Attachment 0002_PWS_FoodServiceWorkers_Final.pdf

PERFORMANCE WORK STATEMENT

FOOD SERVICE WORKERS

AT MADIGAN ARMY MEDICAL CENTER, JBLM

AS-OF 11-5-26

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 PERFORMANCE REQUIREMENTS SUMMARY

5.0 POSITION DESCRIPTIONS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall provide non-personal services of Food Service Worker to provide support within the Nutrition Care Division (NCD), dining facility at Madigan Army Medical Center (MAMC) which shall contribute to a stable workforce tasked with providing quality health care services to a diverse beneficiary population.

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, applicable Department of Defense (DoD) and Army specific regulations, directives, and policies, and military treatment facility (MTF) specific policies, procedures, and job descriptions.

1.3. Reserved

1.4 This contract is a non-personal services contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its personnel.

2.0 BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation always has available a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at Madigan Army Medical Center located on Joint Base-Lewis McChord, Washington. The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center. Army Community Hospitals (ACH) offer more complex, resource-intensive secondary care (e.g., inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment), secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all MEDCENs offer graduate medical education programs for physicians.

2.2 Place of Performance: The primary place of performance is the Dining Facility located on the ground level of the hospital, within the Nutrition Care Division at Madigan Army Medical Center.

3.0 SCOPE OF WORK.

3.1 The Food Service Workers for the contractor provide support within the Nutrition Care Division (NCD), dining facility at Madigan Army Medical Center (MAMC); which provides support for all hospital personnel and guests, to include inpatient and outpatient support.

3.2 ADMINISTRATIVE.

3.2.1. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

3.2.2. The Contracting Officer’s Representative (COR) will be KO’s authorized representative in administering the contract at the MTF level. The Contractor’s representative shall be available to discuss any problems that the Contractor’s personnel may be experiencing during the performance of this contract.

Problems experienced by the Government with the Contractor’s performance will be discussed and resolved. Unresolved problems will be referred to by the KO for resolution. The KO is the only individual authorized to change the terms and conditions of the contract.

3.2.3. Contractor shall not include or use non-compete provisions with respect to the performance of Government medical service contracts in its employment, consultant, or third-party contract agreements (hereafter agreements) with its contract personnel which are effective beyond the period of contract performance. Non-compete provisions should not prevent contract personnel from being interviewed, employed, or accepting offers of employment or making other arrangements with potential competitors for follow-on contracts. Additionally, non-compete provisions should not prevent contract personnel from accepting offers of employment or making other arrangements with any contractors who provide services to the Government, or from accepting offers of employment with the US Government, following the period of contract performance. Inclusion of such non-compete or similar conditions in agreements with contract personnel will result in an offeror’s proposal being determined unacceptable and may be grounds for termination of any awarded contract or task order. Preventing contract personnel from accepting these offers will hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4. The Contractor and contract personnel shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

3.2.5. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day (AOD). There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Director. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the COR.

3.2.6. Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life-threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

3.3. CONFLICT OF INTEREST.

3.3.1. No part of this PWS shall be construed as such where the Contractor or contract personnel shall render health care services to any patients under this contract.

3.3.2. The Contractor or contract personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or contract personnel or from any third party at any place other than as designated under this contract.

3.3.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data, which is furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor/contract personnel shall not use patient care information pursuant to this contract as part of a non-government authorized study, research project, or publication. The contract personnel shall prepare medical records, forms and documents as required, in accordance with the regulations and guidelines established in the contract.

3.3.4. The Contractor shall abide by federal employment statutes and the Federal ethics regulations in the selection and hiring of contractor personnel.

3.3.5. The Contractor or contract personnel shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the services required under this contract.

3.4. SECURITY.

3.4.1. Security Identification Badges. The Contractor and contract personnel shall comply with the local installation and MTF personnel identification and access requirements while on site.

3.4.1.1. While on site, contract personnel shall wear a visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge must show the full name, title and if required by the Military the word “Contractor” in front. The COR will provide the paperwork to request identification badges.

3.4.1.2. The Contractor is responsible for absences of contract personnel due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the services required under this contract.

3.4.1.3. The contract personnel shall immediately report any lost or stolen badges to the COR.

3.4.1.4. The contract personnel shall turn in all identification badges to the COR, or his/her designated representative upon termination of their services under this contract.

3.4.2. Vehicle Registration. The MTFs are located on restricted access military installations. The Contractor/contract personnel shall comply with the local installation requirements for vehicle registration and operation on the military installation.

3.4.2.1. All vehicles are subject to search. Contract personnel may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Contractor for time spent at installation checkpoints. Contract personnel must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the

MTF.

3.4.3. Keys. The Contractor shall be responsible for any keys issued by the Government to contract personnel for use in the MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon recognition of the loss.

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property. The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive.

3.5. Orientation and Training.

3.5.1. MTF in-processing checklist. When commencing work under this contract, the contract personnel shall obtain in-processing checklist(s) from the COR or designated office. All contract personnel are required to complete the applicable items on the checklist and turn them into the designated office. Upon completion of the duty assignment, the contract personnel need to complete an out-processing checklist and return it to the designated office.

3.5.2. MTF and Unit Orientation. The contract personnel shall be provided with a Government paid orientation to familiarize the contract personnel with the policies and procedures of the MTF, assigned department and specific unit.

3.5.2.1. Orientation shall be completed within 45 days.

3.5.3. Annual training requirements. The Contractor shall ensure that contract personnel complete any mandatory annual training requirements in accordance with MTF procedures.

3.5.4. Government unique training. The Government may elect to provide unique Government training to contract personnel who are performing services under this contract. If the Government elects to provide such training, the Government will provide such training at no additional expense to the Contractor or to the contract personnel. When directed by KO, contract personnel shall attend all such training in paid status as part of the normal services required and be billed under the contract.

3.5.5. Computer Training. Contract personnel who have any interaction with the MTF computer systems must receive training for the applicable system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This training will be part of the contractor’s representative’s normal duty functions. These systems include but are not limited to:

3.5.5.5.1. MHS GENESIS is the electronic health record for the Military Health System (MHS), providing enhanced, secure technology to manage health information. MHS GENESIS integrates inpatient and outpatient solutions that will connect medical and dental information across the continuum of care, from point of injury to the military treatment facility.

3.5.6. AT/OPSEC REQUIREMENTS

3.5.6.1. AT Level I Training. This standard language is for contractor personnel with an area of performance within a DHA-controlled installation, facility, or area. All contractor personnel, including subcontractor personnel, requiring access to DHHQ, Direct Reporting Markets (MTFs), Small Markets and Stand Alone (SSO) facilities and controlled access areas, shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable and annually thereafter. The contractor shall submit certificates of completion for each affected contractor and subcontractor personnel, to the COR or to the contracting officer, if a COR is not assigned, within 05 calendar days after completion of training by all personnel and subcontractor personnel. AT level I awareness training is available at the following website: http://jko.jten.mil.

3.5.6.2. Access and general protection/security policy and procedures. This standard language is for contractor personnel with an area of performance within a DHA controlled installation, facility, or area.

Contractor and all associated sub-contractors’ personnel shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, DHHQ and/or local policy. In addition to the changes Otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

3.5.6.3. For contractors requiring Common Access Card (CAC). Before CAC issuance, the contractor personnel require, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with DHA-AI 5200.04. The contractor personnel will be issued a CAC only if duties involve one of the following: (1) both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) physical access to multiple DoD facilities or multiple non-DoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

3.5.6.4. iWATCH/Suspicious Activity Reporting Training. This standard language is for contractor personnel with an area of performance within a DHA-controlled installation, facility, or area. The contractor and all associated subcontractors shall brief all personnel on the local Suspicious Activity Training program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform personnel of the types of behavior to watch for and instruct personnel to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 05 calendar days of new personnel commencing performance, with the results reported to the COR NLT 30 calendar days after contract award.

3.5.6.5. Service Training Certification Tracking System (STCTS) registration for contractor personnel who require access to government information systems. All contractor personnel with access to a government information system must be registered in the STCTS at commencement of services and must successfully complete the DOD Information Assurance Awareness prior to access to the IS and then annually thereafter.

3.5.6.6. For contracts that require OPSEC Training. Per DHA-AI 5200.03, Operations Security, the contractor personnel must complete Level I OPSEC Awareness training. New personnel must be trained within 30 calendar days of their reporting for duty and annually thereafter.

3.5.6.7. For Cyber Awareness (Information Assurance (IA)/information Technology (IT) training. All contractor personnel and associated subcontractor personnel must complete the DoD Cyber Awareness training before issuance of network access and annually thereafter. All contractor personnel working in IA/IT functions must comply with DoD requirements DoD 8570.01 and DoD 8570.01-M within six months of appointment to IA/IT functions. DoD Cyber Awareness Challenge Training is available at the following website: https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf?ORG=NAVSEA, DOD Course US1364-22 DOD Cyber Awareness Challenge 2022.

3.5.6.8. For Cyber (Information assurance (IA)/information technology (IT) certification. Per DoD 8570.01-M, DFARS 252.239.7001, the contractor personnel supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

3.6. MTF HOURS OF OPERATION

3.6.1. Madigan Army Medical Center provides services 24 hours a day, 365 days a year (366 days during leap years) including holiday. Clinics have designated operating hours.

3.6.1.1. The Nutrition Care Division is open from 0500 to 1900, including weekends and holidays.

Contractors are required to work holidays as per the contract.

3.6.2. Holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday. Contract personnel may be required to work on legal holidays as determined by the COR. The federally recognized holidays are publicly posted at the below link to the US Office of Personnel Management website:

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/

NOTE 1: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which contract personnel are scheduled to work is closed due to the holiday and the personnel are not required to report on, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

3.6.3. Contract personnel shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

3.6.4. Closures. During anticipated closure of the facility due to MTF declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for such closures.

3.6.5. Organizational Activities. During organizational activities the clinic/facility may close for normal operations and Contractor services may not be required. The Contract personnel are not authorized to participate in accordance with MEDCOM regulation 715-3, paragraph 9.n., except during authorized mealtimes or if a specific waiver is granted by the Director, MEDCOM. The Government will only pay for work performed.

3.7. HOURS OF PERFORMANCE.

3.7.1. Scheduling process: The contractor shall perform services in the Nutrition Care Division. The work week runs Sunday through Saturday. The Contractor Personnel (CP) performing services under this contract shall work rotating shifts, 7 days/week (see shifts table below). Time, hours, and days for service shall be as required by the Government according to the work site to which the contract personnel are assigned. The CPs provide food services during any eight-hour shift, Sunday through Saturday, including federal holidays and days of limited activity (DOLA). A 30-minute uncompensated lunch break will be authorized per eight-hour shift. CPs may not be required to provide more than 12 consecutive hours of service and will have at least 10 hours “off” before their next shift. Schedules determined by the Department Chief and his/her designee.

3.7.1.2 This requirement is for six (6) Full Time Equivalent (FTE) food service workers The basis of 1 FTE is equal to 1,912 hours per year.

Shift hours include the following:

First Shift 0500-1330

Second Shift 0600-1430

Third Shift 1030 to 1900

3.7.1.3 The Contractor is responsible for furnishing adequate staff to work rotating shifts (early morning, daytime, afternoon, and/or evening hours), Monday through Sunday, including federal holidays and weekends.

3.7.1.4. Fill Rates. After initial placement of qualified personnel, contractor will maintain a minimum fill rate of 90%. Example for 1 FTE - CP to work 1920 hours, but worked only 1800 hours, this is a 93.75% fill rate (1800/1920 = 0.9375).

3.7.1.5. Place of Performance: The primary place of performance is the Dining Facility located on the ground level of the hospital, within the Nutrition Care Division at Madigan Army Medical Center, as well as other work locations based on staffing requirements, short-term shortages, and unscheduled absences.

3.7.1.6. The service location, shift and hours may vary slightly with changes in demand and work requirements. The performance of various tasks and specific work schedules are determined by the Government mission for each site.

3.7.2. Billing for Services. The Contractor shall invoice for services as follows:

3.7.2.1 Unit of Issue for Contract Line-Item Number (CLIN) for FTEs: The unit of issue is set as “Quarter Hour” which are individual 15-minute (time) units.

One (1) Full Time Equivalent = 1,912 Hours 1,912 Hours * 4 Quarter Hours = 7,648 Quarter Hours per FTE (i.e., One (1) FTE = 7,648 Quarter Hours)

3.7.2.2 The Contractor is responsible for submitting an accurate invoice. The Contractor may only invoice and be paid for the services rendered. Invoices shall not be submitted more frequently than once per month.

3.7.2.3 The Contractor shall NOT invoice for partial units. As used for unit of measure Quarter Hours means individual 15-minute (time) units. Invoices containing any partial unit of quantity shall be rejected and require resubmittal in whole units.

3.7.2.4 A partial unit of issue (quantity) on an invoice would be any quantity that has any amount other than 0 in the decimal place (e.g. an invoice for as quantity of 485.25 units will be rejected, the invoice would need to be corrected to a whole unit quantity of 485.00).

Invoice Example: Contractor Personnel works for 159 hours and 45 minutes for one month.

159 Hours * 4 Quarter Hours per hour = 636.00 Quarter Hours 45 Minutes / 15 Minutes per Quarter Hour = 3.00 Quarter Hours

636.00 Quarter Hours + 3.00 Quarter Hours = 639.00 total Quarter Hours Therefore, the Contractor’s invoice is for 639.00 Quarter Hour units.

3.7.2.5 Billing (invoices) shall be submitted no later than 30 days after the end of the performance- billing period. Discrepancies shall be corrected and resubmitted no later than seven (7) days after notification.

Contractor shall ensure accountability of contract personnel time for submission of billing.

3.7.2.6. De-obligation Quarterly Meetings: The contractor agrees to attend a quarterly meeting with the Government at no additional cost. This meeting will take place via Microsoft Teams hosted by the Government. During this meeting, the contractor and Government will prepare with the relevant data to determine if any unused quantity remains on any contract CLINs for the preceding quarter to initiate a de-obligation modification.

3.7.3. Absences and leave:

3.7.3.1. The contractor should notify the COR when contract personnel will be absent due to illness or emergency. Notification should be as early as possible, but no later than 2 hours prior to start of scheduled work hours.

3.7.3.2. When the contractor cannot fill a position, the contractor shall notify the COR.

3.7.3.3.3. Scheduled absences of contract personnel shall be coordinated with the COR at least 30 calendar days in advance.

3.7.3.4. Scheduled Absences: Non-emergency absences must be scheduled 14 days in advance with the company and communicated to the COR and/or Contractor’s Supervisor. If the contractor cannot provide services due to scheduled personnel absences, backfill is required after five days of scheduled absence.

This request will be shared with the COR for approval by the Contractor before non-emergency absence is approved.

3.7.3.5. Unscheduled Absences or Sick Leave: The CP will communicate unscheduled absences with the MAMC shift supervisor and Contractor no later than the first hour of each duty day that the CP is unable to report to work. If the contractor cannot provide services due to unscheduled personnel absences, backfill is required after three days are missed. Section-specific call out procedures will be provided to the Contractor during their Orientation.

3.7.3.6. Replacement Personnel. The Contractor will be required to provide a permanent replacement for any personnel who has an unscheduled absence more than 10 consecutive workdays. The replacement shall commence with required services within 45 calendar days of written notification by the designated site representative that the personnel has exceeded authorized forbearance period.

3.7.4. Schedules

3.7.4.1. The COR shall provide a copy of the current schedule for the Contractor for each work area at least two weeks prior to the start date.

3.7.4.2. The CP shall comply with the published schedule provided by the Contractor without deviation, unless the department Contracting Officer’s Representative (COR) is notified in advance.

3.7.4.3. Each CP is responsible for submitting their signed time sheets and leave requests to the Contractor. Each CP will be expected to maintain a competency assessment folder for themselves. This folder will consist of all mandatory training certificates, etc. per MAMC requirements.

3.7.4.4. The Contractor is responsible for providing a replacement personnel within two hours of the beginning of the shift for unscheduled absences.

3.7.4.5. The Contractor is responsible for completing contract personnel timecards and submitting changes, corrections, and reporting any errors. The Contractor is responsible for submitting the completed timecards to the COR within seven days of the end of the payment cycle to ensure prompt payment of the invoice.

3.7.4.6. A designated Government representative will complete electronic workload data to match the timecard information submitted by the Contractor. The Contractor is responsible to inform the Government representative of any changes in personnel (new, terminated, or resigned) to ensure all electronic workload data is accurate for each pay period.

3.8. REMOVAL OF CONTRACT PERSONNEL.

3.8.1. At any time during the performance of this contract, the KO or COR may direct the contractor to immediately remove any contract provider whose actions or impaired state raise reasonable suspicion that clear and present danger of physical harm exists to a patient, other contract Personnel, government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor.

3.8.2. If the need for a removal occurs, the COR will contact the contractor's POC and direct the contractor to remove that individual from the military facility and to not use that individual to perform any services required under this contract until the issue has been resolved by the KO. The contractor shall formally meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan and DHA-PM 6025.13. A review of the basis for removal will be made by the KO within 3 working days after the COR directed the removal.

3.8.3. If, after any investigation deemed necessary by the KO and discussions with the COR, the KO concludes that the contract provider’s impairment requires permanent removal from performance under the contract, the KO will notify the contractor that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired contract provider’s, the decision of the KO will be final. During the period between the removal and the final decision of the KO, the contractor shall provide a backup/replacement contract provider in accordance with the terms and conditions of this contract.

3.9. CONDUCT.

3.9.1. The Contractor is responsible for the conduct of his/her personnel. All services shall be provided in accordance with established standards, principles, and ethics of the profession and applicable professional specialty organizations and shall ensure the highest regard to patient dignity.

3.9.2. The Contractor shall ensure that its personnel comply with MTF policies regarding personal appearance and conduct.

3.9.3. CP shall conform to the standards of conduct and code of ethics, which are consistent with those applicable to Government personnel, as provided in the Joint Ethics Regulation 5500.7.R.

3.9.4. Smoking. The Contractor shall ensure its personnel shall comply with the MTF smoke-free campus policy. All breaks will be coordinated through the Supervisor on duty based on mission demands.

3.9.5. Complaints. Complaints will be validated by the COR and be reported in writing to the KO and the Contractor for action, if it constitutes a failure to perform, as determined by the Government. The Contractor shall have no more than one substantiated complaint for each period of performance.

3.11. Criminal History Background Check Requirements. The Contractor Facility Security Officer (FSO) and/or Security POC shall initiate background investigations. At the discretion of the COR, the MTF security personnel may initiate background investigation requests.

3.12. MISSION PARTNER IDENTITY, CREDENTIAL AND ACCESS MANAGEMENT (MP ICAM)

3.12.1. The Contractor shall comply with agency personal identity verification procedures that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

3.12.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally controlled facility or access to a Federal information system.

3.12.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of the Federal Acquisition Regulation (FAR) Clause 52.204-9, the USG will designate a Mission Partner Affiliation Sponsor (MPAS), and the Contractor shall designate an FSO for this contract. The USG reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

3.12.4. The Contractor is responsible for absences of contractor personnel due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the services required under this contract.

3.12.5. In-processing Requirements. Contractor personnel are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

3.12.6. CPs shall administratively in-process at MAMC in accordance with established hospital policy.

3.12.7. A local criminal background check must be completed on each contract personnel by the MAMC Provost Marshal, depending on which facility the contract individual is to be assigned to, prior to starting work under this contract. The requirement is in addition to prospective personnel background checks already performed by the Contractor. The Government will additionally initiate and complete a National Agency Check (NAC) on all contract personnel.

3.12.8. CPs wear their designated MAMC personnel identification card displaying the personnel’s name, position and identifying them as contract personnel.

3.12.9. CPs shall be registered in the government Contractor Verification System (CVS) for issuance of a Common Access Card (CAC).

3.12.10. CPs shall complete all initial, recurring annual training, and any other identified training requirements in accordance with hospital policy. Training will be provided by MAMC.

3.12.11. Contractor shall provide written notice to the designated contract COR whenever contract personnel is to cease employment under this contract. The Contractor shall ensure contract personnel out-process in accordance with established government procedures and return all government issued equipment, badge(s), personnel identification card, common access card, coat(s), keys, etc., to the designated office that issued the items. The Contractor shall reimburse the government for government items issued to CP and not returned at the time of their out-processing.

3.12.12. Out-processing Requirements. When a contractor personnel’s performance under this contract ceases, contractor personnel shall personally bring the CAC to the TA and complete the DA Form 2962.

The TA will revoke the CAC from the MP ICAM.

3.13. QUALITY MANAGEMENT

3.13.1 The Contractor shall have a planned and systematic quality management process for monitoring and analyzing its contract performance.

3.13.2. The Contractor shall ensure that all contract personnel comply with the MTF quality management/process improvement activities.

3.14. CONTRACTOR REPRESENTATIVE.

3.14.1. The Contractor shall designate a representative for this contract. At least five working days prior to performance start date, the Contractor shall provide in writing to the COR, Contractor representative contact information. Changes in the representative, at any time after contract commencement, shall be in writing to the COR at least five working days prior to the change.

3.14.2. The Contractor's representative shall, at no additional cost, meet with the COR when requested by the COR to discuss any problems that the Contractor's personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor's performance will be discussed and resolved. Unresolved problems will be referred to by the KO for resolution.

3.14.3. The Contractor shall provide points of contact (POC) information for administration of the contract during normal business hours and after normal business hours. The POC for other than normal business hours will be contacted only in the event of emergencies. Accordingly, the named individual(s) shall possess sufficient corporate authority to effectively deal with emergency situations, and the telephone number provided shall be always functioning other than normal business hours. If there are different POCs for different conditions, such as weekdays, weekends, holidays, clearly provide such information.

4.0 PERFORMANCE REQUIREMENTS SUMMARY:

Performance

Objective Reference Performance Objective

Method of Surveillance

AQL

Overall Fill Rate

PWS Section 3.7.1.4

Percentage of days FTEs are assigned to a position in a reporting period

Government Management oversight by COR; Quarterly Periodic Inspection

> 90%

Customer Satisfaction

PWS Section

5.1.4.1 Maintain a high level of patient and

customer satisfaction

Max two substantiated complaints per contractor employee, per period of performance

Review and assessment of customer complaints through Department process improvement and weekly staff meetings

Contractor Employee Uniform Standards

PWS Section

5.1 through 5.2.5

Report to work in proper uniform and all minimum contractor employee training/certificates

Max two substantiated days per month, per employee, of not reporting in required uniform.

Review and assessment of customer complaints through Department process improvement and weekly staff meetings

Minimum Contract Employee Requirements

PWS Section

5.1 through 5.2.5

Maintain minimum contractor employee training/certificates

Max two substantiated days per month, per employee, of not reporting in required uniform.

Review and assessment of customer complaints through Department process improvement and weekly staff meetings

Combating Trafficking in Persons (Awareness program)

FAR Clause 52.222-50 Combating Trafficking in

Persons Clause Compliance

100% compliance (zero tolerance) regarding trafficking in persons policy

COR documentation and program review. Any non-compliance must be brought to the immediate attention of the KO

4.1. Inspection. The inspection and acceptance point for all services rendered under this contract will be the COR. The performance by the contract personnel, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance, and review for acceptance by KO or COR. Any services rendered by the contract personnel to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the on-site government supervisor could be grounds for immediate removal from the facility. Quality Assurance procedures established by MTF shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards; inappropriate prescriptions; patient customer service comments; Contractor relationship with hospital staff/Government contracting personnel;

compliance with hospital healthcare policies and procedures.

5.0. DUTIES & QUALIFICATIONS

5.1 Required Services: Food Service Worker

5.1.1. Assigned to: Nutrition Care Division

5.1.2. Contracting Officer’s Representative – TBD at time of award

5.1.3. Qualifications: The CPs shall perform all procedures and duties that are normal to the scope of the foodservice worker operation specified on 5.1.3.3.3.

Education: None

Licensure/Certification/Registration: None

Experience: Must have one (1) years’ experience as a food service worker. This includes fast food restaurants, cafeterias, and food concession stands.

5.1.4. Specific Duties/Tasks:

5.1.4.1. Knowledge of how to set up glasses, silverware, dishes, trays, napkins, condiments, and cold menu items such as salads, desserts, bread, and cold beverages on a serving line. Experience with removing dishes and trays from tables after meals and washing tables, counters, and floors. Knowledge of operating, breaking down, and cleaning all electrical equipment assigned to the area for food preparation. Experience in cleaning kitchen equipment such as worktables, sinks, refrigerators. Be able to separate food waste and trash from dishes, glasses, and silverware in the dishwashing area, load and operate dishwashers and silverware washing machines, and store sanitized dishes, glasses, and silverware. Ability to interface with colleagues, patients, and customers while exemplifying the upmost customer service. Prepare and serve menu items for the patient meal service, all items prepared and served according to provided production schedule. Set up serving and self- service areas in accordance with production schedule and setup checklist.

Other Food Service support as provided in the production schedule, e.g. catering events. Maintain accurate temperature charts and cleaning checklists for all food service prep, storage, serving, and seating areas.

Stock and monitor daily inventory levels in each designated work area. Participate in mandatory quarterly and annual training requirements. Meet Government requirements for shift coverage.

5.2. Requirements for all positions.

5.2.1. The contractor shall ensure that all contract personnel providing services under this contract shall be able to read, write, and speak English well enough to effectively communicate with all parties and other health care providers. In addition, if the position requires the use of computers, the contract personnel shall be computer literate.

5.2.2. The contract personnel possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to patients across the lifespan and a variety of backgrounds.

5.2.3. There is no education requirement nor a licensure or certification requirement for this position.

However, personnel must have one-year experience, skills and competence in the food service industry.

5.2.4. Life support training. All contract personnel must possess and maintain current course completion documentation for basic cardiac life support (BLS) through an American Heart Association approved training program. Additional requirements will be outlined in technical exhibits per specialty.

5.2.5. Uniform Standards- The contractor shall provide uniform shirts for Food Service Workers. The Food Service Workers are required to wear black slacks; jeans are not permitted. The Food Service Workers must wear closed-toe, slip-resistant, comfortable work shoes to ensure safety and support during long hours.

6.0. APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND MANUALS.

Following is a list of basic publications applicable to this performance-based statement of work. The Contractor is obligated to follow these publications.

Applicable Publications

Public Law:

Public Law 91-596 Occupational Safety and Health Act of 1970 Public Law 104-191 Health Insurance Portability and Accountability Act of 1996

Accreditation Manuals:

The Joint Commission (JC) Manual (Current Edition)

Defense Health Agency:

DHA-AI 003 Physical Security Program DHA-AI 034 Drug-Free Workplace Program DHA-AI 050 Accounting of Disclosures of Personally Identifiable Information (PII) and Protected

Health Information (PHI) DHA-AI 5015.01 Records Management DHA-AI 5200.02 Information Security Program DHA-AI 5200.03 Operations Security (OPSEC) Program

DHA-AI

DHAPI 6000.03 Life Support Training Certification Requirements and Guidance DHAPI 6010.02 MHS Prescription Drug Monitoring Program DHAPI 6015.02 Beneficiary Counseling and Assistance Coordinator (BCAC) and Debt Collection

Assistance Officer (DCAO) DHAPI 6025.10 Standard Processes, Guidelines, and Responsibilities of the DoD Patient Bill of Rights and Responsibilities in the Military Health System (MHS) Military Medical Treatment Facilities (MTFs)

DHAPI 6025.20 Medical Management (MM) Program within the Military Health System (MHS) DHAPI 6025.29 Provision of Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis (PrEP) for Persons at High Risk of Acquiring HIV Infection DHAPI 6025.39 Medical Ethics in the Military Health System DHAPM 6025.13, Volumes 1-7 Clinical Quality Management in the Military Health System www.health.mil/Reference-Center/DHA-publications

Department of Defense (DoD):

DoD 5200.1-R Information Security Program DoD 5200.2 Personnel Security Program DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card

DoD 5210.42-R Nuclear Weapons Personnel Reliability Program (PRP) Regulation DoD 5400.7-R DoD Freedom of Information Act DoD 5400.11-R Department of Defense Privacy Program DoD 6010.13-M Medical Expense and Performance reporting System for Fixed Military Medical and

Dental Treatment Facilities Manual DoD 6010.15-M Military Treatment Facility Uniform Business Office (UBO) Manual DoD 6015.1-M Glossary of Healthcare Terminology DoD 6025.18-R DoD Health Information Privacy Regulation DoD 6055.5-M Occupational Medical Examinations and Surveillance Manual DoD 8580.02-R HIPAA Security Rule DoDD 5144.02 Information Technology Standards in the DoD DoDD 5205.2 DoD Operations Security (OPSEC) Program DoDD 5400.11 DoD Privacy Program DoDD 5500.07 Standards of Conduct DoDD 6000.14 Patient Bill of Rights and Responsibilities in the Military Health System (MHS) DODM 6025.13 Medical Quality Assurance (MQA) in the Military Health System (MHS) DoDD 6205.02E Policy and Program for Immunizations to Protect the Health of Service Members and

Military Beneficiaries DoDD 8190.3 Smart Card Technology DoDD 8500.01E Information Assurance DoDI 1100.22 Policy and Procedures for Determining Workforce Mix DoDI 3020.37 Continuation of Essential DoD Contractor Services During a Crises DoDI 5200.02 DoD Personnel Security Program (PSP) DoDI 6000.11 Patient Movement DoDI 6015.23 Delivery of Healthcare at Military Treatment Facilities: Foreign Service Care; Third

Party Collection; Beneficiary Counseling and Assistance Coordinators (BCACs) DoDI 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military

Health System DoDM 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military

Health System (MHS) DoDI 6025.18 Privacy of Individual Identifiable Health Information in DoD Health Care Programs DoDI 6040.40 Military Health System Data Quality Management Control Procedures DoDI 6040.42 Medical Encounter and Coding at Military Treatment Facilities DoDI 6040.43 Custody and Control of Outpatient Medical Records DoDI 6205.2 Immunization Requirements DoDD 6459.01 Sexual Assault and Response (SAPR) Program

7.0. ACRONYMS AND DEFINITIONS.

AHLTA Armed Forces Longitudinal Technology Application AQL Acceptable Quality Level BAA Business Associate Agreement BLS Basic Life Support CAC Common Access Card CAF Central Adjudication Facility CDC Centers for Disease Control CE Continuing Education CFR Code of Federal Regulations CHBC Criminal History Background Check CHCS Composite Health Care System CLIN Contract Line-Item Number CNACI Child Care National Agency Check with Inquiries COR Contracting Officer Representative CPARS Contractor Performance Assessment Reporting System DEA Drug Enforcement Administration

DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DMHRSi Defense Medical Human Resources System - internet DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction DTF Dental Treatment Facility e-QIP Electronic Questionnaires for Investigations Processing ERP Enterprise Resource Planning Far Federal Acquisition Regulation FIPS PUB Federal Information Processing Standards Publication FTE Full-Time Equivalent FTR Federal Travel Regulation HIPAA Health Insurance Portability and Accountability Act of 1996 HSPD Homeland Security Presidential Directive IA Information Assurance IAW In Accordance With JTR Joint Travel Regulation KO Contracting Officer KPP Key Performance Parameter MAC Multiple Award Contract MHS Military Health System MTF Military or Medical Treatment Facility NACI National Agency Check with Written Inquiries NAICS North American Industry Classification System NoPP Notice of Privacy Practices PHI Protected Health Information PII Personally Identifiable Information PKO Procuring Contracting Officer PMO Program Management Office PRS Performance Requirements Summary PSC Product Service Code PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QCP Quality Control Plan WAWF Wide Area Workflow

END OF PERFORMANCE WORK STATEMENT

SUPPLEMENT TO PERFORMANCE WORK STATEMENT

A. EXCLUSION FROM PARTICIPATION IN FEDERAL HEALTH CARE PROGRAMS (OCTOBER

2015)

1. The Contractor shall not employ or contract with any individual or entity (hereinafter collectively referred to as “person”) to provide items or services that will be included in invoices submitted to the Government under this contract if such person is listed on the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List. The Government is legally prohibited from paying for provision of items or services by such people. The prohibition extends to services beyond direct patient care, such as services of people in executive or leadership roles and administrative and management services, whether such services are billed separately. The LEIE may be found at http://oig.hhs.gov/fraud/exclusions.asp, and the TRICARE Sanctioned Provider list at http://www.health.mil/Military-Health-Topics/Access-Cost- Quality-and-Safety/Quality-And-Safety-of-Healthcare/Program-Integrity/Sanctioned-Providers. The LEIE and TRICARE Sanctioned Provider List are hereinafter collectively referred to as “the Lists.”

2. Prior to start of contract performance, the Contractor shall (a) query the Lists to determine whether the name of any person the Contractor employs or contracts with to provide services or items for which payment may be made under this contract appears on the Lists, and (b) certify to the Contracting Officer that the Contractor has queried the Lists and no such names appear on either of the Lists.

3. During performance of the contract, and prior to persons other than those whose names were queried in accordance with paragraph 2, above,…