Attachment_02_Performance_Work_Statement.docx

PERFORMANCE WORK STATEMENT (PWS)

AUDIOLOGY SERVICES

FOR DETROIT ARSENAL

PWS PART 1

GENERAL

1. SCOPE OF WORK: The contractor shall provide all resources for audiology services.

1.2 CONTRACTOR PERSONNEL: For the purpose of this contract, the term “Contractor “personnel” applies to all Contractor employees, subcontractor employees, or any other person(s) acting for or on behalf of the Contractor to perform work on this contract.

1.3. CONTRACTOR EMPLOYEES: General Qualifications: Contractor employees shall be trained, qualified, certified and/or licensed to perform services required for this contract. The contractor shall maintain records of training qualifications, certifications, and licenses and provide them to the Contracting Officer upon request. The Contractor shall ensure that the employees remain fully qualified to perform work under this contract. The Contractor shall maintain the work force in such a manner as to ensure that the employees remain fully qualified. The Contractor shall only employ persons able to speak, read, write, and understand English for those positions interacting with Government personnel, and where English is used or essential to provide the product, record, data, information, or service

1.3.1 PROJECT MANAGER. Prior to contract performance, the Contractor shall designate in writing, to the Contracting Officer, a Project Manager (PM), who shall be responsible for the overall management, coordination, and supervision over the work, which employees are performing under this contract. The PM shall be knowledgeable of the terms and conditions of the contract. This PM shall have full authority to act for the Contractor on all contract matters relating to daily operations of this contract.

1.4. NON-PERSONAL SERVICES. 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 employees.

1.4.1. Professional Liability.

1.4.1.1. The government will not be liable for malpractice allegations against contract employees based upon performance of this contract. The contractor shall be required to carry malpractice insurance for its contract employees, at a level stated in the solicitation and included in any resulting contract for subject acquisition in tailored FAR Clause 52.237-7. If an apparent successful offeror, the contractor shall provide evidence of insurability concerning medical liability insurance prior to task order award. Upon task order award, the contractor shall provide evidence of insurance demonstrating the required coverage prior to commencement of performance. In accordance with Federal Acquisition Regulation (FAR) Clause 52.237-7, the contractor will indemnify the Government for any liability producing act or omission by the contractor, its contract employees and agents occurring during contract performance. If the contractor uses subcontractors in the performance of this contract, the contractor is required to ensure that its subcontracts for provisions of healthcare services contain the requirements of FAR 52.237-7, including the maintenance of medical liability insurance.

1.4.2. Responsibility and Procedures.

1.4.2.1. If any suit or action is filed or any claim is made against the contract employee, which occurred as a result of work performed by the employee under this contract, the employee shall immediately notify the contractor and the Contracting Officer and the chief of the appropriate services and promptly furnish them copies of all pertinent papers received.

PWS PART 2

DEFINITIONS AND ACRONYMS

2.1. DEFINITIONS: The definitions set forth below are those unique to this contract. Definitions for technical terms or words that are included in this contract can be found in the technical documents referenced in the individual functional areas of the PWS. The definitions provided below are oriented to Fort Knox’s PWS. In many cases, definitions are specific by situation. The listing of definitions is not all-inclusive, but it has been derived from official publications (e.g., regulations and technical manuals) when available.

Acceptable Quality Level (AQL): The AQL is a designated value (percent) of defective outcomes/service that the Government indicates will be accepted using acceptable sampling techniques and procedures.

Alternate Contracting Officer’s Representative (ACOR): An alternate individual from the functional activity appointed by the Contracting Officer and delegated specific authority to monitor contract performance and to perform specific contract administration functions in the absence of the COR .

Business Day: Monday through Friday, except for government recognized holidays and days the Detroit Arsenal has been closed for all but emergency business.

Contracting Officer (KO): An individual with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

Contracting Officer's Representative (COR): An individual from the functional activity appointed by the Contracting Officer and delegated specific authority to monitor contract performance and to perform specific contract administration functions.

Defective Service: A unit of service, which contains one or more defects and does not conform to specified requirements.

Federal Acquisition Regulation (FAR): Provides uniform policies and procedures for acquisitions by executive agencies of the federal Government.

Government Furnished Property: All tangible property of Government furnished to Contractor.

Performance Standard: A measurable output or result associated with the performance-based description of a requirement found in the PWS.

Quality Control: Those actions taken by the Contractor to control the in-process performance of goods or services to ensure that contract quality standards are met.

Quality Assurance Surveillance Plan (QASP): An organized written document used by the Government for quality assurance surveillance.

2.2. ACRONYMS. For the purpose of the resultant contract, the acronyms listed below shall apply:

DHA Defense Health Agency

PWS PART 3

GOVERNMENT FURNISHED PROPERTY (GFP)

3.1. GENERAL: N/A

PWS PART 4

CONTRACTOR-FURNISHED ITEMS AND SERVICES

4.1. GENERAL: With the exception of items specifically identified as Government furnished in Part 3, the Contractor shall furnish all supplies, equipment and labor necessary to perform the requirements of this contract.

4.2. RESOURCES. Unless otherwise stated, the Contractor will furnish all labor, supervision, equipment, materials, and supplies necessary to perform the services as required by the contract.

4.3. PERMITS, TAXES, LICENSES, ORDINANCES, AND REGULATIONS: The Contractor shall, at his own expense, obtain all necessary permits, give all notices, pay all license fees and applicable taxes, comply with municipal, State, and Federal laws, ordinances, rules and regulations applicable to the business carried on under this contract.

4.4. CONTRACTOR OWNED PROPERTY:

4.4.1. Condition of Property: All property utilized on this contract shall be in an operable condition and shall meet all applicable Federal, State, Local, and requirements for its operation. Equipment shall also have complete and intact all design and safety features as if they were new excluding the appearance of fair wear and tear on the equipment.

4.4.2. Operation: All Contractor owned equipment shall be operated according to applicable Federal, State, Local, and Installation laws and regulations as they apply to the equipment. This includes the requirement that Contractor personnel shall be adequately trained and possesses all necessary licenses, certification, or other required documents to operate the equipment.

PWS PART 5

SPECIFIC TASKS

5.1. The contractor shall provide health care support for Detroit Arsenal. The contractor shall provide qualified personnel, services, materials, equipment, supplies and facilities necessary to shall perform Audiology evaluations for eligible Department of the Army civilian employees from Detroit Arsenal, Warren MI, referred from the Occupational Health Nurse. The contractor shall provide the contract services at the contractor’s office, which must be located within a 50 mile radius of Detroit Arsenal as a required condition for effecting the contract services. These services will be in support of, as needed, audiometric testing, evaluation, and remedial services for patients with a variety of hearing problems, meeting or exceeding current recognized national standards as established by the Joint Commission and the American Medical Association (AMA).

5.2. The contract provider may be an audiologist or a physician, who has successfully completed a residency in otolaryngology. The contract audiology and/or contract physician shall be licensed to practice in the same state in which the contractor’s office/clinic is located. Audiometric testing must be administered by a physician, audiologist, or an audiometric technician certified by the council for Accreditation in Occupational Hearing Conservation. Audiometric technicians must administer audiometric tests under the supervision of a physician or audiologist.

5.3. Audiology Services. The contractor shall perform comprehensive audiology evaluations on eligible Department of the Army civilian employees. Our Occupational Health Clinic would contact the office with a referral to set up an appointment for a patient. Only physician diagnosed noise-induced hearing loss. The contractor shall use all reasonable methods of differential diagnosis to include but not limited to: New patient office visits, Basic Comprehensive Audiometry of the individual’s auditory history and previous hearing tests, Tympanometry (Impedance Testing), Acoustic Reflex Decay Test, Acoustic Reflex Test, Pure Tone Audiometry (Air and Bone), Pure Tone Audiometry (Threshold, Air Only), Speech Audiometry (Threshold only), Speech Audiometry (Threshold & Discrimination), and Sprint Test.

5.3.1. The contractor shall perform services during weekdays, Monday through Friday, excluding legal Federal Holidays, between the hours of 0800 and 1600, as scheduled by the Occupational Health Clinic (OHC), Detroit Arsenal, Warren MI. The contractor shall schedule patients within 72 hours of telephonic request from the clinical staff of the OHC, Detroit Arsenal, Warren MI. The contractor shall be paid only for audiology examinations actually performed at the rates established in the contract.

5.4. Written evaluation. The contractor shall provide a written report within fifteen (15) calendar days after conducting test(s). The report shall summarize findings and recommendations, and will advise if the individual’s hearing condition is work-related and what additional follow-up actions, if any, are recommended. Statements about non-occupational noise exposure (e.g. hunting, motorcycling, chain saw use), must be included in the patient history. The contractor shall send the written report to the Occupational Health Nurse, Detroit Arsenal, Warren MI by fax or mail.

5.4.1. The contractor shall include the following in the written report.

5.4.1.1. Descriptive terminology understandable to a lay person.

5.4.1.2. A summary of all test results including the type and degree of hearing loss. If the loss is sensorineural, indicate if there is any indication of possible retrocochlear involvement.

5.4.1.3. Recommendations for additional testing, medical evaluations and/or amplification. If amplification is discussed, please indicate its benefits and restrictions, e.g. hearing aids are not to be worn while exposed to hazardous noise.

5.4.1.4. If diagnostic testing reveals a medially related hearing loss, the contractor shall refer the patient back to the Occupational Health Nurse, Detroit Arsenal, Warren MI. Conductive hearing loss is not the result of exposure to loud noise, so treatment for conductive hearing loss is not the responsibility of the government. However, the patient should be advised to seek care at his/her own expense to ensure the medical problem is treated. The contractor shall discuss all finding and recommendations with the patient at the time of evaluation. The contractor shall only perform and receive payment for the audiology evaluation, as requested by the Occupational Health Nurse, Detroit Arsenal, Warren MI.

5.5. Limitations. Department of the Army employees will not receive any additional testing or services at Government expense. The contractor shall not, while conducting services under this contract, perform any other examinations of services except as identified above.

5.2.2.3. All testing results should be sent to:

Occupational Health Clinic Nurse Supervisor 6501 E 11 Mile Road Bldg 230 Room 134W Warren MI, 48397 Office Phone: 586-282-9512 Fax: 586-282-5581

SECTION 1

INSPECTION AND ACCEPTANCE

1. INSPECTIONS: Government inspections are for the sole benefit of the Government and do not relieve the Contractor of his responsibility for providing adequate quality control measures. The Government will perform quality assurance (QA) of the Contractor's performance under this contract using the method of surveillance specified in the Quality Assurance Surveillance Plan (QASP). The Government’s QASP will be provided to the contractor after contract award. The COR may compare results of inspections performed by the Contractor’s inspectors with the actual conditions observed during Government inspections. In addition for Performance Improvement (PI): The Infection Control Officer (ICO) or his designated representative will monitor contractor compliance and evaluate services performed in accordance with The Joint Commission standards. The ICO may request certain documentation from the contractor in the conduct of Contract Performance Surveillance

2. ACCEPTANCE: The Government will accept all work when the Contractor performs and completes the work within the standards described in the PWS.

3. NON-CONFORMANCE: Failure by the Contractor to perform the work in accordance with the Performance Work Statement shall be considered a non-conformance, shall constitute a contract deficiency, and may be grounds for contract deduction in accordance with the QASP.

4. GOVERNMENT'S RIGHTS: The rights of the Government and remedies described in this section are in addition to all other rights and remedies set forth in this solicitation. Specifically, the Government reserves its rights under the Terms and Conditions clause, reference FAR Clause 52.212-4. Any deductions shall reflect the reduced value of services performed under the contract. The Contractor shall not be relieved of full performance of the services hereunder. The Government may modify the type and frequency of inspection of items.

SECTION 2

DELIVERIES OR PERFORMANCE

1. PERFORMANCE: Refer to Section 1, the Performance Work Statement.

2. FEDERAL HOLIDAYS: Beyond the observance of Federal Holidays or uniquely occurring national events, the Contractor may observe other dates of public or religious significance; however, the occurrence and observation of such shall not relieve the Contractor from full performance of any contract requirement. Federal Holidays are as follows:

Juneteenth 19 June

SECTION 3

CONTRACT ADMINISTRATION DATA

1. CONTRACT ADMINISTRATION: After award, NRCO, Fort Drum Contracting Cell will administer the contract. The Contractor shall, after receipt of the contract, direct all questions concerning the contract to:

NRCO, Fort Drum Contracting Cell BLDG P-11056 MT. Belvedere BLVD Fort Drum NY 13602-5220 Telephone: 315-772-1559 Fax: 315-772-1941

2. IMPORTANT NOTICE: The Contractor will not accept any instructions issued by any person other than the Contracting Officer or his/her authorized representative acting within the limits of his/her authority. No information other than that which may be contained in any authorized amendment to this solicitation or any authorized modification to any resulting contract issued by the Contracting Officer, which may be received from any person employed by the U.S. Government or otherwise, shall be considered as grounds for deviation from any provisions, conditions or other terms of this solicitation or any resulting contract.

3. CONTRACTING OFFICER'S REPRESENTATIVES AND THEIR AUTHORITY:

3.1. The Contracting Officer will designate individual(s) to act as the Contracting Officer’s Representative (COR) under this contract. Such designations will be made by letter from the Contracting Officer with an information copy furnished to the Contractor. The COR’s staff will represent the Contracting Officer in the administration of the contract but will not be authorized to change any of the terms and conditions of the contract.

3.2. No oral statements of any person, whomsoever, will in any manner or degrees modify or otherwise affect the terms and conditions of this contract. The Contracting Officer shall be the only person authorized to approve changes in any of the requirements under this contract, and notwithstanding any provisions contained elsewhere in this contract, said authority shall remain solely with the Contracting Officer. The COR may make changes to estimated quantities ordered on each task order, but may not exceed the totals funds available on the task order. Otherwise, the COR's authority shall be limited to that authority specified in his letter of appointment.

4. CONTRACTOR MANPOWER REPORTING: The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor shall report ALL Contractor labor (including subcontractor labor) required for performance of services under this contract. The Contractor is required to provide all of the information requested and in the format required, using the following web address https://cmra.army.mil. The requirement is: Data must be entered into the CMR application after completion of each fiscal year (30 September), the deadline to enter data is 31 October.

4.1. Contract Manpower: The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor will report ALL Contractor manpower (including subcontractor manpower) required for performance of this contract. The Contractor is required to completely fill in all the information in the format using the following web address https://cmra.army.mil/ . The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer’s Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of Contractor employee entering data; (5) Estimated direct labor hours (including sub-Contractor); (6) Estimated direct labor dollars paid this reporting period (including sub-Contractor); (7) Total payments (including sub-Contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by Contractor (and separate predominant FSC for each sub-Contractor if different); (9) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the Contractor with its UIC for the purposes of reporting this information); (10) Locations where Contractor and sub-Contractors perform the work (specified by zip code in the United States and nearest City, Country, when in an overseas location, using standardized nomenclature provided on website); (11) Presence of deployment or contingency contract language, and, (12) Number of Contractor and sub-Contractor employees deployed in theater this reporting period (by country). (13) As part of its submission, the Contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each Government fiscal year and must be reported by 31 October of each calendar year. The Contractor shall notify the Contracting Officer’s Representative (COR) by the 5th working day of November whether or not they have completed this report. If the COR is unavailable, the Contractor will notify the Contracting Officer.

5. 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 is considered confidential and shall not be used for purposes other than the performance of work under this order.

6. CONTRACT PAYMENT/ELECTRONIC FUNDS TRANSFER: Reference FAR clause 52.232-33 Mandatory Information for Electronic Funds Transfer Payment (OCT 2003). This clause requires that contract payments be made by electronic funds transfer by the Finance Office. The contractor shall provide information required concerning the financial institution to receive electronic funds transfers to the designated payment office.