or designated on-site representative to initial the observation to acknowledge the defective performance. The acknowledgement of the observation does not necessarily constitute Contractor concurrence with the observation, only that the Contractor has been made aware of the defective performance.

1.9. Property Management System: Reserved.

1.10. Performance Management: The Contractor shall provide reports for each task identified in the PWS.

1.11. Performance Standards: The Contractor shall meet performance standards listed in the PWS and PRS; and shall not be relieved of any performance requirements because of waiting for supplies, materials, or parts.

1.12. In Progress Reviews (IPR): Periodic IPR’s will be conducted between the Contractor and the Government during performance to provide status of all deliverables as required. The Government will schedule the IPRs generally to occur around the 10th business day of the month, quarter and/or year.

1.13. Recognized Federal Holidays: The Contractor is normally not required to perform services on recognized federal holidays. However, that requirement is subject to mission execution requirements. The recognized federal holidays include:

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

1.13.1. When a holiday occurs on a Saturday, Federal employees are normally granted the previous Friday as the holiday observance. When a holiday occurs on a Sunday, Federal employees are normally granted the following Monday as the holiday. The contractor shall work on the days the Government is scheduled to work.

1.13.2. When an unforeseen installation closure occurs on a regularly scheduled day of work, the Contractor shall have the following options:

1.13.2.1. Reschedule the work so it is performed the following day unless the following day falls on a weekend.

1.13.2.2. Reschedule the work on any day that is mutually satisfactory.

1.14. Hours of Operation: The Contractor shall be responsible for providing services Monday through Friday, time may vary based on when units perform their unit training program, normally between 6:30 AM – 5:00 PM, except federal holidays or when the government facility is closed due to local or national emergencies, administrative closings or similar government directed facility closings. The Contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential. No overtime (OT) or compensatory time (CT) is authorized under this contract. The contractor is encouraged to use plans such as flexible work schedules as there will be weekends or evenings when services are scheduled. The contract price will not be increased to cover these regularly scheduled requirements.

1.15. Place of Performance: Contractor shall have routine access to Government-controlled facilities. The work to be performed under this contract shall be accomplished across FRKS including 1ID unit facilities, MWR/garrison facilities, and IACH facilities.

1.16. Security Requirements: Contractor personnel shall have a favorable National Agency Check (NACI) with inquiry in accordance with Security definition for personnel who occupy “Automated Data Processing (ADP) Sensitive” positions, as per AR 380-67, paragraph 3-601, “The Personnel Security Program” no later than 30 days after contract award or after hiring of personnel.

1.16.1. Reserved.

1.16.2. Reserved.

1.16.3. Common Access Card Issuance:

All Contractor personnel performing work under this contract shall obtain a Department of Defense (DoD) Common Access Card (CAC). The CAC shall be worn at all times, when performing work under this contract, to include attending government meetings and conferences. Unless otherwise specified in the contract, Contractor personnel shall wear the CAC in a conspicuous place on the front of exterior clothing and above the waist, except when safety or health reasons prohibit such placement or when being used for computer access. Reference CAC Issuance and Revocations: DoDI 5200.46, September 9, 2014.

The Contractor shall develop, maintain, and provide to the COR an updated roster which shall include names and positions of all Contractor personnel as well as indicating which employees were issued CAC or other forms of government identification cards. The Contractor shall submit initial roster to the COR within ten (10) calendar days after commencement of base period of performance and within five (5) calendar days of any changes.

The Contractor shall immediately report any lost CAC or government issued identification cards to the COR and Military and/or DoD police agencies. The Contractor shall immediately collect the CAC and other government issued forms of identification upon termination of employee, or at the end of the contract performance period. The CAC and other government issued forms of identification shall be returned to the COR within one (1) hour of employee termination, or at the end of contract performance period, whichever comes first. Final payment may be delayed if Contractor fails to comply with these requirements.

1.17. Reserved.

1.18. Key Control. The Contractor shall include in the physical security section of the Contractor’s security program a key control plan IAW applicable regulations, policies and directives ensuring keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. No keys issued to the Contractor by the Government shall be duplicated. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the

COR.

In the event keys are lost or duplicated, the Contractor shall, upon direction of the KO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the KO.

1.19. Lock Combinations. The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Contractor’s security program.

1.20. Reserved.

1.21. Access and General Protection/Security Policy and Procedures:

All Contractor personnel performing work under this contract shall comply with applicable installation, facility and area commander installation/facility access, local security policies and security procedures provided by the Security Manager Government representative. Contractor personnel shall provide all information required for background checks to meet installation access requirements to be accomplished by the installation Provost Marshal Office, Director of Emergency Services or Security Office.

Contractor personnel shall comply with all personal identity verification requirements as directed by DoD, Headquarter (HQ) Department of Army (DA) or local policies. Sponsoring organizations, activities, and persons will be responsible for monitoring contractor access by submitting a completed and approved Directorate of Emergency Services (DES) Form 118 to the Installation Visitor Control Center (VCC), detailing the contracted services to be performed, location of services, and duration of the contract. Contractors requesting access for less than one year may receive an AIE visitor card on a case by case basis, or a temporary vehicle pass for 90 days. Contractor cards will be issued for periods of one to three years depending on the terms of their contract. AIE card expirations may be updated to reflect a new contract period by submitting an approved DES Form 118 to the VCC. Renewed short term passes must be re-processed at the VCC. In addition to the changes otherwise authorized by this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in Contractor and subcontractor security matters or processes.

1.22.1. Anti-Terrorism Program

1.22.1.1. Anti-Terrorism (AT) Level I Training. Contractor personnel performing work under this contract that require access to Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 30 calendar days after award of contract or effective date of incorporation of this requirement into the contract, whichever is applicable. The Contractor shall submit certificates of completion for each affected employee within 30 calendar days after completion of training by all Contractor personnel. AT Level I awareness training is available at the following website:

https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf

1.22.1.2. Reserved

1.22.1.2.1. Reserved

https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf

1.22.2. Contractor Employees Requiring Access to Government Information Systems: Contractor shall have access to Government-controlled information systems during performance of work under this contract. All contractor employees and associated subcontractors who require access to a government information system shall be registered in the ATCTS (Army Training Certification Tracking System) at commencement of support services, and must successfully complete the DoD Information Assurance Awareness prior to access to the information systems. Training shall be required annually after the initial training. Completion certificates shall be submitted to the COR within fifteen (15) calendar days from date of commencing performance under this contract. All training and required documentation for Contractor personnel shall be maintained in the ATCTS.

1.22.3. Combating Trafficking in Persons (CTIP) Training. Contractor personnel performing work under this contract that require access to Army installations, facilities and controlled access areas shall complete CTIP training within thirty (30) calendar days after award of contract or effective date of incorporation of this requirement into the contract, whichever is applicable. The Contractor shall submit certificates of completion for each affected employee within thirty (30) calendar days after completion of training by all Contractor personnel. CTIP Training is available within the Army Learning Management System (ALMS) via the Army Learning Management System (ALMS) https://www.lms.army.mil.

1.22.4. OPSEC Training. Per AR 530-1, Operations Security, the Contractor shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. OPSEC Training is available within the Army Learning Management System (ALMS) at https://www.lms.army.mil.

1.22.5. Sexual Harassment / Assault Response Prevention (SHARP) Training. Contractor personnel performing work under this contract that require access to Army installations, facilities and controlled access areas shall complete SHARP training within thirty (30) calendar days after award of contract or effective date of incorporation of this requirement into the contract, whichever is applicable. The Contractor shall submit certificates of completion for each affected employee within thirty (30) calendar days after completion of training by all Contractor personnel. SHARP Training is available within the ALMS https://www.lms.army.mil.

1.22.6. Safety:

The contractor shall perform work in a safe manner as required by Occupational Safety and Health Administration (OSHA) Safety and Health Requirements. Provide a verbal notification to the KO as soon as possible of each occurrence of damage to Government property or an accident resulting in death, injury, occupational disease, or adverse environmental impact. Provide a completed copy of required Accident Investigation Reports to the KO within five calendar days of each occurrence.

1.22.6.1. Environment and OSHA:

The Contractor shall comply with all local, state, and Federal environmental and occupational safety laws, rules, and regulations. Any apparent conflict between compliance with such local, state and Federal laws, rules and regulations, and compliance with the requirements of the contract shall be immediately brought to the attention of the KO and/or the COR final resolution. The Contractor shall notify the KO and COR http://www.lms.army.mil/ http://www.lms.army.mil/ https://www.lms.army.mil/ in writing in addition to any verbal notification of such conflicts. The Contractor shall be liable for all fines, penalties, and costs which result from violations of, or failure to comply with, all such local state, or Federal laws, rules, and regulations. All unsafe acts or conditions fostered by the Contractor or Contractor personnel may be grounds for the KO, to halt all Contractor performance with a commensurate deduction of monies due the Contractor until such unsafe conditions are corrected. The Contractor shall take due caution not to endanger personnel during performance of this contract. Upon discovery of any hazard such as, but not limited to, fire, or large fuel spill, the Contractor shall immediately notify the KO or

COR.

1.23. Special Qualifications.

1.23.1. The Contractor shall be responsible for ensuring all personnel performing work under this contract possess and maintain specified qualifications during the execution of this contract. The Government will not fund Contractor training.

1.23.2. Access Control Badges: The Contractor will be required to provide Access Control Badges to Contractor personnel who will be working on this project within designated/controlled areas. Access will be recommended by units and approved by the building managers or alternates. The Government Representative is responsible for issuing keys to the Contractor as outlined in the unit’s In/Out-Processing Procedures. Under no circumstances will Contractors loan/give their access badge/keys to other personnel or to visitors to use to access/enter buildings belonging to the Government. Contractors shall immediately report lost or stolen access control badges to the local Security Manager. Contractors who need to facilitate immediate access to any Government building or who have questions about their authorized access will contact their first line supervisor. A visitor is defined as anyone without authorized Government access control badge access to the facility/area.

1.23.3. Access to Facilities: The Government will authorize appropriate badge access to Contractor employees identified on Contractor’s personnel roster, wearing identification badges, and complying with Installation security procedures. The COR will maintain facilities access control approvals.

1.23.4. The contractor shall safeguard Controlled Unclassified Information (CUI). When CUI is to be provided to or generated by the Contractor, dissemination controls and protective measures will be included. The Contractor is prohibited from releasing any unclassified information to the public without approval of the KO.

1.23.5. Organizational Conflict of Interest (OCI): The contractor shall not employ any person or perform a contract in a situation where the existence of conflicting roles may bias the contractor's judgement or prevent unfair competitive advantage in accordance with OCI Rules in FAR 9.5.

1.23.6. General:

1.23.6.1. The Contractor shall be responsible for ensuring all personnel performing work under this contract possess and maintain current certifications as indicated in this PWS during the execution of this contract.

1.23.6.2. Contractor personnel performing work under this contract shall be able to read, write, speak, and understand the English language to effectively carry out all contract requirements. They shall have a command of both the written and spoken English language to properly clearly, and effectively communicate in person or via electronic devices (telephone or Email) with co-workers, customers, and the general public.

1.23.6.3. Contractor personnel performing work under this contract shall be U.S. citizens unless the provisions of Army Regulation 25-2, Information Assurance have been fully completed and approval has been granted by the Government for the non-U.S. citizen to perform the required support.

1.23.7. Key Personnel: Key personnel shall not be added to or removed from the contract without express acknowledgement of the KO. Within fifteen (15) days of contract award, the Contractor shall submit a list of individual(s) identified as key personnel to the KO and COR. Any changes to the working status of these key personnel shall be transmitted (in writing) to the KO/COR within ten (10) work days of the proposed change. If, for any reason, any of the key personnel becomes, or is expected to become, unavailable for work under this contract for a continuous period exceeding thirty (30) work days the contractor shall promptly replace personnel with personnel who possess qualifications equal to or better than that of the original employee. The Contractor shall ensure all key personnel terminated or released from employment under this contract are replaced within ten (10) work days of the termination.

1.23.7.1. The following are considered key personnel by the Government: The Contractor shall provide a Lead Certified Athletic Trainer (AT) who shall be responsible for the performance of the work under this contract. The name of this person shall be designated in writing to the KO at the post award conference.

Contact information for the Lead AT shall be submitted in writing to the KO/COR prior to change occurring. The Lead AT shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. The Lead AT shall be available between the hours of 7:00 AM to 5:00 PM, Monday through Friday, except federal holidays or when the government facility is closed for administrative reasons.

1.23.7.1.2. The Lead AT is the overall responsible agent for contract execution, deliverables, and communication with the Contracting Officer (KO) or COR. The Lead AT shall assist the KO and COR in executing projects, programs, and other requirements as outlined in the PWS.

1.23.7.2 Qualifications for Key Personnel:

1.23.7.2.1. Lead Certified Athletic Trainer (AT) Qualifications: The Lead AT shall meet or exceed the following minimum qualifications:

1.23.7.2.2. Degree/Education: Possess a Bachelor's Degree with four years of experience or Master's Degree with two years of experience. Degrees can be from a related field. Eligible candidates must have successfully passed the BOC examination and hold credentials of Athletic Trainer, Certified

(ATC).

1.23.7.2.3. Certifications in addition to Basic Life Support (BLS): ATCs shall have and maintain BLS with automated external defibrillators (AED) certification. The American Heart Association Basic Life Support (BLS) for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while performing under this contract.

1.23.7.2.4. Experience: Bachelor’s Degree with four years of relevant experience or Master’s Degree with two years of relevant experience. Relevant experience is defined as developing and executing task and environment specific functional injury control and health/well-being programs for groups of athletes or Service Members focused on a common sport or mission performance goal. Relevant experience must have been performed within the last five years. Employment related to internships or graduate work is not considered as relevant experience.

1.23.7.2.5. Board Certification: Board of Certification (BOC) for the Athletic Trainer.

1.23.7.2.6. Licensure/Registration: The ATC shall possess and maintain a current, active, valid unrestricted license in any of the fifty (50) Unites States, the District of Colombia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands and be able to obtain clinical approval to provide health care within the scope of practice for ATCs.

1.23.7.2.7. Physical Demands: The ATC will be required to observe BN specific training events (e.g., shooting ranges, obstacle courses, combatives training). Be physically able to hike in austere environment and terrain (i.e. rocky, no running water, no shelter, no bathroom, no climate control, inclement weather, loud, smoky) while carrying their own backpack with necessary supplies. Be physically able to lift and manipulate loads and weight plates up to forty-five (45) pounds.

1.23.7.2.8. ATC Duties: The duties for the ATC are as follows:

1.23.7.2.9. Basic Services. The contractor shall provide personal ATC services as described within this PWS. The work is performed in coordination with the H2F team at designated 1ID BDE. ATC shall work under the clinical supervision of the BDE H2F physical therapist or designated privileged provider with oversight and supervision by the Brigade (BDE) Surgeon or designated medical provider.

1.23.7.2.10. The contractor shall function as an integrated member of a BN-based multi-disciplinary team focused on optimizing military mission readiness and performance through medical availability and task specific performance by supporting basic acute care, injury control, and performance optimization.

1.23.7.2.11. Provide services within scope of practice that do not require privileging and/or as stipulated by MEDCOM policies. Examples of services limited to privileged providers include, but are not limited to, dry needling/acupuncture, cupping, blood flow restriction, prescribing medications, and ordering laboratory and radiology imaging studies and would therefore not be authorized services to be performed by the ATC.

1.23.7.2.12. Provide education, instruction, and guidance to Soldiers and BN/BDE leadership, within scope of practice and as determined by team leadership that is integrated with H2F team efforts and synchronized with BN and BDE training calendar, to include generating training materials to support the BN mission requirements and the Commander’s intent.

1.23.7.2.13. Provide ATC supplies and equipment recommendations to the H2F team for approval by BDE H2F PT. Apply, evaluate and modify prophylactic and protective equipment and techniques for Soldiers to minimize the risk of injury or re-injury per BN requisitioning procedures. Provide feedback to H2F team regarding ATC supplies and equipment utilization and needs.

1.23.7.2.14. ATC shall use the electronic DA Form 3349, Physical Profile (i.e. eProfile system) to document functional limitations up to seven days, with no more than an additional seven day extension. Paper profiling may only be used if the eProfile system is non-functional. Conditions requiring more than fourteen (14) days of physical limitations for the same condition require a referral to a privileged provider.

1.23.7.2.15. Coordinate with H2F team to develop and execute approved training programs for Soldiers with and without physical limitations.

1.23.7.2.16. Attend BN reconditioning physical training sessions in order to assess safety, optimize injury control, improve physical performance and provide feedback to H2F team.

1.23.7.2.17. Readiness Focused Healthcare Delivery. The ATC shall: At the discretion of the BN Physical Therapist, perform limited evaluations The ATC shall demonstrate competency in the skills required to perform limited exams outlined by the supervising Physical Therapist. The Government will conduct the competency evaluations on the first day of the ATC's arrival at the BDE and on a yearly basis. If the ATC does not successfully demonstrate competency in any area, the BDE Physical Therapist will demonstrate how to successfully perform the competency and the ATC will be retested within two business days. If the BDE Physical Therapist determines the ATC cannot successfully complete all competencies in the checklist, the BN Physical Therapist will have a meeting with the COR to discuss the areas of concern. If the COR determines the ATC cannot successfully pass all of the items in the competency checklist, the ATC will be deemed unqualified and the Contractor will have to find a new ATC within ten (10) business days that meets the requirements of the PWS. Any period of time, beginning on the date of a failed competency assessment, and continuing through the date of either successful completion of a competency assessment or placement if a qualified replacement HCW, will be deemed unfilled when calculating fill rate percentages for the position.

1.23.7.2.18. Coordinate injury control programs as prescribed by H2F Physical Therapist and/or in accordance with MEDCOM/Defense Health Agency (DHA) policies, standard operating procedures, and clinical practice guidelines.

1.23.7.2.19. ATCs shall participate in periodic and routine meetings with the assigned H2F Physical Therapist to review and evaluate the injury control services provided to Soldiers, discuss medical issues of concern that affect safe and appropriate Soldier care, identify existing problems, identify opportunities to improve delivered care, and provide recommendations for corrective action.

1.23.7.2.20. ATCs shall in accordance with Army Regulation 40-66, Medical Records Administration and Health Care Documentation, document in the Soldier’s official electronic health record any encounter involving the observation, treatment or care of a medical condition. A medical condition is defined as any condition that has a corresponding International Classification of Disease (ICD) code (e.g. joint pain, blisters, difficulty in walking, etc.). Required EHR documentation will be completed the same day and includes subjective history, objective findings, assessment, and plan of care with short-term and long-term goals for all encounters. The documentation shall also include the appropriate ICD codes and current procedural terminology (CPT) codes for the services provided. At minimum each ATC shall document at least ten (10) evaluative encounters in the electronic health records each month.

1.23.7.2.21. The ATC shall furnish data and reports, and make all records available for contract surveillance review upon request as requested by the BN H2F Coordinator. The reports/data are considered government property and shall be maintained at the local site. The report formats shall include, at a minimum: non-clinical data encounter count, data summaries, education briefs, and logs and/or incident reports. The reports and/or data shall be provided on format required at the local site.

1.23.7.2.22. Administrative and Team Member Services. The contractor, as an integrated H2F team member, shall:

1.23.7.2.23. Participate as a contributing member of the H2F team on issues related to injury control, sport medicine, and bridging individuals between injury and illness recovery/rehabilitation.

Conduct ATC-specific equipment, product, and literature reviews to assist H2F team in incorporating emerging best practices. Participate in quarterly peer review of ATCs documentation in the health care records. Attend and participate (i.e. answer questions, provide updates/presentations, receive Commander’s intent in meetings with other H2F team members and BN leadership as requested and/or required. It is the ATC’s responsibility to review meeting notes/information from the meeting if not present.

1.23.7.2.24. Perform clinical, administrative, and other tasks, within the scope of the ATC position description or as assigned by the H2F Physical Therapist or BDE H2F Coordinator. Collect and report data as requested/required by the H2F Physical Therapist or BN H2F Coordinator.

1.23.7.2.25. Have at least twelve (12) months of leadership/management experience.

1.23.7.3. Other Qualifications:

1.23.7.3.1. Certified Athletic Trainer (ATC) Qualifications: The AT shall meet or exceed the following minimum qualifications of the Lead Certified Athletic Trainer (ATC) excluding above paragraph 1.23.7.2.25 leadership/management experience.

1.23.8. Identification of Contractor Personnel: All Contractor personnel attending meetings, answering government telephones, and working in other situations where their Contractor status is not obvious to third parties, are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are government officials.

1.23.9. Contractor Personnel Appearance and Performance: It is essential that all Contractor personnel meet the highest standards of professionalism and personal integrity. The Contractor shall ensure their personnel do not perform work under the influence of alcohol, illegal prescribed drugs or any other incapacitating agents. Contractor personnel shall be neatly groomed and dressed in business casual attire to present a professional appearance at all times.

1.23.10. All Contractor personnel are required to wear company provided identification badges that identify the individual as Contractor staff. The badge, at a minimum, shall have the following information: company name, employee photograph, company officer Point of Contact (POC) and signature of the individual. Unless otherwise specified in the contract, Contractor personnel shall wear the identification badge at all times in plain view, except when safety or health reasons prohibit such placement.

1.23.10.1 Conduct of Personnel: The Contracting Officer may require the Contractor to remove from the job site any employee working under this contract for reasons of misconduct, security, or found to be under the influence of alcohol, drugs, or other incapacitating agents. Contractor employees shall be subject to dismissal from the premises upon determination by the Contracting Officer that such action is necessary in the interest of the Government. In accordance with (IAW) Joint Ethics Regulations, DOD 5500.7-R, and 18 U.S.C. 1382 (1972), The removal from the job site or dismissal from the premises shall not relieve the Contractor of the requirement of providing sufficient personnel to perform the services as required by this contract.

1.24. Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The post award conference will also be utilized to ensure contractor understands all Homeland Security Presidential Directive (HSPD)-12 requirements. IAW AR 70-13 para 4.b. (1). The contracting office will hold periodic status or progress meetings with the contracting officer, the COR, the contractor, and other personnel as necessary (at least quarterly) to discuss problems, progress of the contract, and contractor performance. This meeting will be held at a mutually agreed location, or telephonically. The CORs must ensure that they receive copies of written minutes and other correspondence related to these meetings, including follow-up actions. These meetings shall be at no additional cost to the Government.

1.25. Contracting Officer Representative (COR): The Contracting Officer (KO) will designate, in writing, a COR. The COR will have authority to take certain actions specifically provided and within the limitations prescribed in the designation. A copy of the designation will be furnished to the Contractor. In no event will the COR, by virtue only of his/her designation as such, empowered to execute or agree to any contract modification thereof. The Contracting Officer will retain the ultimate responsibility for the administration of the contract. Any discrepancy resulting from coordination with or advisement from the COR shall be addressed, in writing, to the Contracting Officer. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: Assures that the Contractor performs the technical requirements of the contract; performs inspections necessary in connection with contract performance; maintains written and oral communications with the Contractor concerning technical aspects of the contract; issues written interpretations of technical requirements, including government drawings, designs, specifications;

monitors Contractor's performance and notifies both the KO and Contractor of any deficiencies;

coordinates availability of government furnished property, and provides site entry of Contractor personnel.

1.25.1. The KO will designate, in writing, an Alternate Contracting Officer’s Representative (ACOR).

The ACOR will have authority to take certain actions specifically provided and within the limitations prescribed in the designation. A copy of the designation will be furnished to the Contractor. In no event will the ACOR, by virtue only of his/her designation as such, empowered to execute or agree to any contract modification thereof. The KO will retain the ultimate responsibility for the administration of the contract. The ACOR’s authority shall only be in effect during the absence of the COR.

1.26. Phase-In/Phase-Out Periods:

1.26.1. Phase-In: To minimize any decreases in productivity and to prevent possible negative impact on additional services, the Contractor shall have all key personnel on board, during the phase-in period.

During the phase-in period, the Contractor shall become familiar with performance requirements, in order to commence full performance of services on the start of the base period of performance. The Contractor shall obtain their CAC or other forms of government identifications, any specific government training.

1.26.2 Phase-Out Period.

1.26.2.1. Prior to the completion of this contract, an observation period shall occur, at which time team management personnel of the incoming Contractor may observe operations. This will allow for orderly turnover of facilities, equipment, and records and will help to ensure continuity of services. The outgoing Contractor is ultimately responsible for performing full services IAW the contract during the phase-out period and shall not defer any requirements for the purpose of avoiding responsibility or of cooperate with the succeeding Contractor and the Government, so as not to interfere with their work or duties. The outgoing Contractor shall ensure all outstanding work orders, equipment, and all Government-owned parts are turned in to the COR or the unit that is being supported. All outgoing Contractor personnel shall follow unit procedures through the COR or the unit that is being supported to ensure compliance with the Government’s requirements for closing e-mail accounts, terminating access, turning in CACs, and equipment, etc.

1.26.2.2. To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the outgoing Contractor shall have all personnel on board during the phase-out period.

The outgoing Contractor shall be prepared to transition the work load to the newly selected Contractor during the thirty (30) day phase-out period, which will occur at the end of the period of performance of the contractual effort.

1.26.2.3. Phase-Out Plan. The incoming Contractor shall develop a phase-out plan to affect a smooth and orderly transfer of contract responsibility to a successor. The plan shall fully describe the Contractor’s approach to applicable issues. Inventories and turn-over of government property; removal of Contractor property; reconciliation of all property accounts; turn-in of excess property; data and information transfer;

clean-up of Contractor work areas; and security debriefings in accordance with AR 380-5 for incumbent personnel holding security clearances; and any other actions required to ensure continuity of operations.

The plan shall also address how the Contractor intends to ensure all Contractor personnel are following unit procedures through the COR or the unit that is being supported to ensure compliance with the Government’s requirements for closing e-mail accounts, terminating access, turning in CACs, and equipment, etc. The Contractor shall provide the COR a draft of the plan no later than forty-five (45) days prior to the commencement of the phase-out period. The final draft must be finalized no later than thirty

(30) days before the phase-out period commences.

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1. Definitions:

2.1.1. Contractor. A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2. Contractor Furnished Equipment. Contractor Furnished Equipment (CFE) is any property (hardware, software, office equipment, etc.) the Contractor provides.

2.1.3. Contracting Officer (KO). A person with authority to enter into, administer, and/or terminate contracts, and to make related determinations and findings on behalf of the Government. Note: The only individual who can legally bind the Government.

2.1.4. Contracting Officer's Representative (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor, as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.5. Contractor Personnel. Contractor and subcontractor employees performing working under this contract.

2.1.6. Controlled Unclassified Information (CUI): CUI is any unclassified information that requires safeguarding or dissemination controls, in accordance with applicable laws, directives, and regulations.

2.1.7. Defective Service. A service output that does not meet the standard of performance associated with the Performance Work Statement (PWS).

2.1.8. Deliverable. Anything that can be physically delivered, but may include non-physical things, such as meeting minutes or reports.

2.1.9. Reserved.

2.1.10. Government-Furnished Property (GFP) or Equipment (GFE). Property or equipment in the possession of or directly acquired by the Government and subsequently made available to the Contractor.

2.1.11. Key Personnel. Contractor employees who are critical for achieving PWS objectives. Key personnel shall meet position qualification and experience requirements indicated in the PWS. When key personnel qualifications are used as an evaluation factor in “Best Value” procurement, the Contracting Officer is the only one authorized to concur with key personnel replacement after award of the contract

2.1.12. Performance Requirement Summary (PRS). A listing of the service outputs under the contract that are to be evaluated by the COR on a regular basis, the…