Attachment 1 - PWS and PRS Medical Services - FY 21 Final.docx

PERFORMANCE WORK STATEMENT (PWS)

FOR

MAINE ARMY NATIONAL GUARD YOUTH CAMP MEDICAL 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 Medical Services, as defined in this PWS.

1.1.1 Objectives: The Maine Army National Guard (MEARNG) intends to host a Youth Camp to provide training and resources for military youth in the State of Maine per guidance in AR 600-12.

1.2 Background: The Maine National Guard (MEARNG) Family Program Child & and Youth intends to conduct their annual Youth Camp to provide training and resources for military youth in the State of Maine per guidance in AR 600-12. The camp consist of approximately 50 adults with 100 campers per week.

1.3 Period of Performance (PoP): The Period of Performance shall be from July 11-24, 2021. Sleeping quarters will be provided in the admin staff building which is in the same building as the medical office or staff sleeping quarters.

1.3.1. Pre-Camp COVID Testing and Quarantine: All out-of-state contracted employees coming into Maine, and Maine residents who have traveled outside of Maine, must either provide a negative PCR COVID-19 test within 72 hours prior to arrival or complete a 10-day quarantine, as well as follow current Federal and State guidelines.

https://www.maine.gov/covid19/#:~:text=Stay%20home,Gov.,the%20Keep%20Maine%20Healthy%20plan

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of 0730 (7:30 am) – 2130 (9:30 pm) with on-call availability 24/7 during off hours. Departure date/time is 4pm on the 24 July 2021. Performance shall be at Bog Brook Training Area Administrative Building, Gilead, Maine. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential.

1.4.1. Telework: {Reserved}

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. Smoking is prohibited in all Federal Government facilities. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times, 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: {Reserved}

1.4.3 Quality Control (QC): {Reserved}

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 Installation Access and Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Contracting Representative (COR). The contractor and all associated subcontractor employees 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. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 Security Requirements: The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Government on-site (COR). The contractor and its employees shall comply with Public Law 91-596 (Occupational Safety and Health Act (OSHA)) and the Environmental Safety, Occupational Health (ESOH) (DoDD 4715.1E) while performing this service.

1.4.5.2 Criminal History Background Check: The contractor shall also provide all information required for background checks such as name, alias, social security number, fingerprints, DOB referring to state, federal and sex offender background checks. The information shall be provided to the COR and Contracting Officer 14 calendar days after award and there after 90 calendar days prior to the exercising the option period of performance.

1.4.5.3 Trusted Associate Sponsorship System (TASS): {Reserved}

1.4.5.4 Awareness Training (AT) Level 1: {Reserved}

1.4.5.5 iWATCH Training: {Reserved}

1.4.5.5 Communications Security/Information Technology (COMSEC/IT) Security.

Contractor will not have access to Government Computer Systems. Contractor shall provide computer with appropriate safeguards to ensure compliance with Health Insurance Portability and Accountability Act (HIPAA).

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.

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use.

1.4.6.1 Key Control. Keys are anticipated to be issued to contractor employees to contain the prescribed medications. If keys are issued, the contractor shall establish and implement methods of ensuring all keys issued by the Government are not lost or misplaced and are not used by unauthorized persons. No keys issued by the Government shall be duplicated. The contractor shall include procedures covering key control in the QC Plan. The contractor shall immediately report any occurrences of lost or duplicated keys to the onsite Government POC.

1.4.6.1.1 The contractor shall immediately report any occurrences of lost or duplicated keys/key cards to the COR.

1.4.6.1.2 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction by the Contracting Officer (KO), re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the Government replaces or re-keys the locks, the Government will deduct the total cost of lock replacement or re-keying from the monthly payment due the contractor. In the event a master key is lost or duplicated, the Government will replace all locks and keys for that system, and will deduct the total cost from the monthly payment due the contractor.

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

1.4.6.2 Lock Combinations: {Reserved}

1.4.7 Special Qualifications:

a) Nurse: Valid Maine Registered Nurse (RN), Level 2, reviews patient records, performs various diagnostic tests, administers medications, and develops patient care plans in conjunction with other medical professionals. Provides professional nursing care to assigned patients.

b) At least two (2) years of nursing experience in pediatric, school, camp, outpatient or emergency care within the past three years is required.

c) Current American Red Cross or equivalent Cardiopulmonary Resuscitation (CPR) Certification.

1.4.8 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.

1.4.9 Identification of Contractor Employees: Contractor employees will be required to wear camp T-shirts in the performance of this contract while on campus. Two shirts will be provided per contract employee. One will be laundered daily and/or as needed. Sizes shall be provided to Government COR before period of performance starts, and there after annually. All contractor personnel working 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.

1.4.10. 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 22.17.

1.4.11 Contractor Travel {Reserved}

1.4.12 Data Rights {Reserved}

1.4.13 Organizational Conflicts of Interest (OCI): {Reserved}

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, telephone and other items necessary to maintain an office environment.

3.2 Materials:

OTC Medications

Calamine lotion

First Aid Supplies

Finger splints

Personal Hygiene items/accessories

Ear plugs

3.3 Equipment:

a. Gloves, and standard first aid supplies, AED, CPR Masks, C collar (Youth Program provided).

b. Contractor employees will be required to wear a camp T-Shirt in the performance of this contract while on campus. Two T-shirts will be provided. One will be laundered daily/or as needed. Sizes must be provided to Government COR before period of performance starts.

c. Sleeping quarters will be provided and are co-located within the medical office or in staff cabins. Staff cabins are gender specific.

d. The use of on-site washer and dryers will be available at scheduled times for laundry needs.

e. Meals will be provided for the entire period of performance.

f. Parking for personal vehicle will be made available.

g. The use of showers facilities will be made available with limited use for hygiene needs.

3.4 Services

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. The facility will have potable running water and electricity available to contract employees.

3.5.1 Internet is not available in any of the locations and cellular service is sometimes limited depending on cellular carrier.

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

4.1 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.

4.2. Laptop, stethoscope, blood pressure cuff, (child – adult), Personal Protective Equipment (PPE) with CDC guidelines and other personal, professional items as warranted by professional standards.

4.3. Pre-Camp COVID Testing and Quarantine: All out-of-state contracted employees coming into Maine, and Maine residents who have traveled outside of Maine, must either provide a negative PCR COVID-19 test within 72 hours prior to arrival or complete a 10-day quarantine, as well as follow current Federal and State guidelines. https://www.maine.gov/covid19/#:~:text=Stay%20home,Gov.,the%20Keep%20Maine%20Healthy%20plan

5.0 Requirements: The contractor shall:

5.1 Under this contract, the contractor will provide two (2) Registered Nurses to oversee the medic room on a 24/7 day basis from Sunday, July 11 through Saturday, July 24, 2021.

5.1.1 Overall management of a medic room serving approximately 100 children and 50 adults. Possess a proven knowledge of advanced first aid and have an understanding of the physical and emotional health needs of kids ranging from 5 years of age to 18 years of age.

5.1.2. Work long-side with 1-2 health care assistants provided by MEARNG.

5.1.3 Manage prescribed medications, over the counter medication and standing order medications properly. Precise management of prescribed, OTC, and standing order medications.

5.1.4. Dispense and keep a record of medications administered, including scheduled medications at each meal and bedtime, along with other nurses, to all campers who need it as well as-needed medications for campers during health center open-hours, evening med passes, and other times.

5.1.5 Coordinate and communicate with guardians of the children and youth camp staff. Communicate health issues and concerns promptly to director and assistant director via walkie-talkie and in person to bunk counselor or activities coordinators as appropriate, and/or with parents as needed (for non-urgent matters) via telephone; discuss need for communication with parents with leadership team in advance when possible.

5.1.6 Facilitating visits to off-site providers (e.g. urgent care) as needed. The nearest hospital, which has an emergency facility, is the Androscoggin Valley Hospital that is 22.1 miles for the camp, which is approximate drive time is 32 minutes.

5.1.7. Calling for emergency personnel when necessary. (e.g. 911).

5.1.8. May be required to accompany groups on all day-hikes.

5.1.9 Develop and implement nursing care plans while monitoring healthcare and maintaining health records.

5.1.10 Have experience with electronic medical records and computer proficiency (must provide own computer/laptop).

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

Publication (Chapter/Page)

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

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

Army Directive 2014-05 Policy and Implementation Procedures for Common Access Card Credentialing and Installation Access for Uncleared Contractors 03/07/2014 https://armypubs.army.mil/ProductMaps/PubForm/ArmyDir.aspx

AR 25-2

Information Assurance 04/04/2019 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

AR 530-1

Operations Security 09/26/2014 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

AR 525-13

Antiterrorism 12/09/2019 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

AR 381-12

Threat Awareness and Reporting Program (TARP) (Section II, ¶ 2-4.b) 06/01/2016 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

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

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).

TECHNICAL EXHIBIT 2

Deliverables Schedule

Submission

COR/KO

3.3. Contractor Employees T-Shirt Size

Submission web-site.

https://wawf.eb.mil/piee-landing/

Ver. January 2021