Attachment 1-PWS.pdf

- 2 -

PERFORMANCE WORK STATEMENT

FOR

Emergency Medical Technician/Trauma Combat Casualty Care Educator

AT

EGLIN AFB, FLORIDA

May 2023

- 3 -

Emergency Medical Technician/Trauma Combat Casualty Care Educator

Table of Contents

1.0 SECTION I: DESCRIPTION OF SERVICES

1.1 General Scope

1.2 Objective

1.3 Inherently Governmental Function

1.4 Position Requirement

1.5 Period of Performance

1.6 Place of Performance

1.7 Specific Tasks

1.8 Required Skills and Knowledge

1.9 Medical Quality Assurance/Risk Management

1.10 Required Qualifications

1.11 Preventative, Prophylactic, and Follow-Up Procedures

1.12 Personnel In-processing/Out-processing Requirements

2.0 SECTION II: SERVICE SUMMARY

2.1 General

2.2 Performance Evaluation

3.0 SECTION III: GOVERNMENT PROVIDED PROPERTY and SERVICES

3.1 Government Provided Services

3.2 Government Provided Facilities

3.3 Government Provided Equipment

3.4 Government Provided Materials

4.0 SECTION IV: GENERAL INFORMATION

4.1 Hours of Operation

4.2 Contractor Personnel

4.3 Emergency Operations/Mission Essential Personnel

4.4 Quality Control

4.5 Conservation of Utilities

4.6 Contractor Furnished Property and Services

4.7 Environmental Protection

4.8 Miscellaneous Paragraph

5.0 SAFETY AND SECURITY

5.1 General

5.2 Required Training

5.3 Safety

5.4 Security Requirements

6.0 SECTION V APPENDICES & EXHIBITS

ATTACHMENT 1 Definitions, Abbreviations, and Acronyms

ATTACHMENT 2 Applicable Publications and Forms

ATTACHMENT 3 96 MDG Employee Health Program Requirements

ATTACHMENT 4 Placement of Contract Employees

ATTACHMENT 5 Privacy Act Notifications

ATTACHMENT 6 Business Associate Agreement HIPAA

- 4 -

SECTION I

1.0 DESCRIPTION OF SERVICES

1.1 General. This is a non-personal services contract to provide Trauma Combat Casualty Care

Educator services. Herein referred to as the TC3 Educator. It is expressly agreed and understood that this contract is a non-personal services contract, as defined in Federal Acquisition Regulation (FAR)

37.101, under which the professional services rendered by a contract service provider are rendered in their capacity as an independent contractor or employee of any independent company that may be a party to this contract. The Contractor shall be solely liable for and expressly agree to indemnify the Government with respect to any liability producing acts or omissions by its employees or agents. This contract does

NOT create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual contract service provider may be associated. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service provider shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1.1 Overview Description of Services/Introduction. The Contractor shall provide all services as defined in this Performance Work Statement and professional standards of the Joint Commission except for those items specified as Government provided property and services. The Contractor shall perform to the standards in this contract as well as cover the range of services provided in a civilian Medical

Treatment Facility (MTF). This includes the planning, coordination, and surveillance of the activities necessary to ensure disciplined work performance and timely resources application to accomplish all tasking under the contract. The Contractor shall be responsible for maintaining communication with the

Contracting Officer (CO) and the Contracting Officer Representative (COR), and to immediately notify both the CO and the COR of any problems that would prevent timely performance of this contract. The

Contractor is responsible for and required to implement, and maintain management control systems necessary to plan, organize, direct, and control all activities under this contract.

1.1.2 The Contract employee must attend and participate in staff meetings and professional activities as directed. The contract employee will be oriented/trained on the supply ordering process utilized. The contract employee shall perform procedures compatible with the MTF’s operating capacity and equipment, and shall not introduce any new medical procedures or services without the prior approval of the MTF Commander, Executive Committee of the Medical Staff, and/or the Credentials Function.

1.2 Objectives: To provide Trauma Combat Casualty Care Educator services.

1.3 Inherently Governmental Function. The Contractor shall not perform Inherently Governmental functions as defined in FAR Subpart 7.5 in relationship to this PWS.

1.4 Position Requirement: This contract position is considered a Full Time Employee (FTE). The contractor shall use no more than one (1) qualified individual per each FTE to satisfy the position requirement.

- 5 -

1.5 Period of Performance: This is a 3 year contract with one basic year and two (2) Option years.

1.6 Place of Performance: The contractor shall mainly perform the services in the Performance Work

Statement at Eglin Air Force Base, Florida, 96th medical treatment campus.

1.7 Specific Tasks

1.7.1 Basic Services. The Contractor shall provide all management, personnel and transportation necessary to perform TC3 Educator services in a manner that shall cover the range of services provided in a civilian facility and set forth by the 96th Medical Treatment Facility (MTF).

1.7.2 Specific duties: Shall coordinate field trauma training in collaboration with a wide array of healthcare professionals. The contactor shall facilitate the achievement of optimal outcomes in relation to training in trauma care, quality and cost effectiveness. The required outcome result is to enable the

EMT/TC3 Educator to react quickly and efficiently to real world emergency situations, when encountered with obstacles, by using the tools available in the performance measures. Contractor may assist in the development of the Benefit Cost Analysis (BCA)

1.7.2.1. Shall provide quality standardized instruction in accordance with the established policies, procedures, and guidelines used in the Joint Trauma System/Civilian agencies and MDGs. Contractors will teach per curriculum and demonstration compliance of skills/instruction.

1.7.2.2. Shall present all course materials in an effective fashion using didactic, hands-on and simulation training modalities.

1.7.2.3. Shall provide course oversight for field, including instructional components of the standardized curriculum.

1.7.2.4. Shall recognize discrepancies and develop solutions and reports them to the program coordinator.

1.7.2.5. Shall provide course evaluation documentation to leadership, identify trends and opportunities for improvement. Course and Instructor shall be evaluated by the Program Coordinator and cadre instructors.

1.7.2.6. Shall advise and assist the instruction provided by other healthcare professionals.

1.7.2.7. Instructors shall be accountable for providing course assignments based on the scope of practice and skill level of assigned personnel.

1.7.2.8. Shall recognize safety measures and quickly react in real world emergency and exercise situations. After orientation be familiar with 96MDG policies and procedures for emergency measures.

1.7.2.9. Shall communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the medical readiness posture.

1.7.2.10. Shall participate in continuing professional development programs as appropriate.

1.7.2.11. Shall provide safe training environment – identify, track and report all safety hazards within the field training area.

- 6 -

1.7.2.12. Shall assist program coordinator on educational program administrative requirements, to include maintenances of program, course, student/participant records, and preparation and submission of data and reports at the end of each course.

1.7.2.13. Shall fulfill simulation course and operations for manikins utilized for field instruction.

1.7.2.14. Shall demonstrate hands-on skills and provide safety environment for students.

1.7.2.15. Shall demonstrate appropriate operations of all equipment and supplies to include manikins.

1.7.2.16. Shall ensure infection control and safety measure are adhere to during set up and clean up.

1.7.2.17. Shall adhere to the policies/standards of the Air Force medical service and the 96th medical group in meeting or exceeding established Air Force standards for access.

1.7.2.18. Shall possess knowledge and experience in Patient Advocacy, Patient Privacy, and Customer

Relation.

1.7.2.19. The FRED, COR and/or Chief of the Medical Staff will validate all complaints. The COR will report valid complaints in writing to the CO for action. The contractor shall resolve all substantiated complaints upon notification of the complaint, and no later than the suspense date provided by the CO, or designated representative. There shall be no more than two (2) internal or external complaints per quarter. Depending on the nature and severity of the complaint, the contract employee will be subject to counseling and separation from performing services under this contract.

1.8 Required Skills and Knowledge:

1.8.1 Standard use of office equipment, such as computers, copiers, fax machines, scanners, telephone and office automation systems.

1.8.2 Use of Microsoft Office software (Word and Excel at a minimum) to prepare reports and other documents.

1.8.3 General medical ethics, telephone etiquette and excellent communication and customer services skills.

1.8.4 Ability to plan, organize, schedule, and coordinate activities such as appointments, meetings, and suspense timelines.

1.8.5 Ability to communicate effectively, both orally and in writing.

1.8.6 English language, correct grammar, spelling, punctuation, capitalization, and format to prepare and edit written and electronic correspondence and reports.

1.8.7 Shall possess knowledge of medical privacy and confidentiality (Health Insurance Portability and

Accountability Act [HIPAA]), and accreditation standards of Accreditation Association for Ambulatory

Health Care (AAAHC), The Joint Commission (TJC), and Clinical Practice Guidelines (CPGs).

- 7 -

1.9 MEDICAL QUALITY ASSURANCE/RISK MANAGEMENT (QA/RM).

1.9.1 Contracted employee shall participate when requested in QA/RM activities to the extent required by AFI 44-119, Chapters 3, 6 and 8 and the individual MTF QA/RM plan or regulation.

1.9.2 Quality Control. Contracted employee shall comply with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF. Department

Contracting Officer Representative (COR) will monitor contractor employee productivity, monthly performance reviews, customer and staff comments, government information systems and records, customer service information, and time sheets.

1.9.3 Shall serve and participate in committees, functions and other meetings as directed. Shall provide relevant and timely information to these groups, and assists with decision-making and process improvement. Shall participate in customer service initiatives, quality projects, and medical readiness activities, designed to enhance health services as requested by the flight commander.

1.9.4 Shall provide outpatient clinic support/services.

1.9.5 Shall demonstrate ability to acquire and use basic computer skills to enter personnel data and extract personnel information, from a variety of sources to include DOEHRS-IH.

1.9.6 Shall possess basic knowledge of various training methods and interpersonal skills in order to develop a rapport with co-workers during which instructional and education information is presented and a supportive, trusting relationship is established.

1.9.7 Shall possess and demonstrate basic knowledge of established and documented protocols, safety, infection control, performance improvement, etc., to insure compliance with policies and provide consistent training and guidance for the bioenvironmental engineering office.

1.9.8 Shall possess and demonstrate working knowledge of computer applications/software to include, Microsoft Office programs, MS Outlook (e-mail), and internet familiarity is required. The ability to input, extract, and format data from established databases is desired.

1.9.9 Shall possess and demonstrate knowledge of medical privacy and confidentiality (Health

Insurance Portability and Accountability Act [HIPAA]), and accreditation standards of Accreditation

Association for Ambulatory Health Care (AAAHC), The Joint Commission (TJC), and Clinical Practice

Guidelines (CPGs).

1.9.10 Personnel Information and Care: Shall possess and demonstrate knowledge and experience in

Patient Advocacy, Patient Privacy, and Customer Relation.

1.9.10.1 Shall treat patient information, no matter how developed, as privileged information. Patient information shall not be disclosed or revealed in any way for any use outside the MTF without prior written permission by the Chief of Hospital Services.

1.9.10.2 Shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. Health care workers receiving complaints validated by the FRED, COR and Chief of the Medical Staff shall be subject to re-training, employer notification and, depending on the nature and severity of the complaint, separation from performing services under this contract.

- 8 -

1.9.11 Shall only release medical information obtained during the course of this contract to other MTF staff involved in the care and treatment of that individual patient.

1.10 Required Qualifications

1.10.1. Education. High School Diploma.

1.10.2. License/certification. Contractor shall have and maintain certification in the National Registry

Emergency Medical Technician (NREMT) or Licensed EMT in the state of Florida

1.10.3. Experience. Must have 3 years of experience as an EMT, within the last 5 years. Or served as a combat medic in any branch of the US military for at least 2 years. *must provide military training records

1.10.4. Current certification shall hold and maintain current BLS certification, hands on approved by

American Heart Association or American Red Cross.

1.10.5. Must obtain and maintain the following courses within 6 months: Trauma Combat Casualty Course, Medical Provider Instructor course or instructor status in any advanced trauma field training course.

Training will be provided by the Government on site. Must be able to lift 40 lbs. and walk up to 200 yards without assistance

1.10.6. The contract employee shall complete annual training required in accordance with HIPAA, Joint

Commission, AF Computer Security Policy, and AF Safety Policy.

1.11 PREVENTIVE, PROPHYLACTIC AND FOLLOW-UP PROCEDURES.

1.11.1 All qualifications, certifications and immunizations must remain current through the life of the contract.

1.11.2 Contracted employee shall ensure that they are in compliance with preventive, prophylactic and follow-up procedures, as well as infection control and employee health program procedures, as established by the MTF. Required preventive, prophylactic and follow-up procedures will be provided by the Government to contract employees in the military MTF. The contracted employee shall reimburse payment for these services. If care is received elsewhere, the contracted employee shall provide written verification of treatment.

1.11.3 Health Care Requirements: Contracted employee providing services under this contract shall receive a pre-employment physical examination prior to commencement of work and annually thereafter.

HCW shall report to their physician to receive a pre-employment examination and immunizations/shots prescribed by the MTF (reference attachment 3).

1.11.4 Not later than five (5) working days prior to commencement of work, certification shall be provided to the COR that contracted employee has completed medical evaluation required above. This certification shall state the date on which the examination was completed, the doctor’s name that performed the examination, and a statement concerning the physical health of the individual.

1.12 PERSONNEL INPROCESSING/OUTPROCESSING REQUIREMENTS.

1.12.1 All contracted employees shall complete the MTF and clinic-specific orientation within five (5) duty days of employment start date. Medical Group orientation must occur within thirty (30) days or first available date of employment start date. All contractor employees shall report to the Commander Support

- 12 -

SECTION III

3.0 GOVERNMENT PROVIDED PROPERTY, EQUIPMENT, AND SERVICES

The Government will provide use of all available MTF facilities and support services, materials, publications and forms and equipment required for contract performance (except as designated in the contract), without cost to the Contractor. Contract service providers shall keep government provided supplies, equipment and work areas in a safe, orderly, and clean condition.

3.1 Government Provided Services. The Government will provide:

3.1.1 Administrative Support. Administrative support is a shared function among bioenvironmental engineering staff.

3.1.2 Custodial Service. The Government shall provide custodial services for restroom facilities in base facilities IAW the current base custodial contract. All inquiries regarding scheduling and level of custodial services will be directed to the COR.

3.1.3 Emergency Medical Services. Eglin AFB will provide emergency medical services for Contracted employee in performance of services under this contract base IAW Air Force Instruction (AFI) 41-115

Chapter 1. The Contractor shall reimburse the Government for treatment provided at the current reimbursement rate for non-authorized user IAW AFH 41-114, paragraph 42. The Contractor shall provide to the 96th Medical Group, the name of a physician and/or hospital to which injured contracted employee can be transferred for further treatment and care after receiving initial emergency treatment on base. All mishaps will be promptly reported to the base safety office through the COR.

3.1.4 Employee Training. Government furnished training will be provided for the following: Cyber-

Awareness Challenge, HIPPA, AFMS SAPR Face-To-Face per AFI 44-102, Safety Storm, Trusted Care.

However, additional commander directed training may be added at no additional cost to the contractor.

And contract employees shall accomplish training in accordance with deadlines set forth by MDG commander.

3.1.5 Refuse Collection. The Government will provide refuse collection services. The contracted employee shall take refuse to the nearest dumpster on a regular basis. The Contractor shall comply with all installation recycling programs, refuse volume reduction programs, and hazardous waste collection policies IAW base policies.

3.1.6 Security Police and Fire Protection. Phone number for Security Forces, 850-882-2502; Fire

Protection, 911.

3.1.7 Telephone Service. The Government will provide local and DSN telephone services FOR

OFFICIAL USE ONLY at no cost to the Contractor. Personal long distance calls shall be at the

Contractor’s expense and will be deducted from the Contractor's invoice.

3.1.8 Utilities. The Government will provide all electricity, water and sewage at no additional cost to the contracted employee. All utilities in the facility will be available for the contracted employee’s use in performance of tasks outlined in this PWS only. The Contractor shall instruct employees in utilities conservation practices. The contracted employee shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish requirements under this PWS.

- 13 -

3.1.9 Vehicle Fuel and Maintenance. The Government will provide maintenance through the 96th

Logistics Readiness Squadron for the Government provided vehicles.

3.2 Government Provided Facilities. The Government will provide the necessary workspace for the

Contractor staff to provide the support outlined in the PWS to include desk space, telephones, computers, and other items necessary to maintain an office environment.

3.3 Government Provided Equipment. The Government will provide the contracted employee access to scanners, fax machines, printers.

3.3.1 Automated Data Processing Equipment. The Government will provide computers for use on the local area network (LAN), email, and the Internet for work related to this contract. Personal long distance calls are not authorized. The cost of personal long distance calls will be deducted from the Contractor's invoice.

3.3.2 Equipment Maintenance. Contracted employee shall notify the Government whenever maintenance of equipment is required.

3.3.3 Government Furnished Materials. The Government will provide the following information:

access to relevant Government organizations, information and documentation, manuals, texts, briefs, and associated materials as required.

- 14 -

SECTION IV

4.0 GENERAL INFORMATION

4.1 Hours of Operation. The contracted employee shall perform the services required under this contract during the following hours: between 0630 - 1700 CST Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. For other than firm fixed price contracts, the

Contractor will not be reimbursed when the Government facility is closed for the above reasons.

Contractors will not be required to work on weekends and Federal Holidays. The contracted employee must, at all times, maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

4.1.1 Recognized Holidays.

Contractor is not required to perform services in observance of the following holidays.

New Year’s Day Labor Day

Martin Luther King Jr.’s Birthday Columbus Day

President’s Day Veteran’s Day

Memorial Day Thanksgiving

Juneteenth Christmas

Independence Day

4.1.2 Work Schedules, Leave, and Absences

4.1.2.1 Absences shall not be compensated by the Government. Absences of greater than 10 consecutive workdays require back-up/substitute coverage. All requests for scheduled leave shall be coordinated with the Contracting Officer’s Representative at least 30 days in advance in order to ensure adequate coverage in the clinic/department. For unscheduled absences, the contract employee shall notify the COR within one (1) hour of the scheduled reporting time.

4.1.2.2 Programmed Absences. The contractor or CM, shall notify the appropriate section supervisor, COR, or a designee, as early as possible of contractor employee’s programmed absences. As a minimum, the contractor or CM shall coordinate programmed absences with the section supervisor, COR, or a designee, at least 30 calendar days in advance to allow for planning of service coverage and workload distribution. Any repetitive absences may require medical documentation before returning to work, at the discretion of the Squadron Commander. No-notice absences not related to medical reasons or emergencies will be grounds for dismissal/termination.

4.1.2.3 Medical and Emergency Absences. In the event a contractor employee cannot perform services due to medical reasons or an emergency, the CM will notify the appropriate section supervisor, COR, or a designee, as soon as possible. Medical absences exceeding three consecutive duty days require medical documentation provided to the contractor, before returning to work. The contractor will then forward all substantiated documentation to the COR. Any repetitive absences may require medical documentation before returning to work, at the discretion of the Squadron Commander, or a designated representative.

- 15 -

4.1.2.4 Replacement Employees. The contractor shall provide replacement employees when contractor employees are unable to provide services for three (3) or more consecutive weeks. The contractor shall contact credentialing office (for privileged providers) or the MTF Education and Training Office (for non-privileged personnel) to ensure all competency requirements are met and to arrange orientation through the MTF Education and Training Office before engaging in patient care.

4.1.2.5 Air Force Directed Family Days and Executive Orders. Family days are given to the military forces by the President. Notification of specific dates will be given to the contractors at the beginning of the year. If you have not received notification please contact the Contracting Officer or 96 MDG

Logistics for specific dates for the current year. Guidance for the contractors for this day is: work if the clinic is open, take personal time off (PTO) or leave without pay. Commanders may request contractors move to other areas in the facility to cover the area that is open for patient care. If the President issues an

Executive Order closing executive departments & agencies, the medical facility will not be open except for emergency care; therefore the contractor must take PTO or leave without pay.

4.2 Contract Personnel

4.2.1 Personnel Roster. The Contractor may be required to provide a personnel roster consisting of names and other pertinent personnel data to the requiring activity for the purposes of 100% accountability real-world and exercise situations. The personnel roster shall be updated as individuals are removed and added.

4.2.1.1 Contractor Manpower Reporting Application (eCMRA). The Contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract via the secure data collection site (i.e. Contract Manpower Reporting

Application). The contractor shall register in eCMRA within 30 days of contract award. The contractor is required to completely fill in all required data fields using the following web address http://www.ecmra.mil. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the above eCMRA help desk. Information from the secure web site is considered to be proprietary in nature when the contract number and contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the contractor name and contract number associated with the data. Data for Air Force service requirements must be input at the Air Force CMRA link. However, user manuals for government personnel and contractors are available at the CMRA link at http://www.ecmra.mil.

4.2.2 Contractor Employees: The Government reserves the right to restrict the employment, under this contract, of any Contractor employee, or prospective Contractor employee who is identified as a potential threat to health, safety, security, general wellbeing, or the operational mission of the installation and its population. Contractor shall perform background checks, at Contractor's expense, to ensure that said employee has not been convicted of any sexual crime or any crime against children. The Installation

Commander has the authority to bar individuals from the installation. Removal from the job site or dismissal from the premises shall not relieve the Contractor of the requirement to provide sufficient personnel to perform the services as required by this PWS.

- 16 -

4.2.2.1 Alcohol/Drug Use. The consumption of alcoholic beverages or illegal drugs by Contractor personnel, while on duty, is strictly forbidden. The Contractor shall immediately remove any employee who is under the influence of alcohol or drugs.

4.2.2.2 Appearance. Contracted employee shall practice and present high standards of personal hygiene, maintain a clean, neat and professional appearance. In all cases, the clothing and footwear will be neat and clean, i.e. free from visible dirt and stains; and it will fit so as to provide a professional appearance in keeping with the normally accepted standards of dress for the work being performed

Contractors shall be easily recognized. This shall be accomplished by wearing an identification badges that contains the company name and employee name on their outer garment on the front of the body between the neck and waist so that the badge is visible at all times while providing services, identifying themselves as contractor employees. If a contracted employee under this contract stops providing services, the badge shall be surrendered to the COR.

4.2.2.3 Certifications. Contracted employee shall have current and valid professional certifications and licenses required to perform the work in this PWS, prior to contract award. All certification and licensing requirements by Federal, State, and local agencies shall be complied with at the Contractor's expense.

4.2.2.4 Contractor Qualifications. The contracted employee shall utilize employees possessing adequate training, skills, and knowledge to perform the requirements of this contract.

4.2.2.5 Employee Training. The Contractor shall give all training required to meet requirements of the

PWS unless otherwise specified within the PWS or as otherwise approved by the CO. The Contractor shall maintain training and experience records for each employee during the period of this contract that reflect sufficient personnel are qualified to accomplish all tasks required by this contract. Provide status of employee training upon Government request throughout the contract performance period, and for the period after contract completion until final settlement of any claims under this contract.

4.2.2.6 English Language. Employees who deal directly with customers will be required to effectively communicate with the customers in English. This requirement is strictly for the purpose of efficiently performing the contract tasks.

4.2.3 Identification of Contractor Employees. All contract 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 in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by Contractors are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.

4.2 4 Privately Owned Vehicles. Each contracted employee driving a privately owned vehicle on the installation must carry minimum liability insurance as required by the State. Contracted employee shall adhere to all posted speed limits and shall not use hand-held cellular telephones while driving on the installation for phone calls or texting. Use of seatbelts is mandatory. Any contracted employee cited for driving under the influence will have their driving privileges immediately revoked for a period to be determined.

4.2.5 Retainability. Personnel provided under this contract/task order are critical to the mission and shall be considered “key personnel”. The Contractor is expected to minimize employee turnover with respect to personnel performing under the PWS. The Contractor must notify the CO within 24 hours of any change of personnel performing under this contract/task order. Any replacement personnel proposed must meet all minimum qualifications outlined in this PWS prior to resume submittal. All resumes shall

- 17 -be submitted within 15 days and all positions shall be filled within 30 days from time of vacancy. The

Government may request to review the candidate’s résumé for replacement personnel prior to the time the personnel change is expected to occur. The Contractor is responsible for providing personnel with the appropriate security clearances and expertise in the related field described in the PWS. If a replacement contract worker is not provided within the prescribed time, the contract may be considered for de-scope or termination.

4.2.6 Contractor Employee Start Date (Non-credentialed). Non-credentialed health care worker(s) will physically begin performance within 30 calendar days after contract award or upon notification of a vacant position.

4.3 Emergency Operations/Mission Essential Personnel:

4.3.1. Continuation of Essential DoD Contractor Services During Crisis. In Accordance With DoDI

1100.22, (12 Apr 2010) Continuation of Essential DoD Contractor Services During Crises, DFARS

237.76, and the Air Force implementation thereof, unless otherwise directed by an authorized government representative, it is determined that TC3 Educator services as identified in this PWS are not essential for performance during a crisis. However, some services may be required to support an activation, exercise of contingency plans outside the normal duty hours, or crisis. The Base could be closed because of security problems or other events. Should one of these situations occur the CO would determine services required during the crisis. Unless otherwise notified by the government the contractor should listen to or watch one of the local television or radio stations for notification of a possible base closure.

4.4 Quality Control (QC). In compliance with the contract clause entitled "Inspection of Services –

Fixed Price, FAR54.246-4”, develop and maintain an effective quality control program to ensure services are performed IAW this PWS, applicable laws and regulations and IAW best commercial practices. At a minimum, the items listed in 4.6.1. shall be submitted to the contracting officer prior to pre-performance conference. The contracting officer will notify the Contractor of acceptance or required modifications to the plan before the contract start date. The Contractor shall make appropriate modifications and obtain acceptance of the plan by the contracting officer before the contract start date.

4.4.1 Quality Control Plan (QCP)

The Contractor shall be required to submit a QCP before contract start date. The Contractor’s quality control plan shall contain, as a minimum, the following items:

a. A description of the inspection system to cover all services. Description shall include specifics as to the areas to be inspected on a scheduled and unscheduled basis, frequency of inspections, and the title and organizational placement of the inspector(s).

b. A description of the methods to be used for identifying and preventing defects in the quality of service performed.

c. A description of how the records will be kept. Records must document all inspections and corrective or preventive actions taken.

4.4.2 Government Quality Assurance. According to the Inspection of Services clause(s), the

Government will evaluate the Contractor's performance under this contract. Government personnel will record all surveillance observations. When an observation indicates defective performance, the COR will require the contract manager or representative at the site to initial the observation. The initialing of the observation does not necessarily constitute concurrence with the observation, only acknowledgment that he or she has been made aware of the defective performance. Government surveillance of tasks not listed in the PWS or by methods other than those listed in the PWS (such as provided for by the Inspection of

Services clause) may occur during the performance period of this contract. Such surveillance will be

- 18 -done according to standard inspection procedures or other contract provisions. Any action taken by the contracting officer as a result of surveillance will be according to the terms of this contract.

4.4.2.1 Quality Assurance. The Government will periodically evaluate the Contractor’s performance in accordance with the Quality Assurance Surveillance Plan (QASP). The Government may inspect each task as completed and increase the number of quality assurance inspections if deemed appropriate because of repeated failures discovered during surveillance inspections or because of repeated customer complaints.

Likewise, the Government may decrease the number of quality assurance inspections if performance dictates. The Government shall also receive and investigate complaints from customers. The Government representative shall make the determination of the validity of all customer compliant (s) and the Contractor shall address/correct all valid customer complaints.

4.4.2.2 Contracting Officer Representative (COR). COR are representatives of the Contracting Officer and will participate in the administration of this contract. Subsequent to contract award, the Contractor will be provided with a letter identifying COR and setting forth their duties and authorities. The COR is not authorized to change any of the terms and conditions of the contract/task order.

4.4.2.3. Multifunction Team (MFT). The Contract Manager with the Contracting Officer, Contract

Administrator, QA Personnel, and other Government personnel shall meet on a regular basis. The team will establish how often meetings are needed based on contract complexity. The Contractor may request a meeting with the Contracting Officer when the Contractor believes such a meeting is necessary. If the

Contracting Officer or Contract Administrator deems necessary, written minutes of any such meetings shall be recorded by the Contract Administrator in the contract file and signed by the Project Manager and the Contracting Officer or Contract Administrator. If the Contractor does not concur with any portion of the minutes, such nonoccurrence shall be provided in writing to the Contracting Officer within 10 calendar days following receipt of the minutes.

4.4.2.4 Contract Discrepancies. The Government COR or CO will periodically evaluate the Contractor’s performance using the methods of surveillance listed in Section 2 – Service Summary of the PWS.

Government personnel will record all surveillance observations. When an observation indicates defective performance, the COR will require the Contract Manager or representative at the site to initial the observation. The initialing of the observation does not necessarily constitute concurrence with the observation, only acknowledgment that he or she has been made aware of the defective performance. If the Contractor challenges the validity of any observation, and the COR and Contract Manager cannot come to an agreement, the complaint in question shall be forwarded to the Contracting Officer for resolution. The preferred method of dealing with any valid observation is re-performance, if possible, and at no additional cost to the Government. Repeat observations or an incident that violates safety or environmental regulations shall require the COR to instigate a Corrective Action Report (CAR) through the Contracting Officer. The Contractor shall be given three (3) business days to respond to the CAR with either an explanation on why it disagrees with the CAR or with its concurrence with the CAR, any disciplinary action taken, and a mitigation plan to avoid repeat occurrences.

4.4.2.5 Partnering Agreement. The Contracting Officer may require a partnering agreement between the

Government and the Contractor to ensure joint cooperation and a sound partnership of all parties involved in the execution of this contract. Partnering is the creation of a Government and Contractor relationship that promotes achievement of mutually beneficial goals. It involves an agreement in principle to share the risks involved in completing the project and to establish and promote a nurturing partnership environment. Representatives from each organization are encouraged to participate in developing the partnering agreement. Suggested representation is the Government contract administrator, the

Contractor’s manager, and the Contractor’s quality control person. All costs for the partnership agreement should be shared equally between the Government and the Contractor. This group is

- 19 -responsible for developing a formal partnering agreement that should be signed by all parties involved.

The agreement should contain as a minimum: Specific goals to be reached and a list of objectives required to reach the goals, a set of metrics to evaluate the objectives, a frequency for meetings to review the metrics, and a statement of cooperation to execute the terms of the agreement.

4.5 Conservation of Utilities. The Contractor shall instruct employees in utilities conservation practices. The Contractor shall be responsible for operating under conditions that preclude the waste of utilities.

4.6 Contractor Furnished Property and Services. Except for those items or services specifically stated to be Government-provided in Section III and any appendixes, the Contractor shall furnish everything required to perform this contract in accordance with all of its terms.

4.7 Environmental Protection. The Contractor shall comply with all applicable Federal, state and local laws, regulations and standards that are or may become applicable to Contractor’s activities in performance of this PWS.

4.8 MISCELLANEOUS PARAGRAPHS

4.8.1 Freedom of Information Act (FOIA). All official Government records affected by this contract are subject to the provisions of the FOIA (5 U.S.C. 552/DoD 5400.7-R/AF Supplement). Any request received by the Contractor for access/release of information from these records to the public (including

Government/Contractor employees acting as private citizens), whether oral or in writing, shall be immediately brought to the attention of the CO for forwarding to the Base FOIA Manager to ensure proper processing and compliance with the Act.

4.8.2 For Official Use Only (FOUO). The Contractor shall comply with DoD 5400-7-R, Chapter 4, DoD Freedom of Information Act (FOIA) Program requirements. This regulation sets policy and procedures for the disclosure of records to the public and for marking, handling, transmitting, and safeguarding FOUO material.

4.8.3 Notification of Debarment/Suspension Status. The Contractor shall provide immediate notice to the

Contracting Officer in the event of being suspended, debarred or declared ineligible by any other Federal

Department or agency, or upon receipt of a notice of proposed debarment from another DOD Agency, during the performance of this contract.

4.8.4 Official Correspondence. The Government singularly identifies each project with a contract number at time of award. The contract number is a unique identifier to purposely and permanently represent an awarded project. The Government issued contract number is to be referenced on all official communication starting upon notice of award.

4.8.5 Past Performance Information (PPI) / Contractor Performance Assessment Report (CPARS). The

Government will formally assess and report on the Contractor’s performance annually. CPARS assesses a contractor’s performance, both positive and negative, and provides a record on a given contract during a specified period of time. The Contractor will be provided a copy of their annual assessment at the end of each performance period. The Contractor shall have 30 days to review and submit comments for the evaluation activity’s consideration before the assessment is made final. Past Performance assessment reports will be protected by all parties and treated by Government personnel as “For Official Use

Only/Source Selection Information in accordance with FAR 2.101 and 3.104”.

- 20 -

4.8.6 Privacy Act. Work on this contract may require that personnel have access to information protected by the Privacy Act. Contractor personnel shall adhere to the Privacy Act, Title 5 of the U.S.

Code, Section 552a and applicable agency rules and regulations when handling such information. (ref attach 5)

4.8.7 Records. All records created and received by the Contractor in the performance of this contract shall be maintained and readily accessible. Records shall remain the property of the Government.

4.8.8 Safety Concerns. The Contractor is solely responsible for compliance with OSHA standards for the protection of their employees. The contract manager shall ensure specific safety requirements in

AFOSH standards and Air Force technical orders are complied with by Contractor personnel when non-compliance would clearly present the potential to harm or damage Government resources. (See AFI 91-

301, paragraph 9 and AFI 21-101 paragraph 2.16.) The Air Force is not responsible for ensuring that

Contractors comply with “personal” safety requirements that do not present the potential to damage

Government resources.

4.8.9 Insurance. The contractor shall obtain the necessary insurance as required by FAR part 28.3. The minimum amounts of insurance will be maintained IAW FAR 28.307-2.

4.8.10 Fire Prevention. The Contractor shall take all necessary precautions to prevent fires in the units and Contractor-furnished and Government-furnished facilities while performing any work under this contract. In the event fires do occur, the Contractor shall immediately notify the Base Fire Department at

911. The Contractor shall then notify the requiring activity and the CO. The Contractor shall brief and document its employees monthly in fire safety issues and procedures in reporting fires.

4.8.11 Inclement Weather. If the base closes due to inclement weather, the Contractor will be released, by the installation commander, with the general population of the base at no detriment to contract price.

The Contractor will follow the local procedures for reporting in inclement weather as advertised on local television and radio stations.

4.8.12 Weapons, Firearms, and Ammunition. Contractor employees are prohibited from possessing weapons, firearms, or ammunition on themselves or within their Contractor-owned privately owned vehicles while on base.

4.8.13 The contract service provider shall be required to keep and maintain an attendance log.

4.8.13.1 Timekeeping Policy. At the end of each duty day, contractor employees shall accurately record their time worked on the MTF’s electronic timecard system, the Defense Medical Human Resources

System-internet (DMHRSi). If any discrepancies exist, COR will notify the contractor to resolve the discrepancies within three (3) business days. If no discrepancies exist, the contractor’s invoice will be processed for payment.

4.8.13.2 Timecard Errors. Hours on the contractor’s invoice shall match the hours recorded by the government time keeper. Contracted employees shall immediately report any errors on timecards to the contractor, and the contractor shall contact the COR to request correction of the timecard. False reporting or altering of timecards by contractor employees will be grounds for dismissal/termination.

- 21 -

SECTION V

5.0. Safety and Security

5.1 General

5.1.1 The contractor shall comply with all base security regulations. Additionally, the contractor shall comply with actions dictated by force protection condition changes/measures.

5.1.2 The Contractor and its employees shall comply with all base traffic regulations.

5.1.3 Contracted employee are prohibited from possessing weapons, firearms or ammunition, on themselves or within Contractor-owned or privately owned vehicle while on Air Force Installations.

5.1.4 The contracted employee shall report suspicious activity to base Security Forces at 850-882-2502 immediately.

5.2 Required Training

5.2.1 Contracted employee shall receive Level I - Antiterrorism Awareness Training by the government.

This training provides contractor employees with the requisite knowledge necessary to remain vigilant for possible terrorist threats. Coordination for training should be done by the requiring unit after contract award.

5.2.2 Contracted employee shall receive documented Information Assurance (IA) training, by the government, prior to receiving access to the LAN. Authorized users will receive initial IA orientation and annual (every 12 months) awareness training to ensure they know, understands, and applies the IA requirements of Air Force information and ISs. The minimum orientation and awareness requirements for users are outlined in DoD 8570.01-M. IA Program. The Contractor shall comply with the established

C4 Systems IA program to integrate security education, training, and awareness covering the COMSEC, COMPUSEC, and Emissions Security (EMSEC) disciplines. Contractor personnel shall be required to attend initial and annual IA training at no additional cost to the Government.

5.2.3 Annual Ongoing Competency Requirements. All contracted employees shall be required to attend any training deemed mandatory by the Squadron Commander, Chief of the Medical Staff, Clinic

Supervisor, and/or MTF regulating agencies. Training requirements mirror the military active duty specialty working in the same patient care setting. The following are examples, but not limited to: medical group/unit specific orientation, Health Insurance Portability and Accountability Act (HIPAA), Patient

Safety, Customer Service, Computer Security and Mental Health training.

5.2.4 Contracted employee shall have all annual training complete 15 days prior to expiration.

5.3. Safety

5.3.1 It is the contractor's responsibility to ensure its employees and managers have a comprehensive understanding of and full compliance with OSHA requirements. Detailed information is available on the

OSHA website at http://www.osha.gov. It is the contractor's sole responsibility for compliance with

OSHA, Public Law 91-596. The contractor shall comply with all federal, state and local laws, and Air

Force Instructions for the protection of their employees while working on an Air Force Installation or property. The protection of contractor employees is exclusively the obligation of the contractor.

Contractor shall manage all work areas to ensure the safety of building occupants, base personnel, or

-…