Attachment 1 OHWS PWS 21 May 24 .docx

PERFORMANCE WORK STATEMENT (PWS)

for Optimizing the Human Weapons System Services

1.0 General:

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform OHWS – Optimizing the Human Weapons Services, as defined in this PWS.

1.1.1 Objectives: The purpose of placing OHWS program for aircrew is to reduce frequency and severity of injuries and time lost from service, improve long term quality of life, optimize human performance and readiness, avoid injury prior to occurrence, increase aircrew production, and support fighter aircrew retention.

1.2 Background: The Chief of Staff of the Air Force, noting a shortage of fighter aircrew due to suboptimal retention, directed a task force to investigate the reasons behind the premature departure of fighter aircrew. One of the retention issues noted by fighter aircrew is pain and disability from neck and back issues resulting from the extremely challenging physical demands of flight in Air Force fighters. Surveys indicate up to 98% of Air Force fighter aircrew have some type of spine discomfort during their career. 0% of 173 FW rated pilots report spine discomfort. This includes issues in the neck, upper back, and lower back (cervical, thoracic, and lumbar spine). The Operation Human Weapons System (OHWS) program is intended to address this pressing concern and better prepare fighter aircrew to meet the unique physical needs of fighter operations. Conditioning is accomplished through a comprehensive, coordinated, multidisciplinary “pre-habilitative” physical training program with focused strength and conditioning, massage and manual therapy, and rehabilitation.

1.3 Period of Performance (PoP): The Period of Performance shall be a 394 day Base and two 12-month options.

1.4 General Information:

1.4.1 Place and Performance of Services: The Contractor shall provide services between the hours set forth by the 173d Operations Group (OG) except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. On scheduled weeks involving late take-off/land times for aircrew (e.g. “night flying”), the standard times will fluctuate based on the schedule of the population served, but will not be in excess of a 10-hour day. The 173 OG will provide at least two weeks’ notice when there will be a change to the standard operating hours. Performance shall be at the squadron building and/or designated facilities on the base. The Contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the work force are essential.

1.4.1.1 Telework: The Government does not permit the contractor to telework in support of this requirement.

1.4.1.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.1.3 The contractor’s employees shall become familiar with and obey the regulations of the installation, including fire, traffic, safety, and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall always carry proper identification with them and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance. The Government reserves the right to direct the removal of an employee from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays. The contractor shall not perform services on these days:

1.4.3 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non- recurrence of defective services. The contractor’s QCP is the means, by which it assures itself that its work complies with the requirements of the contract. At a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). The plan shall include an inspection system covering all the services contained in this PWS. In addition, it shall include the methods for identifying and preventing defects in the quality of service performed before the level of performance becomes unacceptable; and the procedures for maintaining on site record of all inspections conducted by the Contractor and necessary corrective action taken. It must specify the areas to be inspected on either a scheduled or unscheduled basis, how often inspections will be accomplished, or the title of the individual(s) who will perform the inspection. As part of the QCP, the contractor shall submit a monthly summary report to the COR. A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 working days after contract award. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.4 Quality Assurance (QA): The Government 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 Government will 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 acceptable quality level(s) or defect rate(s).

1.4.5 Access and General Protection/Security Policy and Procedures. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Contracting Officer’s Representative (COR). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by the local installation’s Security Forces, Director of Emergency Services, or local Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DoD, Headquarters Air Force (HAF) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1. The contractor shall obtain base identification and vehicle passes, if required, for all contractor personnel who make frequent visits to or perform work on the Air Force installation(s) cited in the contract. Contractor personnel are required to wear or prominently display installation identification badges or contractor-furnished, contractor identification badges while visiting or performing work on the installation.

2. The contractor shall submit a written request on company letterhead to the contracting officer listing the following: contract number, location of work site, start and stop dates, and names of employees and subcontractor employees needing access to the base. The letter will also specify the individual(s) authorized to sign for a request for base identification credentials or vehicle passes. The contracting officer will endorse the request and forward it to the issuing base pass and registration office or Security Forces for processing. When reporting to the registration office, the authorized contractor individual(s) should provide a valid driver s license, current vehicle registration, valid vehicle insurance certificate, and any additional requirements to comply with local security procedures to obtain a vehicle pass.

3. During performance of the contract, the contractor shall be responsible for obtaining required identification for newly assigned personnel and for prompt return of credentials and vehicle passes for any employee who no longer requires access to the work site.

4. When work under this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with AFI 31-101, Integrated Defense, and DODMAN5200.02_AFMAN 16-1405, Air Force Personnel Security Program.

5. Upon completion or termination of the contract or expiration of the identification passes, the prime contractor shall ensure that all base identification passes issued to employees and subcontractor employees are returned to the issuing office.

6. Failure to comply with these requirements may result in withholding of final payment.

1.4.5.1. For Contractors Requiring Common Access Card (CAC). For installation(s)/location(s) cited in the contract, contractors shall ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel who meet one or both of the following criteria:

a) Require logical access to Department of Defense computer networks and systems in either:

(i) the unclassified environment; or

(ii) the classified environment where authorized by governing security directives.

(b) Perform work, which requires the use of a CAC for installation entry control or physical access to facilities and buildings

(c) While visiting or performing work on installation(s)/location(s), contractor personnel shall wear or prominently display the CAC as required by the Governing local policy.

Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated Tier 1 (T1) or higher investigation IAW DoDI 5200.46. The contractor employee 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/interim CAC may be issued based on a successfully scheduled T1 with the Office of Personnel Management and a favorable completion of an FBI fingerprint check.

1.4.5.1.1 Homeland Security Presidential Directive (HSPD)-12 Background Investigation Requirements: The contractor shall ensure that all contractor and subcontractor personnel whose duties require CAC card issuance obtain them, and shall process all CAC card applications. The contractor shall ensure that all employees requiring a T1 be vetted by the cognizant security activity Chief, Information Protection (CIP) to ensure a proper investigation is on record. The CIP will process the T1 if needed. The contractor shall ensure immediate compliance with all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system. The contractor is cautioned that the entire process from submittal of the investigation may take multiple weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure that contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.4.5.1.2. Contractors and their personnel shall use the following procedures to obtain Common Access Cards (CAC):

(a) Contractors shall provide a listing of personnel who require a CAC to the contracting officer. The Government will provide the contractor instruction on how to complete the Contractor Verification System (CVS) application and then notify the contractor when approved.

1.4.5.1.3 Contractor personnel shall obtain a CAC from the nearest Real Time Automated Personnel Identification Documentation System (RAPIDS) Issuing Facility (typically the local Military Personnel Flight (MPF)). At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor employee by Social Security Number (SSN) and two forms of identification. Identity source documents must come from the list of acceptable documents included in Form I-9, OMB No. 1615-0047, "Employment Eligibility Verification". Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture ID. The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS, and will then issue a CAC. Issued CACs will be valid for no longer than three years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

1.4.5.1.4 During the performance period of the contract, the contractor shall:

1. Within 7 working days of any changes to the listing of the contract personnel authorized a CAC, provide an updated listing to the contracting officer who will provide the updated listing to the authorizing Government official;

2. Return CACs in accordance with local policy/directives within 7 working days of a change in status for contractor personnel who no longer require logical or physical access;

3. Return CACs in accordance with local policy/directives within 7 working days following a CACs expiration date; and

4. Report lost or stolen CACs in accordance with local policy/directives.

1.4.5.1.5 Within 7 working days following completion/termination of the contract, the contractor shall return all CACs issued to their personnel to the issuing office or the location specified by local policy/directives. A receipt for each returned card shall be provided to the TA/COR

1.4.5.1.5.1 Failure to comply with these requirements may result in withholding of final payment.

1.4.5.1.6 Reserved.

1.4.5.2 For Contractors that do not require CAC but require access to a DoD Facility and/or Installation. Contractor and all associated sub-contractors’ employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Air Force Instruction (AFI) 10-245, AFI 31-101 and Air Force Manual (AFMAN) 31-113), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by Government representative.)

1.4.5.3 Antiterrorism Awareness Level I Training (AT Level I). All contractor employees, to include subcontractor employees, requiring access to US Government installations, facilities and controlled access areas shall complete AT Level I training within 15 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. AT Level I may be accomplished by a Level I qualified instructor, completing the Force Protection computer-based training (CBT) course on the Advanced Distributed Learning System (ADLS) or Joint Knowledge Online at http://jko.jten.mil. Tracking for each contractor or subcontractor employee is the responsibility of the COR or unit AT Representative. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel.

1.4.5.4 Reserved.

1.4.5.5 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.6 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy, and their actions affect the most vulnerable portion of the Air Force Infostructure. Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

1.4.5.6.1 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.5.6.2 Complete initial and/or annual Information Assurance (IA) training as required by applicable Air Force/ANG policy.

1.4.5.6.3 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.4.5.6.4 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.5.6.5 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.5.7 Advanced Distributed Learning Service (ADLS). All contractor employees and associated sub-contractor employees assigned to work on a government site and/or requiring access to a DoD network will be required to register with ADLS at commencement of services to complete the necessary training required of them initially and annually for the duration of the contract (i.e., DoD IAA Cyber Awareness, Protecting Sensitive Information, Force Protection, etc.). ADLS website: https://golearn.csd.disa.mil/kc/rso/login/ADLS_login.asp

1.4.5.8 Reserved.

1.4.5.9 Reserved.

1.4.5.10 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

1.4.5.11 Requirement for OPSEC Training. In accordance with AFI 10-701, Operations Security, OPSEC PMs/Signature Managers/Coordinators will provide OPSEC training or training materials to contract employees within 30 days of employees’ initial assignment to the contract and prior to having access to any critical information (CI) and annually thereafter. General organizational orientations may need to be supplemented by duty- related orientations in the work center targeted toward specific critical information and vulnerabilities associated with the work. Initial training (OPSEC 1301 - OPSEC Fundamentals) is located on the ADLS website and refresher OPSEC training is conducted annually (at Commander's Call). The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training.

1.4.5.12 Reserved.

1.4.5.13 Reserved.

1.4.5.14 Reserved.

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.6.1 Reserved.

1.4.6.2 Reserved.

1.4.7 Reserved.

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR Subpart 42.5. The KO, COR, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: 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 that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e- mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.10.1 The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles pass) to the KO within 7 days of an employee’s departure.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero-tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR Subpart 22.17.

1.4.12 Reserved.

1.4.13 Data Rights: The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications, or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.4.15 Phase In / Phase Out Periods: Not applicable.

1.4.16 Safety: the contractor shall comply with the following safety requirements:

1.4.16.1 Occupational safety: Safety of personnel and performance shall conform to Office of Safety and Health Administration (OSHA) requirements as specified in AFI 91-203, Air Force Consolidated Occupational Safety Instructions.

1.4.16.2 Damage Reports: Provide a verbal report to the COR 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.

1.4.16.3 Accident Investigation Reports: Provide a completed copy of required Accident Investigation Reports to the COR/CO within five (5) calendar days of each occurrence.

1.4.16.4 Reporting Requirements: The Contractor personnel shall report to an appropriate authority any information or circumstances of which they are aware may pose a threat to the security of DoD personnel. Contractor personnel, resources, and classified or unclassified defense information.

1.4.17 Criminal Investigations: Contractor personnel shall comply with the requirements of AFI 71-101, Volume 1, Criminal Investigations, 4 Feb 15 and AFI 71-101, Volume 2, Protective Service Matters, 23 Jan 14. These regulations require contractor personnel to report any information or circumstances of which they are aware that may pose a threat to the security of DoD personnel, contractor personnel, resources, and classified or unclassified Defense information to their immediate supervisor. The immediate supervisor is required to provide the information to the CO/COR within 24 hours. The immediate supervisor of contractor personnel shall brief on this requirement during initial on-base assignment and as required thereafter.

2.0 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 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non- manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.5 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.9 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2 Acronyms:

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include desk space, telephones and other items necessary to maintain an office environment. Contractors should be prepared to work in a 300 sq. ft. facility although larger accommodations may be possible. The Government may increase the work area at their discretion.

3.2 Materials: None

3.3 Equipment: None; of note, the contractors will have access to the squadron gym which has basic strength equipment and cardiovascular equipment. If further equipment is needed to carry out services, it will not be furnished by the government. If utilized the contractor shall be liable for loss or damage to government equipment beyond fair wear and tear. In accordance with 1.4.16.2, the contractor shall report all lost, damaged or destroyed government equipment to the COR/KO within seventy-two (72) hours of discovery. In the case of loss or damage beyond economical repair to equipment, the KO shall determine the amount of the contractor’s liability.

3.4 Services: None

3.5 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.0.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

4.0.2 The contractor shall provide HIPAA Compliant software to perform all functions and communications of Electronic Medical Records

4.0.3 The contractor shall provide equipment to meet the technical needs of the program. At a minimum, evidence based and clinically practical equipment to strengthen the neck, back and spine in preventive and rehabilitative manner.

4.0.4 The contractor shall provide at minimum, two exam tables or plinths for treatment and prevention use.

4.0.5 The contractor shall provide tools for soft tissue therapy as needed to carry out therapeutic interventions.

4.0.6 The contractor shall provide tools and/or technology to objectively measure and track spine and neck strength. The technology shall be evidence based, research supported and validated, accurate, and relevant to fighter aircrew.

4.0.7 The contractor shall provide evidence based, safe, and progressive neck and spine strengthening protocols utilizing tools and/or technology such as Iron Neck, neck weight system, or similar as approved by KO.

5.0 Requirements: Services provided by the contractor shall include: initial functional assessment of each aircrew, care for personnel who individually seek the services of OHWS Specialist for optimization or injury; subject matter expertise concerning pre-habilitation evaluation/assessment, injury prevention, injury treatment, accommodation processes and implementation, ergonomic assessment and implementation, remedial training, and optimized performance physical training (e.g., strength and conditioning for fighter aircrew).

5.1 Primary Injury Prehabilitation and Prevention: Contractor service includes assessment of status, optimization of needed deficits found, and a plan of action to mitigate potential injuries or issues in aircrew capacity.

5.1.1 Each aircrew seeking prehab/prevention shall receive an initial performance evaluation gathering data as listed in position descriptions section 5.5 and 5.6 within one week of request.

5.1.2 Each Aircrew seeking prevention services will receive a needs analysis and specific program based off their found deficits, individual goals, and risk factors.

5.2 Injury Treatment: Athletic Trainer shall evaluate and treat aircrew with acute or chronic complaint within their scope of practice. Evaluation shall be within 48 hours of request. Justifiable reasons for delay include installation closure, employee vacation, and Unit Drill schedule in the case of geographically distant Traditional Guardsmen, contractor capacity restraints, or acts of God.

5.2.1 Services offered will be within scope of practitioner and credentials; treatment for injury treatment will include soft tissue mobilization, joint mobilization/manipulation, therapeutic modalities, and therapeutic treatments.

5.3 Communication with flight medicine: Contractor will communicate with the unit’s flight surgeon for concerns and updates regarding significant musculoskeletal issues. Contractor will respect limits of training and practice within scope of license and abilities.

5.4 Reporting Requirements: The contractor shall track the status of all aircrew who are currently being followed in the OHWS program. Due NLT 3 business days after the final business day of each month, the contractor shall provide the COR a status report which will include an aggregate number of

• new aircrew (in the program less than one week),

• aircrew established in the program (whose progress is on track), and

• aircrew who are not making expected progress.

In conjunction with the written report to the COR, the contractor shall brief squadron-assigned military medical personnel on the status of each aircrew member who is not making expected progress, to establish or adjust additional plans and/or referrals. Briefing date(s) shall be coordinated with unit COR.

5.4.1 The Contractor shall establish relationships with Klamath Falls/Medford/Bend, Oregon- area physicians who accept Tri-Care medical coverage, to facilitate full spectrum treatment, continuity of care, and coordinated case management. Establishment and maintenance of such relationships shall include in-person and telephone communication.

5.5 Strength and Conditioning Coach: The contractor will provide strength and conditioning coaches that are responsible for preparing fighter pilots for the physical rigors of combat aviation. Coaches are expected to employ a holistic approach to training that incorporates ‘prehab,’ performance training, and strength & conditioning. Additionally, and when necessary, coaches may be utilized as a complementary support role in rehabilitation, with an aggressive “return-to-fly” mindset. Daily activities could include instruction, demonstration, and application of physical training principles and techniques.

5.5.1 Educational Requirements: 5+ years of full-time experience as a strength and conditioning specialist with tactical, professional, or collegiate athletes. Bachelor's degree or higher in Human Performance, Kinesiology, Exercise Science or a related field. National Strength and Conditioning (NSCA) Certified Strength and Conditioning Specialist (CSCS) or Collegiate Strength and Conditioning Association (CSCCa) and Strength and Conditioning Coach Certified (SCCC). Current certification in basic cardiopulmonary resuscitation (CPR) including Automated External Defibrillator (AED) Training.

5.5.2 Develop, implement and teach fitness skills to aircrew with varying ability levels

5.5.3 Develop, design and implement a cohesive and comprehensive programming approach

5.5.4 Design and implement generalized and/or specific training programs for pilot clientele, when both reasonable and feasible, as requested.

5.5.5 Build rapport with clients and motivate them to achieve higher levels of performance

5.5.6 Effectively teach various blocks of instruction related to health, fitness and physical performance

5.5.7 Employ relevant technologies, including third party fitness/nutrition apps to support the training program and improve client performance

5.5.8 Deliver briefings, educational sessions, and seminars.

5.5.9 Continue to research, gather data, and employ the most modern and supported best practices in the field of strength and conditioning to include validated functional assessments.

5.5.10 Maintain all professional credentials and certifications

5.6 Athletic Trainer: The contractor will provide athletic trainers (ATs) that are responsible for preparing fighter pilots for the physical rigors of combat aviation and assist in efficient recovery and return to flight. ATs are expected to employ a holistic approach to training and rehabilitation that incorporates ‘prehab,’ utilizes and collaborates with strength & conditioning (S&C) and uses treatment modalities to aid in pain relief and rehabilitation. Additionally, ATs will collaborate as a team with S&C, to include rehabilitation, with an aggressive “return-to-fly” mindset. Daily activities could include assessment of pilot status, treatment of limiting condition, referral to higher care as needed, and assisting in prevention of further episodes.

5.6.1 Education Requirements: 3+ years of experience as a licensed athletic trainer with tactical, professional, or collegiate athletes. Bachelor's degree or higher in exercise science, health science, athletic training, or physical education related discipline from a Commission on Accreditation of Athletic Training Education (CAATE) accredited program AND Master's degree in Exercise Science, Health Science, or Athletic Training. National Athletic Trainers' Association Board of Certification; current certification in basic cardiopulmonary resuscitation (CPR), including automated external defibrillator.

5.6.2 Responsible for the prevention, evaluation, treatment, management, and rehabilitation of musculoskeletal injuries

5.6.3 Develop, collaborate, and implement a well-rounded program alongside S&C with a focus on holistic and long-term health versus physical performance.

5.6.4 Ensure safety in the design and implementation of fitness and conditioning programs customized to meet individual needs.

5.6.5 Screen for risk factors that would increase the risk of injury/illness. These screening procedures must include flexibility and mobility assessments, muscular strength and endurance assessments, cardiovascular fitness assessments, postural and ergonomic assessment, and body composition assessments.

5.6.6 Utilize manual therapy and modalities for treatment, rehabilitation, and optimization of Aircrew.

5.6.7 Implement neck and spine strengthening protocols that are evidence based and specific to aircrew. These protocols will be based on both subjective and objective measures of spine health; measurements could include Oswestry Disability Index, SF-36, Neck Disability index, Sorenson test, and neck isometric strength. These measurements are to be predetermined, research validated, related to the needs of high +Gz air crew, and consistent with current rehabilitation and performance best practice.

5.6.7.1 “Human Performance” and “Injury Trending” Metrics. NLT 3 business days after the last business day of each month, the contractor shall produce an “Injury Trending” metrics written report to include: injuries within the 173 FW pilot populace, age of injury types, origin of injury, types of injuries, deployed vs. non-deployed injuries, cost analysis of injury rehabilitation sessions, comparative billing of each injury rehabilitation session, cancellation/no-show rates, injuries which require surgery, and trends of injuries over periods of time. Human performance metrics gathered using subjective and objective measurements such as those defined in 5.5.9, 5.6.5, 5.6.7, shall be reported bi-yearly (NLT 31 March & 30 September) to assess fighter pilot’s compliance with the human performance program.

5.7 Continuing Education: Contractor will pursue continuing education as required to remained licensed per state or national agency requirements. Continuing education focus should be on related fields to aircrew such as the following examples : 19th Air Force Annual Human Performance Aircrew Conference, Luke Air Force Base Human Performance Seminars, and training at other OHWS/CRAFT/Human Performance Team locations throughout the Air Force and ANG.

5.8 Treatment Hours and Specification

5.8.1 OHWS Specialist services are only available for rated military members. The contractor will be given a list of individuals authorized under this program.

5.8.2 Most days there will be two flights (GOs); after the First and/or Second Go, the Contractor shall provide a Post-Flight Flex Time, minimum of 60 minutes, but no longer than 90 minutes, that will allow for members to be seen after flying to tend to any immediate flying related injuries or problems. Post-Flight Flex Time shall be based off the scheduled first takeoff of each flying go per day. The Post-Flight Flex Time will normally begin one hour after the first scheduled takeoff of each go. This will allow and account for “Walk-ins” if there is a low demand for immediate triage during the Post-Flight Flex Time.

6.0 Applicable Publications: Publications applicable to this PWS are listed below:

Federal Acquisition Regulation https://www.acquisition.gov/?q=browsefar

Defense Federal Acquisition Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/current/in dex.html or https://www.acquisition.gov/dfars

Joint Travel Regulation (JTR) https://www.defensetravel.dod.mil/site/travelreg.cfm

DoDM 1000.13-M-V1 DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b) 01/23/2014 (Change 1: 07/28/2020) http://www.esd.whs.mil/Directives/issuances/dodm

Federal Information Processing Standards (FIPS) Publication 201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors (Paragraph 9) August 2013 http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201 -2.pdf

DoDM 5200.2 Procedures for the DoD Personnel Security Program

(PSP)

04/03/2017 https://www.esd.whs.mil/Directives/issuances/dodm/

DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card (CAC) 09/09/14 (Change 1: 05/04/2018) https://www.esd.whs.mil/Directives/issuances/dodi/

Homeland Security Presidential Directive (HSPD)-12 Policy for a Common Identification Standard for Federal Employees and Contractors 08/27/2004 https://www.dhs.gov/homeland-security-presidential- directive-12

DoDI 5400.11 Department of Defense Privacy and Civil Liberties Programs 01/29/2019 https://www.esd.whs.mil/Directives/issuances/dodi/

DoD 5400.11-R Department of Defense Privacy Program 05/14/2007 https://www.esd.whs.mil/Directives/issuances/dodm/

DoDD 8140.01 Cyberspace Workforce Management

10/05/2020 https://www.esd.whs.mil/Directives/issuances/dodd/

DoD 8570.01-M Information Assurance Workforce Improvement Program 12/19/2005 (Change 4: 11/10/2015) https://www.esd.whs.mil/Directives/issuances/dodm/

DoD 5220.22-M National Industrial Security Program Operating Manual (NISPOM) 02/28/2006 (Change 2: 05/18/2016) https://www.esd.whs.mil/Directives/issuances/dodm/

AFI 10-245

Antiterrorism 03/28/2013 (Certified current 03/30/2017) https://www.e-publishing.af.mil/Product- Index/#/?view=pubs&orgID=10141&catID=1&series =-1&modID=449&tabID=131

AFI 31-101

Security Forces Standards and Procedures 08/18/2020 https://www.e-publishing.af.mil/Product- Index/#/?view=pubs&orgID=10141&catID=1&series =-1&modID=449&tabID=131

AFMAN 31-113

Security Forces Standards and Procedures 03/05/2013 Change 1: 12/02/2015 https://www.e-publishing.af.mil/Product- Index/#/?view=pubs&orgID=10141&catID=1&series =-1&modID=449&tabID=131

AFPD 17-1

Information Dominance Governance and Management 04/12/2016 https://www.e-publishing.af.mil/Product- Index/#/?view=pubs&orgID=10141&catID=1&series =-1&modID=449&tabID=131

AFI 10-701

Operations Security 7/24/2019 (Change 1: 06/09/2020) https://www.e-publishing.af.mil/Product- Index/#/?view=pubs&orgID=10141&catID=1&series =-1&modID=449&tabID=131

6.1 Applicable Forms: Forms applicable to the PWS are listed below:

DD 1172-2

Application for Identification Card/DEERS Enrollment

I-9 Employment Eligibility Verification

DD 441

Department of Defense Security Agreement

DD 250

Material Inspection and Receiving Report

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

This PRS includes performance objectives the Government will use to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

5.1 Primary Injury Rehabilitation The Contractor shall evaluate and provide services to all pilots who request the services each month.

5.0 Initial Appointments

· new aircrew (in the program less than one week),

· aircrew established in the program (whose progress is on track), and

· aircrew who are not making expected progress 100% of the time, the report will be received by the COR NLT 3 business days after the last business day of the month Review of monthly report / COR

5.5.3 5.6.3 Individual Training Programs

assessment results, subjective and objective outcome measures, unique training plans, and any modifications to the plan based on the physical performance status of the aircrew

5.2 Spinal Injury Treatment and Preventative Care

per month Monthly record, report Reviews, and client feedback / COR

written report NLT 3…