Attachment 4 - AFCAP VI PWS - 20260414.docx

Attachment 4 - DRAFT AFCAP VI PWS - 20260414

AIR FORCE CONTRACT AUGMENTATION PROGRAM VI

PERFORMANCE WORK STATEMENT

14 April 2026

1.0. INTRODUCTION: The Air Force Contract Augmentation Program (AFCAP) serves as a responsive, global force multiplier for commanders and Government agencies, supporting contingencies both within the contiguous United States (CONUS) and outside the contiguous United States (OCONUS). AFCAP delivers rapid solutions in design/construction, service contracts, and logistics/commodities. This Performance Work Statement (PWS) establishes the overarching framework and requirements for all Task Orders (TO) awarded under this Indefinite Delivery/Indefinite Quantity (IDIQ) contract. It defines the technical, functional and performance characteristics of the required work, emphasizes outcome-based results, and provides standards such that performance can be evaluated in terms of quality and/or timeliness of output. The Government does not guarantee a continuous demand or future requirements.

2.0. DESCRIPTION OF SERVICES: Under this IDIQ, the Contractor shall maintain the capacity and capability to rapidly provide resources and management to support a broad range of worldwide missions including global disorder contingencies, humanitarian or peacekeeping operations, and disasters (natural or man-made); contingency locations and operations, organize, train and equip (OT&E) activities; foreign assistance; and exercises. This support is available to Department of Defense (DOD), Combatant Commands (CCMD or COCOM), North Atlantic Treaty Organization (NATO), and other Government organizations supporting National Command Authority objectives. AFCAP supports logistical services to support installations, troops, units, and operations responding to both programmed and un-programmed requirements. AFCAP also provides: construction services; support adapting to changes in current operations and troop strength at existing installations; backfill support at existing operational locations to augment mission requirements, bridge contract support until other execution avenues become available; support for base closure actions; and support for new and existing operations and installations. The Contractor shall employ sound business practices that emphasize efficiency, innovation, and cost-effectiveness. The Contractor shall not perform inherently governmental functions as defined in Federal Acquisition Regulation (FAR) Subpart 7.5, “Inherently Governmental Functions." Section 7.0 outlines potential task types under AFCAP, including construction, commodities, and services. Specific requirements will be detailed in individual TOs. The requirements outlined in this PWS provide a general framework for performance under the IDIQ contract. Specific requirements, deliverables, and performance standards will be defined in individual TOs to ensure alignment with mission objectives and evolving operational needs.

3.0. SCOPE: The AFCAP supports United States (U.S.) national interests and security objectives by providing rapid-response capabilities for contingency planning, deployment, training/equipping of forces, emergency/contingency construction, logistics/commodities, and services. These capabilities align with definitions in the DOD Dictionary of Military and Associated Terms. AFCAP provides a full range of Base Operating/Life Support (BOS/BLS) and logistical support on an as-required basis to support a wide spectrum of activities, including, but are not limited to: Major Theater War(s); Small Scale Contingencies; Irregular Warfare; responses to Violent Extremist Organizations (VEO); foreign assistance, developmental assistance, humanitarian assistance, and security assistance (including Foreign Military Sales); peacekeeping; counterinsurgency, counterdrug and counterterrorism operations; maritime security operations; recovery operations and denial measures; domestic/international emergency support; infrastructure/facility design/build, design/build/operate, demolition, and site restoration; deliberate and crisis action planning; and military exercises (including Joint Chiefs of Staff sponsored) authorized by the National Command Authority. Specific tasks and performance requirements will be defined in the individual TO PWS.

4.0. MAIN CONTRACT COMPLIANCE REQUIREMENTS: The Contractor shall maintain a fully staffed Program Management Office (PMO) and updated AFCAP Management Plan [Contract Data Requirement List (CDRL) A001] throughout the contract period. The PMO shall include, at a minimum, a Program Manager, Alternate Program Manager; Primary and Secondary 24-hour contacts, and 24-hour availability of Contract Managers, Deployment Managers, and Security Managers. The AFCAP Management Plan [CDRL A001] shall outline the Contractor’s approach to managing this contract and include, at a minimum: Staffing Plan, Quick Response Plan, Quality Control Plan, Procurement Plan, Subcontract Management Plan, Safety Plan, Security Plan, Property Control Plan (PCP), Contingency Plan for Essential Contract Services, and a plan to address DOD’s Combating Trafficking in Persons (CTIP) Program (DODI 2201.01 – CTIP). The Contractor shall update all applicable components of the AFCAP Management Plan [CDRL A001], as needed to reflect current processes and procedures. The Contractor shall submit updates to the Contracting Officer (CO) and AFCAP Program Management Team for acceptance. The Government will deem failure to maintain required PMO staffing or an adequate AFCAP Management Plan as a non-compliance issue. In the event of non-compliance, the Government reserves the option to exclude the Contractor from future TO competitions, decline to exercise remaining option periods on existing TOs, and/or decline to exercise option periods on the AFCAP main contract.

4.1. Program Management Office (PMO) Support: The Contractor shall assign a Program Manager and Alternate Program Manager for the AFCAP Basic Contract and designate on-site TO managers (referred to as “Site Managers”) for each awarded TO. The Program Manager, Alternate Program Manager, and designated Site Managers are identified as key personnel. Key personnel shall meet the qualifications outlined below and remain in their positions for a minimum performance period of at least 12 months, unless prevented by medical conditions, termination, resignation, or retirement. The Contractor shall notify the AFCAP CO and Government Program Manager of any proposed changes at least ten (10) calendar days in advance. The Government reserves the right to reject proposed changes in the Contractor Program Manager. For proposed personnel substitutes, the Contractor shall submit relevant documentation (e.g., resume); and a detailed justification outlining the circumstances necessitating the substitution. The Contractor shall submit a “Key AFCAP VI Contact Listing” in Microsoft Word format, no later than 60 calendar days after contract award. The Key AFCAP VI Contact Listing shall contain the following information for the Program Manager, Alternate Program Manager; Primary and Secondary 24-hour contacts, Primary and Alternate Contracts Managers, Primary and Alternate Deployment Managers, and Security Manager: Names, Office phone numbers, cell phone numbers, individual e-mails, AFCAP VI corporate e-mails, and a classified mailing address for the Security Manager. The Contractor shall include photographs for the Program Manager and Alternate Program Manager; photos are optional for the remainder of the team. The Contractor shall provide the Government with an updated Key AFCAP VI Contact Listing after any changes occur with five (5) business days. The Contractor shall submit updates to the CO and AFCAP Program Management Team for acceptance.

4.1.1. Program Manager Qualifications: The Program Manager shall possess a current Secret Security Clearance; and five (5) years of program management experience within the last seven years, with expertise in the following areas:

4.1.1.1. Government appropriations

4.1.1.2. Air Force Mission Support functions, specifically Engineering and Force Support

4.1.1.3. Construction, Services, and Commodities

4.1.1.4. Government acquisitions

4.1.1.5. Management of multiple TOs of a magnitude greater than $2M each in geographically dispersed locations simultaneously or equivalent deployment experience.

4.1.2. Alternate Program Manager Qualifications: The Alternate Program Manager shall possess a current Secret Security Clearance; and two (2) years of program management experience within the last seven years, with expertise in the following areas:

4.1.2.1. Government appropriations

4.1.2.2. Engineering, Construction, Services, or Commodities

4.1.2.3. Government acquisitions

4.1.2.4. Management of multiple TOs of a magnitude greater than $400K.

4.1.3. On-Site TO Manager Qualifications: For each TO, the Contractor shall designate an empowered on-site TO manager, referred to as the “Site Manager” (SM), with the authority to make decisions; and direct all subcontractors on behalf of the prime contractor. The SM shall possess the experience and expertise necessary to effectively manage the TO and ensure successful performance. The Contractor shall also designate an Alternate Site Manager (ASM) for each such TO, capable of acting on behalf of the SM in their absence. At a minimum, the SM and ASM shall meet the qualifications as indicated below, which may be increased in the individual TO PWS. The Government reserves the right to review and approve the qualifications of the SM and ASM, as further detailed in the relevant TO.

4.1.3.1. Current Secret Security Clearance.

4.1.3.2. Experience in managing projects or contracts of similar complexity, scope, and location type (e.g., austere or remote), as identified in the individual TOs.

4.1.3.3. Demonstrated experience relevant to TO requirements (e.g., engineering, base operation support, dining facilities, etc.).

4.2. Required Responsiveness: The Contractor shall maintain responsiveness to meet AFCAP requirements, including on-call capability, proposal responses, and on-site responses for urgent tasks.

4.2.1. On-Call Capability. The Contractor shall maintain a 24-hour, 7 day a week on-call capability and respond to the CO by telephone within one (1) hour of notification. The Contractor representative, responding to the CO, must have the authority to bind the Contractor, make financial commitments, and allocate resources on behalf of the Contractor.

4.2.2. Task Order (TO) Proposal Response:

4.2.2.1. Fair Opportunity Proposal Request (FOPR) for TOs: The Contractor shall submit TO proposals via electronic transmission, in accordance with the TO FOPR instructions. Unless directed otherwise, proposals shall not exceed 20 MB. Contractors who fail to propose on at least one (1) effort per five (5) consecutive FOPRs, or at least one (1) per six-month period (whichever comes later), will be considered dormant. Dormant Contractors may be excluded from FOPR notifications, and the Government reserves the right not to exercise the remaining options periods.

4.2.2.2. Unusual & Compelling Urgency TOs: For TOs designated as unusual and compelling urgent, the Contractor shall submit a proposal within 24 hours of the CO’s request, unless otherwise specified. The 24-hour response time begins upon the CO’s initial notification. The requirement to physically receive classified or unclassified files, materials, etc., does not extend the 24-hour response time.

4.2.3. Unusual & Compelling Urgency On-Site Response: The Contractor shall respond on site to unusual and compelling urgent requirements within 24 hours for CONUS locations and 48 hours for OCONUS locations. This response time begins upon the CO’s initial official/formal notification. The requirement to physically receive classified or unclassified files, materials, or other documentation does not extend the 24-hour response time. For tasks involving classified information, the Contractor must respond either in person to the AFCEC vault or via Secure Video Teleconference (SVTC) per PWS Paragraph 4.3.1.1. within two (2) hours of initial official/formal notification. Contractors may also be required to provide binding TO proposals within 24 hours for urgent tasks.

4.3. Security Program Compliance: The Contractor shall implement and maintain a comprehensive security program to comply with all applicable security requirements throughout the contract period. This includes adherence to Defense Security Service (DSS) standards, cybersecurity measures, supply chain risk management, and operations security protocols. If the Contractor does not have an approved security program at any time, the Government may take action as described in the paragraph entitled, “Main Contract Compliance.”

4.3.1. The Contractor shall maintain a DSS (or DSS replacement entity) approved security program and meet the requirements for any applicable Facility Clearance (FCL). The contractual security specification DD Form 254 (DD-254) provides security guidance for this program. The Contractor shall: maintain the ability to physically receive classified information at the AFCEC vault at Tyndall AFB, including materials classified up to SECRET ; protect, store, and properly dispose of all classified materials in accordance with DOD 5200-series publication and the DOD Information Security Program; adhere to the security requirements outlined in the DD-254, Contract Security Classification Specification, and flow these requirements down to all subcontractors, as applicable; and guarantee access to facilities and secure communications necessary to accomplish assigned tasks.

4.3.1.1. Classified Information Access. The Contractor shall gain access to classified information as needed to support work worldwide. As an alternative to physical receipt at the AFCEC Vault at Tyndall AFB, the Contractor shall establish a Communications Security (COMSEC) account with SIPRNet email address and SVTC capability.

4.3.1.2. Operational Security (OPSEC) Plan. The Contractor shall update and maintain an OPSEC Plan, including SIPRNet and SVTC details, prior to gaining permission to access any classified information via alternate methods.

4.3.2. Compliance: The Contractor shall implement and maintain cybersecurity measures for all systems, networks, and data used in support of this contract, adhering to applicable DOD cybersecurity standards (e.g., NIST 800-171, Cybersecurity Maturity Model Certification (CMMC) Framework), as applicable. The Contractor shall:

4.3.2.1. Conduct regular vulnerability assessments and penetration testing.

4.3.2.2. Implement and maintain appropriate security controls to protect against unauthorized access, use, disclosure, disruption, modification, or destruction of information.

4.3.2.3. Provide cybersecurity awareness training to all personnel.

4.3.2.4. Report any cybersecurity incidents to the Government IAW applicable regulations and procedures.

4.3.3. Supply Chain Risk Management (SCRM): The Contractor shall develop, implement, and maintain a comprehensive SCRM plan. This plan shall be designed to directly support the Government's Vendor Threat Mitigation (VTM) program, as outlined in DOWI 3000.19, and will be used to identify, assess, and mitigate risks associated with the procurement and delivery of goods and services under this contract. This SCRM plan shall include, at a minimum:

4.3.3.1. Subcontractor and Supplier Due Diligence: Conduct thorough due diligence and vetting for all vendors and subcontractors at any tier. The process must be sufficient to collect and provide all necessary information for the Government to conduct its threat assessments and assign risk ratings IAW DOWI 3000.19.

4.3.3.2. Counterfeit Parts Prevention: Implement measures to verify the authenticity and integrity of all components.

4.3.3.3. Trade Regulation Compliance: Follow all applicable trade regulations and export control laws.

4.3.3.4. Incident Reporting: Establish procedures for reporting and responding to supply chain security incidents.

4.3.3.5. VTM Compliance and Risk Mitigation: Conduct risk mitigation IAW Vendor Threat Mitigation (DODD 3000.16). The contractor shall ensure all acquisitions and vendor relationships are compliant with Vendor Threat Mitigation (VTM) policies in DODD 3000.16 and the procedures in DOWI 3000.19. The contractor shall actively participate in risk mitigation activities as directed by the Government.

4.3.3.6. Vendor Information Reporting: Provide and maintain a comprehensive Vendor Information Report as a component of the Monthly Status Report (CDRL A007). This report shall contain the specific company, personnel, and related data required to support the Government's VTM assessment process for the prime contractor and all subcontractors at any tier.

4.3.4. The Contractor shall comply with all applicable OPSEC, COMSEC and Telecommunications Electronic Materials Protected from Emanating Spurious Transmission (TEMPEST) policies and procedures. The Contractor shall integrate OPSEC into relevant areas of the contract IAW DOD Directive 5205.02E, DOD OPSEC Program, and any agency-specific regulations; communicate OPSEC requirements to subcontractors handling Critical Information (CI); and safeguard CI, which includes specific details regarding friendly intentions, capabilities, or activities that adversaries could use to counteract mission success.

4.4. Ethical Compliance: The Contractor shall adhere to all applicable ethical standards, laws, and regulations throughout the contract period. This includes compliance with the Joint Ethics Regulation (JER), equal employment opportunity laws, and provisions related to human trafficking and inhumane living conditions, including Title 18 United States Code (USC), Section 1592, and the DOD CTIP Program.

4.4.1. The Contractor shall comply with DOD 5500.07, Ethics and Standards of Conduct. In exceptional circumstances where strict adherence to specific provisions of DOD 5500.7-R would demonstrably hinder mission accomplishment, the CO may waive or modify this requirement. Waivers shall be issued in writing, be limited in scope and duration, be subject to legal review, and only be considered when no reasonable alternative exists that complies with the JER and meets the mission requirement. The Contractor bears the burden of proof for demonstrating the necessity of a waiver.

4.4.2. The Contractor shall comply with all applicable federal, state, and local laws and regulations regarding equal employment opportunity. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic.

4.4.3. Prohibition Against Human Trafficking, Inhumane Living Conditions, and Withholding of Employee Passports: The Contractor, including all subcontractors at all tiers, shall comply with Title 18, USC, Section 1592, which prohibits: destroying, concealing, removing, confiscating, or possessing passports or other immigration documents to restrict a person’s liberty; and maintaining labor or services of a person who is or has been a victim of severe trafficking in persons. The Contractor shall implement a comprehensive human trafficking prevention program to address DOD’s CTIP Program that includes training, monitoring, and reporting procedures. The Contractor shall document the program in their AFCAP Management Plan [CDRL A001].

4.4.4. Affirmative Duty to Report Violations: The Contractor has an affirmative duty to advise the CO if it becomes aware of any violations of human trafficking laws, inhumane living conditions, or withholding of passports by its employees or subcontractors. The CO or designated representatives may conduct random checks to verify compliance with these requirements.

4.4.5. Employment Practices: To comply with CTIP prohibitions, the Contractor shall perform the following:

4.4.5.1. Identification Documents. Hold employee passports or identification documents only for the shortest period necessary for administrative processing.

4.4.5.2. Employment Contracts. Provide all employees with signed employment contracts in English and the employee’s native language, clearly defining the terms of employment and compensation.

4.4.5.3. Licensed Firms. Avoid using unlicensed recruiting firms or firms that charge illegal recruiting fees.

4.4.6. Living Conditions. The Contractor shall provide employees with living conditions that meet sanitation, health, safety, and space requirements, including: A minimum of fifty square feet of personal living space per employee; access to clean water, adequate sanitation facilities, and safe housing. The CO may grant a waiver for living space requirements if the existing square footage is within 20% of the minimum and overall conditions are determined acceptable. A copy of the waiver approval shall be maintained at the respective life support area.

4.4.6.1. Life Support Area Compliance. The Contractor shall incorporate checks of life support areas into its Quality Control Program to verify compliance with the requirements of this Trafficking in Persons Prohibition. These checks will be reviewed as part of the Government’s Quality Assurance process.

4.4.6.2. Visas and Work Permits. The Contractor shall comply with international laws regarding transit, exit, and entry procedures, as well as requirements for work visas. The Contractor shall follow all Host Country entry and exit requirements, including requirements for visas and work permits.

4.5. Operational Readiness and Deployment Requirements: The Contractor shall comply with all individual travel clearance requirements outlined in the Foreign Clearance Guide (FCG) for their destination, regardless of transportation method. This includes obtaining necessary country, theater, and special area clearances and confirming deploying personnel review and comply with FCG and pre-travel requirements such as medical evaluations, immunizations, completion of Isolated Personnel Report (ISOPREP), and any Combatant Commander (CCDR)-mandated clearances and training prior to deployment. Personnel traveling on specific order types must confirm their orders include any statements mandated by the FCG. All personnel with security clearances traveling to foreign locations must complete pre- and post-travel security briefings and debriefings, even if not specified in Automated Personnel Accountability System (APACS) documentation. The Contractor shall confirm and verify all personnel meet deployment readiness requirements, including medical evaluations, security clearances, and training, as specified in individual TOs and applicable Government policies. The Contractor shall maintain flexibility to adapt to evolving deployment requirements over the contract period.

4.5.1. Pre-Deployment Activities. The Contractor shall complete all pre-deployment activities for prime and subcontractor personnel as required at the contingent location. Prior to arrival for processing, the Contractor shall: schedule a processing slot; confirm Homeland Security Presidential Directive 12 (HSPD-12) or equivalent vetting; enter data into the Mission Partner Identity, Credential, and Access Management (MP ICAM) and Synchronized Pre-deployment and Operational Tracker System (SPOT); complete medical screening and pre-deployment health assessment (medically, psychologically, and dentally); obtain State Department required immunizations; possess a valid State issued driver’s license; complete the Chemical, Biological, Radiological, and Nuclear (CBRN) Defense Awareness Course, and fulfill any other requirements as specified in the FCG. The Contractor shall confirm and verify personnel complete all required training, including pre-deployment, in-theater, and annual refresher training, as specified in individual TOs and applicable Government policies. The Contractor shall ensure that all required (pre-deployment, in-theater, annual refresher, and any CCDR-mandated courses) remains current and valid for the entire period of performance in the Area of Responsibility (AOR). The Contractor shall renew expired training or certifications prior to expiration. Training requirements shall be tailored to the specific needs of each TO. The Contractor shall complete mandatory training such as Anti-Terrorism/Force Protection (AT/FP), CTIP, etc.) on the Government-specified platform (e.g., Joint Knowledge Online (JKO)) and retain completion certificates.

4.5.1.1. Security Clearances/Contractor Vetting: The Contractor shall comply with HSPD-12 requirements for vetting U.S. personnel (military, civilian and contractors) or through an established installation procedure for vetting of Non-U.S. personnel before granting access to U.S. Government installations or network systems.

4.5.1.1.1. U.S. personnel: Vetting shall be completed based on the appropriate sensitivity level required for TO duties (i.e., Public Trust (Tier 1, Tier 2, and Tier 4) or National Security (Tier 3 or Tier 5). Results shall be reflected in DISS or other Government-provided successor system, as applicable.

4.5.1.1.2. Non-U.S. personnel: The Contractor shall be solely responsible for thoroughly vetting all LNs/OCNs in compliance with installation procedures and Host Nation (HN) laws and regulations before granting access to Government facilities or installations. The Contractor is responsible for paying for all background investigations, coordinating required vetting for OCNs/LNs according to applicable laws and regulations as required by individual TOs, and providing documentation of the vetting process to the Government for verification.

4.5.1.1.3. Vetting must be accomplished prior to the Government issuing a Common Access Card (CAC) and before starting work. A CAC grants unescorted access to Government installations or facilities and allows access to Government computer systems. Only vetted personnel shall be granted access to the U.S. Government computer networks. The appropriate level of vetting for an individual contractor shall be commensurate with the level of access required to perform TO duties. Failure to obtain or maintain adequate vetting shall result in removal from the TO. Non-vetted Non-U.S. personnel shall not be granted CACs and must follow procedures for badging and access to Government facilities or installations. See Section 4.6.2.3. and 4.6.2.4. for more information related to access to the U.S. Government computer/network.

4.5.1.2. Vetting Process Timeline: The Contractor shall perform vetting as required by the TO. The Government will not accept delays associated with vetting.

4.5.2. Deployment Processing: The Contractor shall provide for deployment enabling processing of Contractor personnel at the Deployment Processing Center at Tyndall AFB, FL (or at an alternate location as designated and approved by the Government). This processing includes, but is not limited to: receiving Government-issued Individual Protective Equipment (IPE), if not issued at the deployment location (specifically, chemical warfare ensembles, gas masks, gas mask spectacle inserts (if required)); gas mask fit testing; military specific immunizations (e.g., smallpox, anthrax, etc.); Government Identification Cards containing Geneva Convention provisions; a Government driver’s license; a remains identification aid (e.g. Deoxyribonucleic acid (DNA) sample); and training on IPE use, chemical warfare equipment, Geneva Convention protocols, trafficking in persons, public health, basic law of war/law of armed conflict, moderate risk of isolation, anti-terrorism/force protection, etc. The Government may utilize an alternate processing location when conditions warrant processing other than at Tyndall Air Force Base, FL. The Contractor may propose an alternative method, subject to Government approval before use. Processing slots at Tyndall AFB, or the Government-approved alternate location will be allocated on a first-come, first-served basis. The Contractor shall have a trained company representative accompany their personnel during processing at Tyndall AFB or at the alternate Government-approved location. The company representative shall assist in performing gas mask fit testing and other tasks as deemed necessary by the Government to accomplish vendor processing.

4.5.2.1. The Contractor shall review personnel shot records and provide all Department of State (DOS)-required immunizations no earlier than 30 days before their scheduled departure to a theater of operations to confirm that immunizations are current, as reviewed and approved by a board certified physician or nurse (quick reference located at http://www.vaccines.mil/QuickReference). The Contractor shall comply with military immunization requirements exceeding State Department requirements (e.g., smallpox and/or anthrax provided by the Government), if required for military personnel at that location. The Government will provide required anthrax and smallpox immunizations, as required, to the Contractor at no cost. The Contractor shall track and review shot records annually. The Contractor shall submit a qualifying letter certifying all personnel meet DOS and DOD requirements for performing duty in the AOR, as required by individual TOs.

4.5.2.2. Personal Protective Equipment (PPE) and IPE: The Contractor shall provide all PPE/IPE for employees assigned to their awarded tasks (except for the equipment issued by the Government). For PPE and IPE, see acronyms and abbreviations.

4.5.2.2.1. Reporting of IPE. The Contractor shall provide monthly reporting of IPE by individual, item and serial number (as applicable – gas masks, ballistic vest plates, etc.) within CDRL A010.

4.5.2.3. The Contractor shall verify personnel have reviewed the following: the Geneva Convention of 1949; all applicable General Orders; trafficking in persons training, anti-terrorism/force protection training, moderate risk of isolation training and basic law of war training, and other items the Government deems necessary.

4.5.3. Health and Safety Requirements: The Contractor shall identify and comply with all applicable health and safety requirements for the locations specified in the individual TOs.

4.5.3.1. Fitness for Duty and Medical/Dental Limitations for U.S. Nationals (USN): DOD contractor employees must meet medical standards and be documented as fit to safely perform their duties without limitations. This requires medical and dental evaluations before deploying. The Contractor shall provide the appropriate medical screening for their employees, completed by a licensed medical provider in a country with oversight and accountability of the medical profession. Both the company and the individual contractor must maintain a copy of the completed medical screening documentation in English. The Administrative Contracting Officer (ACO) or the Contracting Officer Representative (COR), in conjunction with Government medical personnel, may conduct quality assurance audits to verify the validity of medical screenings. The Contractor shall meet medical and fitness standards and shall pay for all non-Government provided items. These standards apply to all DOD contractors (prime contractors, sub-contractors, LNs and OCNs) in the COCOM Theater of Operations. All DOD contractors shall follow DOD Instruction 3020.41, “Operational Contract Support” and as supplemented by the CCDR (e.g., the latest version of the “USCENTCOM Individual Protection and Individual-Unit Deployment Policy” or similar). Specialized employees who must meet specific physical standards (e.g., firefighters, aviators, aviation crew members, air traffic controllers, divers, marine craft operators, commercial drivers, etc.) must meet job-specific duty standards, without exception, and maintain valid certifications throughout the deployment. The Contractor shall perform the requirements of this contract regardless of the fitness for duty of deployed employees, the provisions for care offered under this section, and redeployment of individuals determined to be unfit. Employees who fail to meet entrance standards set by the CCDR Surgeon, or who become unfit through their own actions (e.g. pregnancy, alcohol or drug abuse, etc.) shall be removed from the AOR. Personnel found to be medically non-deployable while outside the COCOM Theater of Operation for any length of time shall not enter or re-enter the theater until the non-deployable condition is completely resolved. The Contractor shall immediately report disqualifying medical conditions to the ACO, and the contractor employee shall be immediately redeployed and replaced at contractor expense. The Contractor shall maintain an accessible electronic medical record for each deploying/deployed personnel or a hand-carried record as part of a deployed medical record. This electronic or hand-carried medical record shall contain, as required for the AOR:

4.5.3.1.1. Annotation of blood type and Rhesus (RH) factor, Glucose-6-Phosphate Dehydrogenase (G6PD), Human Immunodeficiency Virus (HIV), (documented negative result within 120 calendar days prior to deployment), Human Chorionic Gonadotropin (HCG) (required within 30 calendar days of deployment for all women) and DNA.

4.5.3.1.2. Current medications and allergies, including any force health protection prescription product (FHPPP) prescribed and dispensed to an individual.

4.5.3.1.3. Special duty qualifications.

4.5.3.1.4. Annotation of corrective lens prescription.

4.5.3.1.5. Summary sheet of current and past medical and surgical history and conditions.

4.5.3.1.6. Most recent DD Form 2795, Pre-deployment Health Assessment or equivalent form.

4.5.3.1.7. Documentation of dental status classes I or II.

4.5.3.1.8. Immunization record. Military sites will enter immunization data through Service electronic tracking systems.

4.5.3.2. Medications. Personnel deploying to the COCOM Theater of Operations who require medications shall deploy with at least 180-day supply (or a sufficient amount for shorter deployments) of their maintenance medications with arrangements to obtain a sufficient supply to cover the remainder of their deployment using a follow-on refill prescription. Personnel requiring malaria chemoprophylactic medications shall deploy with enough medication for their entire deployment.

4.5.3.3. Medical equipment. Personnel who require medical equipment (e.g. corrective eyewear, hearing aids) must deploy with all required items in their possession to include two pairs of eyeglasses, protective mask eyeglass inserts, ballistic eyewear inserts, and hearing aid batteries. Contact lenses: Wearing contact lenses in a field/contingency environment is NOT recommended and is at the contractor’s employees’ own risk. Non-permitted equipment: Personal durable medical equipment (nebulizers, scooters, wheelchairs, walkers, catheters, dialysis machines, insulin pumps, implanted defibrillators, spinal cord stimulators, cerebral implants, etc.) is not permitted.

4.5.3.4. Medical Considerations for Multiple Tours. (USNs) Contractor personnel who deploy for multiple tours for more than 12 months total must be re-evaluated for fitness to deploy. An examination shall remain valid for 15 months from the date of the physical. This allows for examination to be valid for up to 90 days before the deployment date. Once a deployment begins, the examination shall only be valid for a maximum of 12 months. The Contractor bears the responsibility for ensuring all employees are aware of the conditions and medical treatment available at the performance location. The Contractor shall include this information and requirement in all subcontracts with performance in the theater of operations.

4.5.3.5. Medical Conditions Preventing Deployment. (USNs) The Contractor shall not deploy any individual with any of the following conditions unless the appropriate COCOM Service Component (i.e., AFCENT, AFNORTH, AFSOUTH, USAFE, PACAF, AFAFRICA, etc.) Surgeon provides approval. These conditions include: Conditions preventing the use of personal protective equipment, (protective mask, ballistic helmet, body armor, and chemical/biological protective garments); conditions prohibiting required theater immunizations or medications; conditions or current medical treatment or medications that contraindicate or preclude the use of chemical and biological protectives and antidotes; diabetes mellitus, Type I or II, on pharmacological therapy; symptomatic coronary artery disease or myocardial infarction within one year before deployment, or within six months of coronary artery bypass graft, coronary artery angioplasty, or stenting; morbid obesity (BMI > 40); dysrhythmias or arrhythmias, either symptomatic or requiring medical or electrophysiological control; uncontrolled hypertension, current heart failure, or automatic implantable defibrillator; therapeutic anticoagulation; malignancy, newly diagnosed or under current treatment, or recently diagnosed/treated and requiring frequent subspecialist surveillance, examination, and/or laboratory testing; dental or oral conditions requiring or likely to require urgent dental care within six months’ time, active orthodontic care, conditions requiring prosthodontic care, conditions with immediate restorative dentistry needs, conditions with a current requirement for oral-maxillofacial surgery; new onset (< 1 year) seizure disorder, or seizure within one year prior to deployment; history of heat stroke; Meniere’s Disease or other vertiginous/motion sickness disorder, unless well controlled on medications available in theater; recurrent syncope, ataxias, new diagnosis (< year) of mood disorder, thought disorder, anxiety, somatoform, or dissociative disorder, or personality disorder with mood or thought manifestations; unrepaired hernia; tracheotomy or aphonia; renalithiasis, current; active tuberculosis; pregnancy; unclosed surgical defect, such as external fixator placement; requirement for medical devices using AC power; HIV antibody positivity; psychotic and bipolar disorders. This list is subject to change and is not comprehensive; other conditions may result in denial of medical clearance for deployment.

4.5.3.6. Emergency Care. (USN, OCNs, and LNs) In accordance with military directives (DODI 3020.41 and DODI 6000.11), resuscitative care, stabilization, hospitalization at Level III (emergency) military treatment facilities and assistance with patient movement in emergencies where loss of life, limb or eyesight could occur will be provided. Hospitalization will be limited to emergency stabilization and short- term medical treatment with an emphasis on return to duty or placement in the patient movement system. Subject to availability at the time of need, a medical treatment facility may provide reimbursable (pay for service) treatment for emergency medical or dental care such as broken bones, lacerations, broken teeth or lost fillings.

4.5.3.7. Routine and Primary Care. (USNs, OCNs, and LNs) Routine and primary medical care is not authorized. Pharmaceutical services are not authorized for routine or known, routine prescription drug needs of the individual. Routine dental care, examinations and cleanings are not authorized.

4.5.3.8. Other Medical Care. (USNs, OCNs, LNs) Notwithstanding any other provision of the contract, the Contractor shall be liable for any and all medically-related services or transportation rendered.

4.5.3.9. Screening and Vaccinations. (USNs, OCNs, LNs) The Contractor shall provide medical screening and vaccination requirements for all contractor employees. All LN and OCNs whose jobs require close or frequent contact with non-LN/OCN personnel (.e.g., dining facility workers, interpreters, security personnel, water and ice production, etc.) must be screened for tuberculosis (TB) using an annual symptom screen. A tuberculin skin test (TST) is unreliable as a stand-alone screening test for TB disease in LN/OCN personnel and should not be used. Specific questions regarding appropriate screening of detainees, prison guards and other higher risk populations should be referred to the Government medical personnel at the deployment location. LN and OCN employees involved in food service, water, and ice production must be screened annually for signs and symptoms of infectious disease. Contractors must confirm employees receive typhoid and hepatitis A vaccinations and this information must be documented in the employees’ medical record/screening documentation. Further guidance of medical suitability regarding force health protection may be provided by the local task force commander or equivalent in consultation with their military medical assets. Immunizations shall be maintained as outlined in the Foreign Clearance Guide (https://www.fcg.pentagon.mil) for the applicable countries and shall be done at contractor expense. The sole exceptions to this policy are anthrax (and smallpox, if required) vaccines which will be provided at Government expense.

4.5.3.9.1. TB Screening. Contractors and subcontractors at any tier shall confirm and provide satisfactory evidence that any employee, (including Local National (LN), Other Country National, U.S. employees, expats, etc.) working on any task have been screened for and do not currently have active tuberculosis (TB). The Contractor shall screen all LN/OCN employees annually following the most current version of the annual system screen methodology located in the World Health Organization’s “Systematic Screening for Active Tuberculosis” document. Evaluation and treatment of TB among contractors, LNs and OCNs shall be at contractor expense.

4.5.3.9.1.1. Test Method. Contractors shall utilize a testing method of a chest x-ray.

4.5.3.9.1.2. Chest X-Rays. Chest x-rays shall be taken within 90 days prior to the start of employment.

4.5.3.9.1.3. Screening Documentation. Screening may be performed either by a licensed medical provider from the local economy or by contractor’s licensed medical staff. Contractors shall maintain medical screening documentation and make it available to the CO upon request.

4.5.3.9.1.4. Badge Issuance. TB screening documentation shall be provided to the responsible base agency prior to issuance of base access badges.

4.5.3.10. Vaccinations. See vaccinations required by COCOM Theater of Operations in the Official Web Site for Military Health (https://health.mil). The direct URL for specific immunizations by Theater is found at: https://health.mil/Military-Health-Topics/Health-Readiness/Immunization-Healthcare/Vaccine-Recommendations/Vaccine-Recommendations-by-AOR. Proof of individual employee vaccinations shall be provided to the CO and COR as proof that their employees and their subcontractor (at any tier) employees have received the above vaccinations. The Contractor shall maintain their employees’ vaccination records for examination by the CO. The Contractor shall confirm that their subcontractors at any tier maintain their respective employees’ vaccination records for examination by the CO. Note: Some CCDR require contractor employees to have a copy of the Center for Disease Control Form 731, “International Certificate of Vaccination or Prophylaxis as Approved by the World Health Organization” or equivalent that shows vaccinations are current. (NOTE: a DD Form 2766C (Computer Generated) “Vaccine Administration Record” is an acceptable substitution for the CDC Form 731)

4.5.3.10.1. Hepatitis “A.” At least the first inoculation in the Hepatitis “A” series must be given prior to the start of employment, with continuation and completion of the inoculation series. Once the complete Hepatitis “A” vaccination series is completed, it does not have to be repeated.

4.5.3.10.2. Hepatitis “B.” At least one dose prior to deployment.

4.5.3.10.3. Typhoid. The Typhoid inoculation must be completed within two years prior to the date of employment in the food and water service capacity. Booster dose of typhim VI vaccine if greater than two years since last vaccination with inactivated / injectable vaccine or greater than five years since receipt of live / oral vaccine. Oral vaccine is an acceptable option only if time allows for receipt and completion of all four doses prior to deployment.

4.5.3.10.4. Tetanus/Diphtheria. Receive one-time dose of TDAP if no previous dose(s) recorded. Receive tetanus (TD) if greater than or equal to 10 years since last TDAP or TD booster.

4.5.3.10.5. Varicella. Required documentation of one of the following: born before 1980 (health care workers many not use this exemption), documented previous infection (confirmed by either epidemiologic link or laboratory result), sufficient varicella titer, or documented administration of vaccine (2 doses).

4.5.3.10.6. Measles / Mumps / Rubella. Required documentation of one of the following: Born before 1957, documentation of effective immunity by titer, or documented administration of 2 lifetime doses of MMR.

4.5.3.10.7. Polio. See country-specific requirement.

4.5.3.10.8. Anthrax and Smallpox. See COCOM Theater of Operations requirements. These immunizations will be provided by the Government and at Government expense.

4.5.3.10.9. Seasonal Influenza. Required documentation of seasonal influenza vaccination including event specific influenza, (e.g., H1N1)

4.5.3.10.10. Rabies. See COCOM Theater of Operations requirements.

4.5.3.11. Identification Aids. (USN) It is the Contractor’s responsibility to maintain the individual readiness file records needed for identification and processing of their deploying employees.

4.5.3.11.1. Dental Pantograph. For identification purposes, Contractor employees shall obtain a dental pantograph prior to arrival at designated processing location.

4.5.3.11.2. DNA Samples. DNA specimen collection is mandatory for all U.S. nationals. DNA samples collected from service members, DOD Civilians, and DOD Sponsored Contractors are stored in the same central facility: the Armed Forces Repository of Specimen Samples for the Identification of Remains (AFRSSIR) located at 16050 Industrial Drive, Suite 100, Gaithersburg, MD 21771. DNA samples will be obtained by the Government during processing, and sent to the AFRSSIR unless a sample is already on file. Retired/prior military are required to call the AFRSSIR to determine if they have a sample on file; the repository WILL NOT accept a second sample. When DNA samples are accessioned by the AFRSSIR, a DNA flag is placed on the donor’s DEERS (Defense Enrollment Eligibility Reporting System) record to indicate that a DNA sample is on file. Service members (active, guard, reserve, and United States Coast Guard) are accessioned into the specimen management system. DOD civilians and Contractors are accessioned into a separate database. All DNA samples are stored for safekeeping in repository freezers and retrieved as needed for identification.

4.5.3.11.3. Medical Warning Tags. Deploying personnel requiring medical warning tags (medication allergies, G6PD deficiency, diabetes, sickle cell, etc.) shall deploy with red medical warning tags and the contractor and/or the contractor employee shall provide.

4.5.4. Post-Deployment Activities (as applicable). The Contractor shall notify the Government within three (3) calendar days after an employee has left their employment. The Contractor shall release an employee’s record in SPOT (or Government-provided successor system) within three (3) calendar days of employee termination. The Contractor shall return their CAC to their company representative who shall in-turn return it to the Government not later than 30 calendar days post deployment. Unauthorized possession of an official credential, like a CAC, can be prosecuted criminally under Title 18, United States Code, § 701. The Contractor shall also return equipment to the place where it was issued (e.g., if issued at Tyndall Air Force Base, then return to Tyndall Air Force Base; if issued at the Expeditionary Theater Distribution Centers (ETDC) then return to the ETDC, etc.). Equipment shall be returned to the applicable location where issued not later than 30 calendar days post deployment and it shall clearly indicate the name of the individual to whom the equipment was issued. If not returned to the correct location, or the returned equipment is not linked to an individual, the Contractor shall reimburse the issuing unit for the equipment. The Government will issue this equipment using a hand receipt (an Air Force (AF) Form 1297, or an updated version) and the Contractor shall maintain copies of these hand receipts when issued and shall also maintain copies of all hand receipts reflecting the equipment has been returned. Failure to maintain adequate proof of return shall result in the Contractor reimbursing the Government for the lost equipment assets. If an individual is leaving one AFCAP contract and going to work for another AFCAP contract, the new AFCAP employer acknowledges that they are accepting responsibility for the equipment at the same time as applying for a CAC. If the individual is leaving employment for another non-AFCAP contract, that individual must return AFCAP accountable equipment and seek equipment through the new contract method. The last AFCAP contract deployment shown in SPOT shall be the Company responsible for return of the gear. If a Contractor has not turned in their IPE, they will not be reissued new IPE until their prior IPE has been turned in or a reimbursement for full replacement provided. The Contractor shall reimburse the Government within 10 calendar days of Government notification for the cost of equipment not accounted as having been returned or for any equipment not returned in serviceable condition. Additionally, the Contractor shall complete a post-deployment health assessment, not later than 30 calendar days after redeployment, and note any changes compared to the pre-deployment health assessment.

4.5.5.