Attachment 1 (PWS).docx

Department of Defense Defense Health Agency

Performance Work Statement (PWS)

Service: Food Service Worker Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Does this meet the definition of a health care worker, if not, remove all Health care worker language Comment by Calayan, Doreena S CTR (USA): Removed “Health” from title

Location: Mike O’ Callaghan Military Medical Center (MOMMC), Nellis AFB, NV

Date: 6/11/2026

PART 1

Description of Services

1.1 Background:

The following is an overview of the place of performance: The 99th Medical Group at Nellis AFB operates the Flagship of Air Force medical facilities, the Mike O’Callaghan Military Medical Center (MOMMC). Its primary mission is to maintain medical readiness for worldwide contingencies by providing quality, cost-effective health care for more than 46,000 enrollees, including almost 11,100 active-duty members. In addition, the 99th MDG is part of the Continental Network (DHN 9) which includes 26 military medical treatment facilities, coordinating care for over 379,000 eligible beneficiaries.

1.2. Labor Category

Labor category: Food Service Worker, SCA Occupation Code 07130 FOOD SERVICE WORKER (Cafeteria Worker) Comment by Aiu, Lucas K CIV DHA DHA CONTRACTING ACT (USA): Note to CS: SCA Occupation Code 07130 FOOD SERVICE WORKER (Cafeteria Worker) The Food Service Worker (Cafeteria Worker) serves as a cafeteria and/or delicatessen/bakery worker helping in the preparation, presentation and serving of specialty meats, delicacies, preserved foods, cheeses, salads, breads and sweets to patrons. The incumbent assists in weighing, pricing and wrapping selected foods on plates, trays and in bags, prepares food displays in counter cases and other display units, greets customers as they arrive at service counter, takes special orders, and answers basic customer questions about specialty foods. Using prepared ingredients and following routine, repetitive steps, this Worker makes hot and/or cold sandwiches, fruit and vegetable trays, salads and rotisserie chicken, may slice and/or mix simple ingredients, as needed, cleans counters and trays, washes dishes and maintains cleanliness of preparation, work and display areas, inspects and cleans equipment. This Worker may assist in any or all of the following: measuring and mixing ingredients as directed, assists in preparing, cooking and decorating breads, rolls, pastries, cakes and other bakery items, receives, unloads trucks, and stores stock, takes special orders or unusual food requests from customers, takes payment and makes change for customers. Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): added in by KO

1.3. Contract Arrangement:

This TO is issued under the following arrangement:

Non-Personal Services: The performance of services by contract personnel under a non-personal services arrangement are not subject to day-to-day direction and control by health care facility personnel comparable to that exercised over military and civil service health care personnel engaged in comparable health care services. The Government shall neither supervise non-personal services employees nor control the method by which the Contractor performs these required tasks.

1.4. Performance Location:

The work to be performed under this contract will be at: Mike O’Callaghan Military Medical Center (MOMMC), 99th Medical Treatment Facility (MTF), Nellis Air Force Base, Nevada.

1.5. Key Government Personnel

Task Order Contracting Officer (TOCO): The following individual is the TOCO for this TO and Vendor will be notified of any changes:

· Name of TOCO: Brandi Roberts

· TOCO Email Address: brandi.m.roberts5.civ@health.mil

· TOCO Telephone Number: 726-203-0162

Contracting Officer’s Representative (COR): The following individual is designated as the COR for this TO and Vendor will be notified of any changes:

· Name of COR: SrA Anthony Mendoza-Roman

· COR Email Address: anthony.j.mendoza-roman.mil@health.mil

· COR Telephone Number: 702-653-2929

· Name of Alt COR: SrA Emilee Ortiz

· COR Email Address: emilee.n.ortiz.mil@health.mil

· COR Telephone Number: 702-679-9920

1.6. Work Schedule:

The contract worker will be scheduled for an 8-hour shift between the operating hours of 0530-1830 hrs, Monday-Friday, not to exceed a 40 hours per week. Shifts are determined 10 calendar days prior based on staffing of the Nutritional Medicine department.

1.8. Recognized Holidays:

The federally recognized holidays are: New Year's Day, Martin Luther King, Jr. Birthday, Washington's Birthday (Presidents Day), Memorial Day, Juneteenth National Independence Day, Independence Day (4th of July), Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day. If the holiday falls on Saturday, it is typically observed on Friday. If the holiday falls on a Sunday, it is observed on Monday.

In the event the President of the United States passes an Executive Order for an additional federal holiday (ex. 24 December), it will be under the discretion of 99th Medical Group Director if MOMMC will be open or closed.

1.9. Planned Closures: Comment by Aiu, Lucas K CIV DHA DHA CONTRACTING ACT (USA): Is this applicable? Comment by Calayan, Doreena S CTR (USA): Yes, suggest keeping verbiage

Other than the recognized holidays identified in paragraph 1.5.6 of this TO PWS, the following are known non-duty days (family/down or training days) where the contract worker may not be able to perform their duties, even in a telework environment, and the Contractor cannot bill for services. Typically, a “Family Day/Down Day” is associated with but not limited to the following holidays: New Year’s Day, July 4th, Thanksgiving, and Christmas.

Contract personnel may be required to work on these days as directed by the MTF Director or department needs for continued operations whereas the government will only be billed for services/hours performed. Notification to work Family/ Down Days will be provided to the contract employee no less than one week before the family/down day.

1.10. Unplanned Closures:

Unplanned closures are caused by unforeseen events such as natural disasters, military emergencies, severe weather, or circumstances that force the facility to close unexpectedly. Note: Regularly scheduled base exercises are not considered unplanned closures.

Contractors are permitted to bill the Government for an unplanned closure only if both of the following conditions are met:

a. The contractor was already scheduled to work during the time of the closure.

b. The contractor was prevented from performing their duties due to the facility's closure and any related base access restrictions.

Note: If a contractor is on personal leave (either planned or unplanned) at the time of the facility closure, the time is not billable.

1.11. Emergency Essential Services:

Emergency Essential Services: Contract worker positions are considered emergency/ mission essential in an emergency services status.

1.12. Relocation Costs:

The Government will not pay the Contractor to relocate Contract Workers.

1.13. Recording Contract Worker Time: Comment by Aiu, Lucas K CIV DHA DHA CONTRACTING ACT (USA): Verify language if this works. Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Please provide a status update on this review Comment by Calayan, Doreena S CTR (USA): Keep. We’ll need some sort of documentation to confirm the hours performed before approving invoices.

The vendor shall submit hours worked, paid time off, and leave without pay to the COR monthly.

1.14. Contract Worker Planned Absences:

The vendor must notify the COR at least 30 days prior to an extended (>5 days) absent period. Any absences expected to be longer than 45 days, the contractor must ensure there is a replacement worker. Comment by Aiu, Lucas K CIV DHA DHA CONTRACTING ACT (USA): Review Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Please provide a status update on this review Comment by Calayan, Doreena S CTR (USA): Concurred verbiage.

1.15. Occupational Health: Comment by Aiu, Lucas K CIV DHA DHA CONTRACTING ACT (USA): Applicable? Comment by Calayan, Doreena S CTR (USA): Yes for Occupational Health

The contract worker shall be required to obtain documentation of required physical testing or a report of a physical examination prior to start date due to the physical qualifications outlined in para. 3.1.1. at no cost to the government.. Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Please clarify why physical testing or a physical exam report is required for this position. Is there a specific facility rule or safety requirement for this, or can we remove this section? Comment by Calayan, Doreena S CTR (USA): Yes, physical required due to some tasks such as lifting, moving boxes, pushing carts, etc. Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Follow up question: Who is responsible for doing the physical testing/physical examination? and what is required for proof? Is this something they have to complete prior to or after they're hired? Comment by Calayan, Doreena S CTR (USA): See corrections via tracked changes.

1.16. Tuberculosis Screening:

The Contractor ensures contract workers shall be screened for tuberculosis (TB). In addition, contract workers will be screened prior to reporting for services at the place of performance for the following: PPD 2-Step Process is required and will be paid for at no expense to the Government.

1.17. Health Requirements.

The Contractor shall provide documentation certifying health requirements such as immunizations, annual vaccinations, and physical examination when required at the time of initial placement. See Part 5, Attachment 1. Comment by Aiu, Lucas K CIV DHA DHA CONTRACTING ACT (USA): Applicable? Comment by Calayan, Doreena S CTR (USA): Yes, required for all employees working within the medical facility as contractor may be in close contact with patients when delivering food.

1.19. Training:

Contract workers shall complete all MTF-specified training requirements and comply with all policies and procedures applicable to the place of performance for in-processing/orientation and MTF-level emergency training (e.g. Fire Response, Active Shooter, Cyber Awareness, work center safety, etc). Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Could you please define exactly what training is required here? We assume they will need basic facility-level emergency training (such as active shooter training or facility orientation), but we want to make sure we remove any unnecessary computer-based training requirements from the PWS. Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Please respond to this follow-up Comment by Calayan, Doreena S CTR (USA): Verbiage was updated on previous copy. Only training required is related to in-processing and computer access is required when employee starts.

1.20. Dress and Appearance:

Contract workers shall maintain good personal hygiene and present a well-groomed and professional appearance IAW the policy at the place of performance. Dining staff must follow food safety and infection control protocols, which may include wearing gloves, hair nets, or other protective gear depending on the task (e.g., serving, prep, cleaning).

PART 2

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

2. Government Furnished Items and Services:

2.1. General: The following additions are made to the Government furnished items, equipment and services for this TO: Government will provide computer equipment required perform tasks. The MTF will provide required training for these systems during the initial facility orientation. The health care workers will be required to use the computer systems that are standard for the support of health care delivery at the MTF. Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Please review this section for applicability and let us know if any of it can be removed. Since this is for a food service worker, what specific government equipment or items are they actually being provided with? Comment by Calayan, Doreena S CTR (USA): Updated. They may need computer access to review menu or dietary information.

2.1.1. Contract worker must return any government property directly to the clinic. Any government property or equipment borrowed by the contract worker must be returned in the same working and operable condition as when it was issued: Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Please review this section for applicability and let us know if any of it can be removed. Since this is for a food service worker, what specific government equipment or items are they actually being provided with? Comment by Calayan, Doreena S CTR (USA): Updated.

· Medical ID Badge

· CAC

· Key(s)

· Computer/laptop

· Aprons and disposable hairnets

2.2 Government will provide supplies and testing for post blood borne exposure protocols after exposure and occupational exposure programs such as the Thermoluminescent Dosimetry (TLD) or Optically Stimulated Luminescence (OSL) Dosimeter monitoring program if required for completion of duties.

PART 3

SPECIFIC TASKS

The Contractor shall conduct competency-based screening against preliminary Government minimum requirements, verify candidate qualifications against Government minimum requirements, and submit exhibiting documentation for candidate approval as identified at the time of order placement. Comment by Aiu, Lucas K CIV DHA DHA CONTRACTING ACT (USA): Review all duties / ensure there are no language that implies there is a government supervisor. This is non personal. Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Follow on please review this section again and make updated changes Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): please reply if section was reviewed and changes were made Comment by Calayan, Doreena S CTR (USA): Reviewed.

3.1. Labor Category: Food Service Worker

3.1.1. Qualifications:

· Degree/Education: High school diploma.

· Experience:

· Must have an understanding of basic food handling techniques.

· Must have the ability to follow verbal instructions and perform routine manual tasks involving few steps.

· Must be fluent in reading, speaking, and writing in the English language.

· Ability to effectively utilize Microsoft Outlook and employee timekeeping software.

· Must have an understanding of hygiene standards such as wearing a hair/beard net, washing hands before handling food, wearing a mask, and proper use of gloves, ability to read and understand materials such as schedules, menus, production worksheets with serving sizes, and recipes.

· Must have the ability to work safely around moving carts and stacked dishes and wiping and/or mopping up spilled foods and liquids to prevent falls.

· Knowledge of basic arithmetic may be necessary.

· Work Environment/Physical Requirements: Job requirements include moderate to heavy physical effort. Employees are subject to prolonged standing, walking, and frequent stooping, pushing, pulling, and bending. Employee may be required to lift or move objects weighing up to 50 pounds unassisted. May be required to push carts weighing over 100 pounds. They may be required to operate kitchen equipment such as blenders, toasters, food processors and hot wells. They may be required to work on ladders and use powered cleaning equipment.

· Driver’s License: Possession of a valid driver’s license is required for the position in order to obtain authorization to drive a government motor vehicle in cases of emergency such as when food needs to be transported from alternate locations when the main facility is unavailable.

· Certifications: Current Food Handler's Card/Certificate. Must maintain current certification in either the American Heart Association Basic Life Support (BLS) (Course C) or the American Red Cross CPR/BLS Course at no cost to the government. Comment by Calayan, Doreena S CTR (USA): Added required certifications.

3.1.2. Contract Worker Standard Qualifications: The standard qualifications (duties) or the labor category are as follows:

· Making sandwiches and salads using prepared ingredients for staff and patient feeding.

· Portioning food items into standard serving sizes using the proper utensils and containers.

· Cutting, assembling, and tossing fresh fruit or salads in large quantities for public consumption.

· Labeling unused food items with proper expiration dates

· Brewing coffee in a restaurant/commercial size coffee maker.

· Delivering meals, which may include hot foods and drinks, to patients or patrons.

· Reading and following instructions on menus, recipes, and/or basic work instructions.

· Recognizing and reporting food and supply shortages to storeroom personnel.

· Reading and following instructions regarding safety data sheets for hazardous chemicals.

· Adhering to safety policies and procedures when performing manual work involving lifting, carrying, transporting and delivering food or other items.

· Working quickly without accidents while at the same time being attentive to the quality of work.

· Recognizing and reporting equipment malfunction or outage to leadership

· Performing temperature checks for freezer, refrigerators, and hot and cold food items.

· Ability to understand and demonstrate safety protocols such as proper use of fire extinguishers, activating fire alarm systems and manually activating a pull station when necessary.

· Setting up glasses, silverware, dishes, trays and condiments in communal dining areas.

· Setting up cafeteria lines and/or steam tables with hot and cold food items.

· Standing/walking to clear patron tables and carrying trays of heavy dishes for several hours or more at a time.

· Providing excellent customer service to patients, staff, and visitors.

· Restock utensils, cups, napkins, condiments, bottled/canned beverages, pre-made salads and sandwiches, salad bar, and sundry snack items before, during and after meal service.

· Using proper cleaning solutions to sanitize food preparation surfaces.

· Cleaning walk-in refrigerators and freezers in a food service or food handling areas in the work center.

· Handling and storing sanitized dishes, glasses and silverware for patron use.

· Scouring and scrubbing heavy kitchenware such as mixing bowls and pots.

· Performing heavy duty cleaning tasks such as cleaning ceilings and/or exhaust hoods.

· Loading and operating a continuous conveyor belt fed dishwasher.

· Cleaning 3-compartment sinks and continuous conveyor belt dishwasher after use.

· Sweeping and mopping floors repetitively in high traffic areas such as corridors, entryways, servery, kitchen, and other areas.

· Using power equipment to clean floors, to include steamers and buffers.

· Moving kitchen equipment such as stand mixers, weight scales and meat slicers to clean spaces behind and under such equipment.

· Emptying trashcans, containing food scraps and waste, and disposing of trash in trash dumpster; operating trash compactor per work center safety guidance.

· Wipe down indoor and outdoor tables and chairs after meal periods

· Following label directions in using cleaning or disinfecting/sanitizing agents.

· Applying sanitation principles to safeguard food against spoilage and waste.

· Reading and understanding written material such as time and duty schedules.

· Recognizing and reporting typical health and safety hazards for yourself and other workers around you.

· Complete tasks in a timely manner to meet operational requirements.

· Understand and comply by set organizational guidelines and rules.

· Perform tasks independently and with minimal assistance.

· Other related duties assigned are consistent with the general scope of a Food Service Worker and the tasks described herein.

3.2. Legal Authorization to Work in the United States: The contract workers performing under this contract must be a U.S. Citizen or as defined by the Department of Homeland Security, U.S. Citizenship and Immigration Services, either a noncitizen national of the U.S., lawful permanent resident of the U.S., or alien authorized to work in the U.S.

3.3. Submit Qualifying Documentation: The Contractor shall provide a complete, current, and accurate qualifying package (Resume, License/Certification/ Life Support Cards) within:

· Initial Placement of Contract Workers: Qualifying Package within 10 business days after Receipt of the Awarded TO for incumbents; 30 business days for new hire.

· Replacement Contract Workers: Qualifying Package NLT 30 Calendar Days after vacancy occurs for Non-Credentialed Contract Workers.

3.4. Security Investigative Requirements: The Contractor shall ensure contract workers comply with the following security requirements not already identified in the contract PWS:

3.4.1. Security packages will include the following:

· Notification of Incoming Contractor memorandum (NIP memo)

· OF 306, Declaration for Federal Employment

· Proof of Citizenship – See USCIS Form I-9 for lists of acceptable documents

· DD Form 2981, Basic Criminal History and Statement of Admission (if applicable). Required for positions that regularly interact with patients under the age of 18.

· Copy of the PWS.

3.4.2. The contract worker will be required to complete an SF-85 questionnaire and fingerprinting as part of the security investigation process. Required actions and notifications will be sent the contract worker’s email address that was provided on the NIP memo.

3.5. Invoice for Services: The Contractor shall submit invoices for payment monthly. The contractor shall submit names of contractor and total hours worked for the month under Line Item in the Description area. The contractor will include attachment of contract worker timecard, when invoicing in WAWF.

PART 4 Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Please review for appicability Comment by Calayan, Doreena S CTR (USA): Removed military specialty verbiage.

OTHER TERMS, CONDITIONS, AND PROVISIONS

4. The Contractor shall abide by these additional provisions: The contract worker shall maintain currency and adhere to HIPAA, local policies, and regulations at all times.

4.1. Health Insurance Portability and Accountability Act (HIPAA): The Contract Worker shall maintain currency and adhere to HIPAA, local policies, and regulations at all times. Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): HIPAA & 'Military Active-Duty Specialty' Training: Since this worker won't handle patient medical records or medical setting tasks, these clinical clauses probably may not apply and should be removed. --> please verify Comment by Calayan, Doreena S CTR (USA): HIPAA is required to obtain computer access and part of the contract worker’s in-processing.

PART 5 Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): Please review for applicability:

Our KO pointed out that since this is a non-personal services contract, we must verify that the 'Method of Surveillance' and 'Management Oversight Report' do not mention a 'government supervisor.' Please make sure this is updated to 'contractor supervisor' throughout this section so we don't have any personal services issues. Also, please double-check that these AQLs are customized for a food service worker and aren't just left over from the medical MQS template Comment by Calayan, Doreena S CTR (USA): AQL refers to the position being filled. Considering it’s a single position, I’ve updated the first two AQLs to 100%.

Changed to COR or Technical POC. Would this suffice?

ATTACHMENTS/EXHIBITS

The following performance outcome acceptable quality levels (AQLs) for minimum quality levels of service are required on this TO:

Performance Objective

Less Than or Equal to 25%

Greater Than or Equal to 90%

ADDITIONAL METRICS

TABLE 2 Additional Metrics (AM): The acceptable quality levels (AQLs) for the additional metrics required in the performance of this task order are listed below and detailed in the QASP:

Complaint Resolution Percentage

resolved within 3 Business Days of Contractor notification

EXHIBIT 2 Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): The rest of this deliverables table has some extra clinical/MQS items that don't apply to a food service worker. Could your team do a quick pass to clean up and verify only the deliverables we actually need to track for this contract? Comment by Gonzales, Dominic N CIV DHA DHA CONTRACTING ACT (USA): please reply Comment by Calayan, Doreena S CTR (USA): Yes this was reviewed/updated on the previous copy (Removed the credentialing piece.) See all other tracked changes. Comment by Aiu, Lucas K CIV DHA DHA CONTRACTING ACT (USA): Clean up / verify

DELIVERABLES SCHEDULE

Replacement of Contract Workers:

Qualifying documentation (i.e., qualifying package)

Measles, Mumps, Rubella (German Measles) NOTE: If a Contract Worker with 2 documented doses of MMR vaccine is tested serologically and determined to have negative or equivocal measles titer results, it is not recommended that the person receive an additional dose of MMR vaccine. Such persons should be considered to have presumptive evidence of measles immunity.

1. Written documentation of vaccination with 2 doses of live measles, mumps, and rubella or MMR vaccine administered at least 28 days apart OR 2. Laboratory evidence of immunity (Positive "Convalescent" Measles, Mumps and Rubella immunoglobulin G (IgG) in the blood; equivocal results should be considered negative) OR 3. Laboratory confirmation in the Contract Workers record that the Contract Workers had measles, mumps and rubella disease (Positive "Acute" Measles, Mumps, and Rubella immunoglobulin M (IgM) in the blood OR 4. Birth before 1957 (The majority of persons born before 1957 are likely to have been infected naturally and may be presumed immune)

3. Diagnosis or verification of a history of varicella disease by a health-care provider OR, 4.Diagnosis or verification of a history of Herpes Zoster by a health-care provider

COVID 19

COVID 19 Booster Recommended, but not required. The DHA strongly encourages members of the healthcare workforce to remain up to date on COVID-19 vaccination in accordance with Centers for Disease Control and Prevention (CDC) recommendations.

Hepatitis B Virus (HBV) Vaccine and Immunity NOTE: All high-risk(1) and exposure-prone(2) Contract Workers who do not have a protective concentration of antiHBs (>10 miU/mL) after completion of the second vaccination series (i.e., after receiving a total of 6 doses) will be tested for Hepatitis B surface antigen (HBsAg) and Hepatitis B core antibody (anti-HBc) to determine infection status.

Completion of three doses of hepatitis B vaccine and serologic testing for Hepatitis B surface antibody (anti-HBs) within 30-60 days after completion of the three dose vaccination series is required for all Contract Workers with direct patient care duties image1.png