Attachment 4 - DD 254.pdf

(Updated 20250815) CLASSIFICATION (When filled in): Unclassified

CLASSIFICATION (When filled in): Unclassified PREVIOUS EDITION IS OBSOLETE. Page 1 of 4DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 1 of 4DD FORM 254, APR 2018

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the National Industrial Security Program (NISP) apply to all security aspects of this effort involving classified information.)

OMB No. 0704-0567 OMB approval expires:

August 31, 2028

The public reporting burden for this collection of information, 0704-0567, is estimated to average 36 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

RETURN COMPLETED FORM AS DIRECTED IN THE INSTRUCTIONS.

1. CLEARANCE AND SAFEGUARDING

a. LEVEL OF FACILITY SECURITY CLEARANCE (FCL) REQUIRED

(See Instructions)

Top Secret

b. LEVEL OF SAFEGUARDING FOR CLASSIFIED INFORMATION/

MATERIAL REQUIRED AT CONTRACTOR FACILITY

None (See instructions)

2. THIS SPECIFICATION IS FOR: (X and complete as applicable.)

a. PRIME CONTRACT NUMBER (See instructions.)

b. SUBCONTRACT NUMBER

c. SOLICITATION OR OTHER NUMBER

FA561326Q0006

DUE DATE (YYYYMMDD)

20260816

3. THIS SPECIFICATION IS: (X and complete as applicable.)

a. ORIGINAL (Complete date in all cases.)

DATE (YYYYMMDD)

20260612

b. REVISED (Supersedes all previous specifications.)

REVISION NO. DATE (YYYYMMDD)

c. FINAL (Complete Item 5 in all cases.) DATE (YYYYMMDD)

4. IS THIS A FOLLOW-ON CONTRACT? No Yes If yes, complete the following:

Classified material received or generated under (Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL DD FORM 254? No Yes If yes, complete the following:

In response to the contractor's request dated , retention of the classified material is authorized for the period of:

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code)

a. NAME, ADDRESS, AND ZIP CODE

TBD

b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

7. SUBCONTRACTOR(S) (Click button if you choose to add or list the subcontractors -- but will still require a separate DD Form 254 issued by a prime contractor to each subcontractor) Add Row Remove Last Row Delete All Rows

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

8. ACTUAL PERFORMANCE (Click button to add more locations.) Add Row Remove Last Row Delete All Rows

a. LOCATION(S) (For actual performance, see instructions.)

435 AGOW

Bldg 413 Ramstein Flugplatz, DE 66877

b. CAGE CODE (If applicable, see Instructions.)

c. COGNIZANT SECURITY OFFICE(S) (CSO) (Name, Address, ZIP Code, Telephone required; Email Address optional)

86 AW/IPD

Unit 3300

APO AE 09094

86aw.informationprotectionoffice@us.af.mil

DSN: 314-480-9082

9. GENERAL UNCLASSIFIED DESCRIPTION OF THIS PROCUREMENT

The Contractor (Operational Psychologist) requires access to all information AGOW members have which is often up to Top Secret. The Contractor will also help in analyzing and giving recommendation to leaders concerning Top Secret missions.

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10. CONTRACTOR WILL REQUIRE ACCESS TO: (X all that apply. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. COMMUNICATIONS SECURITY (COMSEC) INFORMATION

b. RESTRICTED DATA

c. CRITICAL NUCLEAR WEAPON DESIGN INFORMATION (CNWDI) (If CNWDI applies, RESTRICTED DATA must also be marked.)

d. FORMERLY RESTRICTED DATA

e. NATIONAL INTELLIGENCE INFORMATION:

(1) Sensitive Compartmented Information (SCI)

(2) Non-SCI

f. SPECIAL ACCESS PROGRAM (SAP) INFORMATION

g. NORTH ATLANTIC TREATY ORGANIZATION

(NATO) INFORMATION

h. FOREIGN GOVERNMENT INFORMATION

i. ALTERNATIVE COMPENSATORY CONTROL MEASURES

(ACCM) INFORMATION

j. CONTROLLED UNCLASSIFIED INFORMATION (CUI) (See instructions.)

k. OTHER (Specify) (See instructions.)

NIPR LAN

11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL: (X all that apply. See instructions. Provide details in Blocks 13 or 14 as set forth in the instructions.)

a. HAVE ACCESS TO CLASSIFIED INFORMATION ONLY AT

ANOTHER CONTRACTOR'S FACILITY OR A GOVERNMENT

ACTIVITY

(Applicable only if there is no access or storage required at contractor facility.

See instructions.)

b. RECEIVE AND STORE CLASSIFIED DOCUMENTS ONLY

c. RECEIVE, STORE, AND GENERATE CLASSIFIED

INFORMATION OR MATERIAL

d. FABRICATE, MODIFY, OR STORE CLASSIFIED HARDWARE

e. PERFORM SERVICES ONLY

f. HAVE ACCESS TO U.S. CLASSIFIED INFORMATION OUTSIDE

THE U.S.,PUERTO RICO, U.S. POSSESSIONS AND TRUST

TERRITORIES

g. BE AUTHORIZED TO USE THE SERVICES OF DEFENSE

TECHNICAL INFORMATION CENTER (DTIC) OR OTHER

SECONDARY DISTRIBUTION CENTER

h. REQUIRE A COMSEC ACCOUNT

i. HAVE A TEMPEST REQUIREMENT

j. HAVE OPERATIONS SECURITY (OPSEC) REQUIREMENTS

k. BE AUTHORIZED TO USE DEFENSE COURIER SERVICE

l. RECEIVE, STORE, OR GENERATE CONTROLLED UNCLASSIFIED

INFORMATION (CUI).

(DoD Components: refer to DoDI 5200.48, only for specific CUI protection requirements. Non-DoD Components: see instructions.)

m. OTHER (Specify) (See instructions.)

12. PUBLIC RELEASE

Any information (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the National Industrial Security Program Operating Manual (NISPOM) or unless it has been approved for public release by appropriate U.S. Government authority.

Proposed public releases shall be submitted for review and approval prior to release to the appropriate government approval authority identified here with at least office and phone contact information and if available, an e-mail address. (See instructions)

DIRECT THROUGH (Specify below)

86 AW/PA, Unit 3300, Box 330, APO AE 09094; DSN: 480-9199 or commercial: (011) 49-6371-47-9199; 86AW.PA@us.af.mil

Public Release Authority:

Release by contractor is not authorized. The releasing agency is:

HQ USAFE/PA, Unit 3060 Box 120, APO AE 09094

13. SECURITY GUIDANCE Add Signature Remove Last Signature Delete All Signatures

The security classification guidance for classified information needed for this effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is authorized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any information or material furnished or generated under this contract;

and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended.

(Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. The field will expand as text is added. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted. Also allows for up to 6 internal reviewers to digitally sign. See instructions for additional guidance or use of the fillable

PDF.)

10b. Access to RESTRICTED DATA requires a final U.S. Government Top Secret clearance at the appropriate level.

10j. For Controlled Unclassified Information. Protection and Handling procedures shall be follow IAW DoD Instruction 5200.48;

Department of the Air Force Instruction 16-1403, Controlled Unclassified Information (CUI); DoD Manual (DoDM) 5400.07/Air Force Manual 33-302; DoD Freedom of Information Act (FOIA) program; AFI 16-1404, Air Force Information Security Program. See attached addendum 10j for further guidance 10k. Access to NIPRnet and LAN will be required in locations specified in 8a and 8b 11a. Access to classified locations specified in 8a and 8b will NOT/NOT include generation of classified information.

11j: OPSEC requirements apply. See OPSEC attachment for requirements.

The Contractor must provide security investigations IAW DAFI 31-101 para 7.2. "Authorizing Unescorted Entry for Restricted Areas.

Unescorted entry should never be granted solely on the basis of convenience. Use AF Form 2586, Unescorted Entry Authorization Certificate, to document, coordinate and approve unescorted entry authority. Instructions for completing the AF Form 2586 are located on the newest version of the form. (T-2). Note: The IDP will list the units responsible for initiating the AF Form 2586 and the designated

PREVIOUS EDITION IS OBSOLETE. Page 3 of 4DD FORM 254, APR 2018 PREVIOUS EDITION IS OBSOLETE. Page 3 of 4DD FORM 254, APR 2018 approving officials for each area by naming their positions in the IDP. (T-3)." and para 7.2.1. "Investigative Requirements. Appropriate background investigation requirements must be met before a person can be granted unescorted entry into restricted areas. (T-1). A Tier-1 investigation (formally NACI) is the minimum investigation required for unescorted entry. Pending completion of the open investigation, unescorted entry into restricted areas may be granted after a favorable review and submission of the individual’s personnel security background investigation (SF85, SF85P or SF86), and favorable FBI fingerprint check. If unescorted entry is granted to individuals without an interim or adjudicated security clearance, commanders/approving officials for those respective areas will ensure processes are in place to prevent access to classified information. Areas that do not require a clearance for unescorted entry will be annotated in the IDP. (T-3)." In addition the Contractor must c/w DoD Information Security Program in DoDM 5200.01-V3 and meet training requirements outlined in Enclosure 5. Furthermore the Contractor must uphold Operational Security Requirement as defined in AFI 10-701 and complete training IAW 4.2.3. "DoD Contractors with OPSEC requirements within a contract must ensure employees receive OPSEC training as specified in the contract. Accomplishment of training must not exceed 90 days from initial assignment to a contract with OPSEC requirements. Access to mission critical information will not be allowed until OPSEC education has been completed and documented. (T-0)."

List of Attachments (All Files Must be attached Prior to Signing, i.e., for any digital signature on the form) Show Attachment Bar

NAME & TITLE OF REVIEWING OFFICIAL

Pedro M. Malachi, Capt, USAF Dir, Strategy and Plans 435 AGOW/A5

SIGNATURE

NAME & TITLE OF REVIEWING OFFICIAL

ERIKA HUERTA, DAFC

86 AW Industrial Security Program Manager

SIGNATURE

14. ADDITIONAL SECURITY REQUIREMENTS

Requirements, in addition to NISPOM requirements for classified information, are established for this contract.

No Yes If Yes, identify the pertinent contractual clauses in the contract document itself, or provide an appropriate statement which identifies the additional requirements. Provide a copy of the requirements to the CSO. The field will expand as text is added or you can also use item 13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted.

(See instructions for additional guidance or use of the fillable PDF.)

The Contractor (Operational Psychologist) requires access to all information AGOW members have which is often up to Top Secret. The Contractor will also help in analyzing and giving recommendation to leaders concerning Top Secret missions.

15. INSPECTIONS

Elements of this contract are outside the inspection responsibility of the CSO.

No Yes If Yes, explain and identify specific areas and government activity responsible for inspections. The field will expand as text is added or you can also use item

13. When removing any expanded text area, use delete key or backspace key, then click out of the text field for it to shrink after the text has been deleted.

(See instructions for additional guidance or use of the fillable PDF.)

Inspection of security clearances and training will be conducted by the COR in-conjunction with the AGOW Security Manager (SM). All Restricted Area Badges (RABs) will be presented to the AGOW SM for a 100% accountability inspection upon demand.

16. GOVERNMENT CONTRACTING ACTIVITY (GCA) AND POINT OF CONTACT (POC)

a. GCA NAME

700th Contracting Squadron

b. ACTIVITY ADDRESS CODE (AAC) OF THE CONTRACTING OFFICE (See Instructions)

FA5613

c. ADDRESS (Include ZIP Code) Bldg 2767 Kapaun Air Station Germany or 700 CONS/PKB Unit 3076 APO AE 09021

d. POC NAME TSgt Carleen R. Clinger

e. POC TELEPHONE (Include Area Code)

+1 (314) 489-6124

f. EMAIL ADDRESS (See Instructions) carleen.clinger@us.af.mil

17. CERTIFICATION AND SIGNATURES

Security requirements stated herein are complete and adequate for safeguarding the classified information to be released or generated under this classified effort. All questions shall be referred to the official named below. Upon digitally signing Item 17h, no changes can be made as the form will be locked.

a. TYPED NAME OF CERTIFYING OFFICIAL (Last, First, Middle Initial) (See Instructions)

CLINGER, CARLEEN, R

PREVIOUS EDITION IS OBSOLETE. Page 4 of 4DD FORM 254, APR 2018

b. TITLE

Contracting Officer

c. ADDRESS (Include ZIP Code) Bldg 2767, Kapaun Air Station, Germany

d. AAC OF THE CONTRACTING OFFICE (See Instructions)

FA5613

e. CAGE CODE OF THE PRIME CONTRACTOR

(See Instructions.)

TBD

f. TELEPHONE (Include Area Code)

+1 (314) 489-6124

g. EMAIL ADDRESS (See Instructions) carleen.clinger@us.af.mil

h. SIGNATURE

i. DATE SIGNED (See Instructions)

20260724

18. REQUIRED DISTRIBUTION BY THE CERTIFYING OFFICIAL

a. CONTRACTOR

b. SUBCONTRACTOR

c. COGNIZANT SECURITY OFFICE FOR PRIME AND

SUBCONTRACTOR

d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY

ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHER AS NECESSARY (If more room is needed, continue in Item 13 or on additional page if necessary.)

DD FORM 254 ATTACHMENT 10B

RESTRICTED DATA

UNITED STATES AIR FORCES IN EUROPE

UNITED STATES AIR FORCES AFRICA

GOVERNMENT FACILITY

FOLLOW-ON/PRIME CONTRACT NUMBER:

PRECEDING CONTRACT NUMBER:

CONTRACT EXPIRATION DATE:

Block 13, CONTINUATION:

Ref Block 10, Item b.

The contractor requires access to Restricted Data (RD) in performance of this contract. CONFIDENTIAL security clearance eligibility is not valid for access to Restricted Data. Contractors must comply with all instructions and guidance provided by the servicing AF Activity security manager.

Prior approval of the contracting activity is required for subcontracting.

Definition. Restricted Data (RD) is information which is classified and controlled under the Atomic Energy Act of 1954. It is all data (information) concerning design, manufacture, or utilization of atomic weapons; the production of special nuclear material; or the use of special nuclear material in production of energy. The term does not include data declassified or removed from the Restricted Data category pursuant to section 142 of the Atomic Energy Act of 1954, as amended (reference (b)). (Also see “Formerly Restricted Data.”)

Access. Within and between DoD Components, to include contractor activities, access to Restricted Data (RD) information will be governed by the same procedures and criteria required for access to other classified information:

Require access in performance of official duties.

Have a final US Government security clearance at a level commensurate with the information concerned.

Access requires documentation of access in Joint Personnel Adjudication System (JPAS). Item 10b of the DD Form 254 will always be marked “YES” when Item 10c (CNWDI) is marked “YES.” Indoctrinate and grant access in JPAS.

Requests for access to Restricted Data in the possession of the DOE or other Federal Agencies designated by the Department of Energy (DOE), other than the Department of Defense and NASA, are submitted via DOE Form 277, Request for Visit or Access Approval, in accordance with Reference b.

Dissemination. Restricted Data dissemination will be governed in accordance with References b, d, and e. Disseminate Restricted Data information according to the AF Activity’s policies and guidance only under the following guidelines:

Within and between the DoD Components, to include DoD contractors.

To properly cleared Department of Energy (DOE) personnel and to DOE-cleared personnel of other Federal Agencies.

Restricted Data information pertaining only to nuclear research reactors or nuclear electric power generating reactors may be made to Nuclear Regulatory Commission (NRC) personnel, i.e., DoD, State Department, NASA, etc. Restricted Data not related to these reactors may be released to NRC personnel only through the DOE.

Restricted Data information other than that pertaining to aeronautical and space activities may be released to NASA personnel only through the DOE.

In all above cases, dissemination of Restricted Data information will be made only after the holder of the information has verified the identification of the prospective recipient, the validity of the prospective recipient’s security clearance via JPAS and the “need-to-know” of the prospective recipient in connection with official duties.

Dissemination of Restricted Data (and Formerly Restricted Data) to any nation or regional defense organization, or to a representative thereof, is prohibited; except in accordance with agreements for cooperation, entered into pursuant to section 123 of the Atomic Energy Act of 1954, as amended (reference (b)).

Marking and Safeguarding. Mark and safeguard Restricted Data in accordance with References c and d.

Contact your servicing AF activity security manager for additional assistance.

References:

a. Atomic Energy Act of 1954

b. DoDI 5210.2 Access To and Dissemination of Restricted Data

c. DoDM 5200.1 Vol 1-4, DoD Information Security Program

d. AFI 16-1404, Air Force Information Security Program

e. DoDM 5200.02_AFMAN 16-1405, Air Force Personnel Security Program

DD FORM 254 ATTACHMENT 11J

OPERATIONS SECURITY (OPSEC) INFORMATION

UNITED STATES AIR FORCES IN EUROPE

UNITED STATES AIR FORCES AFRICA

GOVERNMENT FACILITY

(Policy: AFI 10-701, Operations Security)

FOLLOW-ON/PRIME CONTRACT NUMBER:

PRECEDING CONTRACT NUMBER:

CONTRACT EXPIRATION DATE:

Block 13, CONTINUATION:

Ref: Block 11, Item j. OPSEC Requirements

GENERAL:

1. PURPOSE: This section outlines the requirements and procedures necessary to protect Critical Information for Operations Security (OPSEC).

2. MISSION: To maintain a continuing awareness of adversary interest in center actions and adversary intelligence collection capabilities. To understand the need to identify and protect classified and unclassified indicators, which occur, reveal sensitive information. To evaluate the effectiveness of OPSEC measures taken to preclude or reduce adversary acquisition and exploitation of sensitive information.

3. DEFINITION: OPSEC is the process of analyzing friendly actions attendant to military operations and other activities to:

a. Identify those actions that can be observed by adversary intelligence systems.

b. Determine indicators hostile intelligence systems might obtain that could be interpreted or pieced together to derive critical information in time to be useful to adversaries.

c. Select and execute measures that eliminate or reduce to an acceptable level the vulnerabilities of friendly actions to adversary exploitation.

4. OBJECTIVES:

a. To protect planned operational center activities by preventing the inadvertent disclosure of unclassified information relating to or revealing a possible classified operation.

b. To preserve secrecy concerning specific scenario events and a response to these events.

c. To identify OPSEC vulnerabilities and recommend protective measures which will serve to enhance the security of future operations.

5. TASKS: Task requirements are outlined in the Statement of Work for this effort.

DD FORM 254 ATTACHMENT 11J (Continued)

OPERATIONS SECURITY (OPSEC) INFORMATION

If OPSEC requirements are required, the government program manager and the contracting official must include such requirements in the contract. Imposing OPSEC requirements may add additional costs to the contract. A contractor shall not implement OPSEC requirements nor shall they impose any OPSEC requirements on a subcontractor without prior approval of the Air Force. If OPSEC requirements are imposed, mark Items 11.j. and 14 “YES” and enter the following statement in Item 14:

“Ref. 11.j: See Contract Clause No. FAR 52.204-2 and AFFARS 5352.204-9000 for additional OPSEC requirements.”

Contact your servicing USAF base OPSEC manager for additional assistance.

Performance Work Statement | HPO Services

PERFORMANCE WORK STATEMENT (PWS)

HUMAN PERFORMANCE OPTIMIZATION (HPO) SERVICES

435th AIR GROUND OPERATIONS WING (AGOW)

Document Type:

Performance Work Statement (PWS)

Program:

Human Performance Optimization (HPO) Services

Sponsoring Agency:

435th Air Ground Operations Wing (AGOW)

Status / Date:

Final / June 2026

Table of Contents

Right-click and select 'Update Field' to populate the table of contents.

1.0 DESCRIPTION OF SERVICES

1.1 Overview of Services

The purpose of this requirement is to provide Human Performance Optimization (HPO) services in support of the 435th Air Ground Operations Wing (AGOW). The Contractor shall provide qualified personnel to enhance physical performance, reduce injury risk, improve behavioral resilience, optimize cognitive performance, and strengthen mission effectiveness, operational readiness, and long-term durability of assigned personnel. This requirement consists of four distinct labor categories: Certified Strength and Conditioning Specialists (CSCS), Physical Therapists (PT), Resilience and Performance Coaches (RPC – holding a Licensed Clinical Social Worker [LCSW] credential), and an Operational Psychologist. Each labor category shall operate strictly within its defined scope of practice. Medical services shall be delivered in accordance with Medical Treatment Facility (MTF) standards while non-clinical services shall focus on performance optimization, coaching, consultation, and advisory support. The Contractor shall support a Government-led program and shall not function as an independent program authority. All services shall align with Wing leadership priorities and operational requirements.

1.2 Scope of Work

The Contractor shall provide integrated support across strength and conditioning, physical therapy, behavioral performance, resilience, and operational psychology domains. Services shall be delivered in a manner that ensures clear separation between clinical and non-clinical activities. Medical services shall be delivered through individual clinical encounters and documented within approved MTF systems. Non-clinical services shall not involve clinical documentation and shall not include Protected Health Information (PHI) unless otherwise authorized by applicable policy. The Contractor shall maintain operational flexibility to support multiple units, work schedules, mission requirements, and geographically separated units. Services may be delivered at multiple locations throughout the Wing area of responsibility as directed by mission requirements.

1.3 Personnel Requirements

The Contractor shall provide qualified personnel in the following labor categories:

Three (3) Certified Strength and Conditioning Specialists (CSCS)

Two (2) Physical Therapists (PT)

One (1) Resilience and Performance Coach (RPC – LCSW)

One (1) Operational Psychologist

The Contractor is responsible for recruiting, staffing, scheduling, supervision, performance management, and replacement of personnel necessary to perform all required services. The Government reserves the right to verify qualifications and require demonstration of competency.

1.4 Non-Personal Services

This requirement is a non-personal services contract. Contractor personnel remain employees of the Contractor and shall not be considered Government employees. The Contractor shall provide all management, supervision, scheduling, leave administration, performance oversight, and personnel replacement necessary to perform this requirement. The Government may provide technical direction through the Contracting Officer (CO) and Contracting Officer Representative (COR) but shall not supervise contractor personnel.

1.5 Contractor Program Manager

The Contractor shall designate a Program Manager (PM) who serves as the primary point of contact for the Government. The Program Manager shall maintain accountability for contractor personnel, coordinate staffing actions, manage leave schedules, oversee continuity of operations, coordinate corrective actions, and ensure compliance with contract requirements. The Program Manager shall respond to Government inquiries within one business day and shall maintain the authority necessary to resolve performance issues and staffing concerns.

1.6 Staffing Continuity

The Contractor shall maintain uninterrupted capability throughout the period of performance. The Contractor shall maintain procedures for planned leave coverage, emergency absences, personnel turnover, recruitment and replacement, and extended vacancies. Any vacancy or anticipated vacancy shall be reported to the COR within one business day together with a mitigation plan and estimated replacement timeline. The Contractor shall take all reasonable actions necessary to minimize mission impact resulting from personnel vacancies or absences.

2.0 SPECIFIC REQUIREMENTS

2.1 Human Performance Assessment

The Contractor shall conduct assessments within each provider's scope of practice. Clinical assessments conducted by Physical Therapists and the Operational Psychologist shall be documented within approved MTF systems and managed in accordance with HIPAA and applicable regulations. Non-clinical assessments conducted by CSCS personnel, the RPC, and the Operational Psychologist shall be used strictly for performance optimization purposes and shall not include PHI or Personally Identifiable Information (PII).

2.2 Strength and Conditioning Services (CSCS)

The Certified Strength and Conditioning Specialist shall provide comprehensive performance support focused on improving physical readiness, enhancing durability, reducing injury risk, and optimizing overall mission performance across the 435 AGOW. The CSCS shall integrate with units at the Group and Squadron level to assess operational demands and develop appropriate training strategies. This includes engagement across multiple duty locations, work centers, and shifts as mission requirements permit. The CSCS shall design and implement structured strength and conditioning programs addressing functional strength, endurance, mobility, agility, injury prevention, recovery, and overall physical performance. Programs shall be scalable and adaptable to varying mission requirements and occupational demands. The CSCS may also develop written unit fitness strategies supporting leadership-directed physical readiness initiatives. The CSCS may provide individual coaching, exercise demonstrations, performance guidance, and program recommendations. The CSCS shall not diagnose, treat, or manage medical conditions. When injury concerns arise, the CSCS shall modify training activities as appropriate and refer personnel to Physical Therapy for evaluation. The CSCS shall provide education on training techniques, injury prevention, recovery strategies, and performance optimization through workshops, briefings, hands-on instruction, and educational sessions. The CSCS shall coordinate with Physical Therapy personnel to conduct monthly workshops focused on injury prevention, recovery, and performance enhancement. The CSCS shall provide aggregate, non-identifiable trend observations to leadership to support awareness of general physical readiness trends. Such reporting shall not include PHI or PII.

2.3 Behavioral Performance Support (RPC)

The Resilience and Performance Coach (RPC) shall provide non-clinical support focused on resilience, stress management, performance optimization, and overall well-being. This role is non-medical in nature and shall not involve diagnosis, psychotherapy, formal clinical treatment, or clinical documentation. Engagements shall be voluntary and initiated at the discretion of the individual. The RPC may discuss personal, professional, and operational stressors to support performance, resilience, and stability. The RPC shall not establish formal treatment relationships or maintain clinical records. When appropriate, the RPC may recommend official military support services or other available resources. The RPC shall elevate concerns to leadership or medical personnel only when there is a clear and imminent risk of harm to self or others, or when otherwise required by law, regulation, or policy. Outside of such circumstances, interactions shall remain confidential. The RPC shall provide monthly workshops addressing resilience, stress management, life balance, and other performance-related topics for service members and their families. The RPC shall provide aggregate, non-identifiable trend observations to leadership to support awareness of general resilience and stress-related trends. No PHI or PII shall be included in such reporting.

2.4 Physical Therapy Services (PT)

The Physical Therapist shall provide comprehensive one-on-one clinical care to personnel assigned to the 435 AGOW. Services shall include evaluation, treatment planning, rehabilitation, injury management, therapeutic exercise, manual therapy, neuromuscular re-education, functional training, and other evidence-based interventions consistent with accepted standards of practice. Personnel may access Physical Therapy services based on provider availability and MTF scheduling procedures. The Physical Therapist may provide education, screening, and consultation at unit locations when requested. Clinical procedures requiring controlled environments shall be performed within approved clinical settings. Dry needling is authorized and shall be performed only within clinical settings and in accordance with MTF privileging requirements. The Physical Therapist shall document all clinical encounters within approved MTF systems in accordance with HIPAA and applicable regulations. The Physical Therapist is authorized to evaluate, recommend, and implement modifications to duty limitations and medical profiles when authorized through 86 MDG credentialing and privileging processes, established clinical guidelines, and applicable Air Force medical policies. All modifications shall be documented within approved MTF systems. The Physical Therapist shall coordinate with CSCS personnel to conduct monthly workshops focused on injury prevention, rehabilitation, recovery strategies, and physical readiness optimization. The Physical Therapist shall provide aggregate, non-identifiable trend observations to leadership regarding general physical readiness and injury trends. No PHI or PII shall be included in such reporting.

2.5 Operational Psychology Services

The purpose of Operational Psychology services is to enhance human performance, psychological resilience, organizational effectiveness, and mission accomplishment through the application of behavioral science principles. The Operational Psychologist shall provide direct support to Wing and Group leadership and serve as a contractor subject matter expert on psychological and cognitive performance. The Operational Psychologist shall provide services across a spectrum of capabilities ranging from non-clinical performance enhancement to limited clinical intervention. These services shall support three primary lines of effort: optimizing performance, mitigating risk to forces, and innovating best practices in psychological and cognitive performance. The Contractor shall maintain a target effort allocation of approximately ninety percent operational support and ten percent clinical intervention. Operational activities are defined as non-clinical engagements such as leadership consultation, team building, and training. Clinical activities involve formal psychological assessment, diagnosis, or treatment. Effort allocation shall be tracked by hours per activity type. The Operational Psychologist shall provide command consultation to Wing and Group commanders and key leaders regarding organizational dynamics, human factors, leadership effectiveness, team performance, unit trends, and resiliency concerns. The Operational Psychologist shall provide observations and recommendations but shall not exercise governmental authority or make decisions reserved to Government officials. The Operational Psychologist shall lead, design, and execute personnel assessment and selection programs for specialized, high-risk, and leadership positions. The Operational Psychologist may utilize validated psychometric tools and structured assessment methodologies to provide objective recommendations to selection authorities. The Operational Psychologist may provide recommendations to selection authorities but shall not make final personnel selection decisions. The Operational Psychologist shall design and deliver evidence-based training focused on psychological resilience, cognitive performance, stress management, leadership development, and human performance optimization. This may include executive coaching, psychological testing feedback, team development activities, climate assessments, and professional development programs. The Operational Psychologist shall provide direct support following critical incidents, high-stress missions, combat-related events, or other significant operational activities. Support may include psychological first aid, post-mission debriefings, consultation with leadership regarding crisis response strategies, personnel recovery support, reintegration activities, and consultation related to Survival, Evasion, Resistance, and Escape (SERE) programs. Clinical activities performed by the Operational Psychologist shall comply with DAFMAN 10-211 and all applicable medical policies. Clinical encounters requiring documentation shall be entered into approved medical systems.

2.6 Communication and Reporting

The Contractor Program Manager shall coordinate and provide bi-weekly informational communications to Wing personnel, consolidating inputs from across the HPO team (CSCS, PT, RPC, etc.). The Contractor shall conduct recurring workshops, educational sessions, and performance-related briefings in accordance with the requirements contained within Section 2.0 of this Performance Work Statement. The Contractor shall submit a monthly report to the COR no later than the fifth business day of the following month. At a minimum, the report shall include participation metrics, utilization statistics, completed training events, workshop attendance, identified performance trends, staffing status, continuity-of-service issues, and recommendations for program improvement. All reports generated under this contract shall become the property of the U.S. Government. Reports generated by non-clinical personnel shall be limited to aggregate trend analysis and shall not include Protected Health Information (PHI) or Personally Identifiable Information (PII). Reports generated from clinical activities shall comply with HIPAA requirements, applicable medical privacy standards, and MTF policies. The Contractor shall notify the COR of any significant operational issues, staffing concerns, mission impacts, or performance deficiencies that could affect contract execution. Notification shall occur as soon as practical but no later than one business day after identification of the issue.

3.0 SERVICES SUMMARY (SS)

The Services Summary establishes measurable performance objectives and standards that will be used by the Government to evaluate Contractor performance.

Item

Performance Objective

PWS Ref

Performance Standard

Method of Surveillance

SS01

Initial Assessments

2.1

100% completed within 30 calendar days of referral or enrollment

COR Review

SS02

CSCS Program Delivery

2.2

95% completion of scheduled programming requirements

Direct Observation and COR Review

SS03

Physical Therapy Documentation

2.4

95% completed within 72 hours of encounter

Record Review

SS04

RPC Engagement Tracking

2.3

Participation tracked and reported monthly

COR Review

SS05

Command Responsiveness

All Sections

100% response within 24 hours for urgent requests

Leadership Feedback and COR Review

SS06

Credential, Privileging, and Clearance Maintenance

5.6, 5.7, 5.10

No lapses in required credentials, certifications, privileging, or security clearances

Verification and Security Review

SS07

Workshops and Communication

2.6

100% completion of required workshops and communications

COR Review

SS08

Personnel Assessment Turnaround

2.5

95% of recommendations delivered within 5 business days

COR Review and Commander Feedback

SS09

Training Delivery and Effectiveness

2.5

98% completion of scheduled training with average evaluation score of 4.0/5.0 or greater

Training Records and Surveys

SS10

Command Consultation Response

2.5

100% initial response within 24 hours for urgent consultation requests

COR Review

SS11

Critical Incident Support

2.5

100% initiation within 72 hours of request

Operational Logs and After Action Reviews

SS12

Clinical Documentation Compliance

2.4 / 2.5

95% of required documentation completed within 72 hours

Record Review

4.0 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

4.1 Purpose

The Quality Assurance Surveillance Plan (QASP) defines the systematic approach the Government will use to monitor, evaluate, and document Contractor performance under this contract. The QASP is designed to ensure that all services are performed in accordance with the standards and performance objectives established within this Performance Work Statement. This QASP establishes measurable performance expectations, identifies surveillance methods, and provides a structured framework for ensuring accountability, consistency, compliance, and continuous improvement. The QASP is directly aligned with the Services Summary contained in Section 3.0 and serves as the primary mechanism for validating Contractor performance.

4.2 Roles and Responsibilities

The Contracting Officer‘s Representative (COR) shall serve as the Government’s primary representative for day-to-day contract oversight and performance monitoring. The COR shall evaluate performance against established contract requirements and coordinate with leadership personnel, medical oversight personnel, and other stakeholders as necessary. Wing, Group, and Squadron leadership may provide feedback regarding the effectiveness, responsiveness, professionalism, and operational relevance of Contractor-provided services. Such feedback may be incorporated into performance assessments and quality assurance reviews. Medical oversight personnel may be consulted regarding clinical documentation, credentialing, privileging, patient care standards, HIPAA compliance, and other clinical matters affecting contract performance. The Contractor Program Manager shall serve as the primary Contractor representative for all quality assurance matters and shall coordinate corrective actions, performance improvement efforts, staffing actions, and Government requests for information.

4.3 Surveillance Methods

The Government may utilize multiple surveillance methods to evaluate Contractor performance and ensure compliance with contract requirements. Routine Monitoring may be conducted through ongoing review of daily activities, training events, reports, staffing levels, responsiveness, and operational support activities. Random Sampling may be used to evaluate documentation accuracy, timeliness, reporting compliance, credential maintenance, and adherence to established procedures. Customer Feedback may be obtained from commanders, supervisors, training participants, and supported personnel to assess service quality, effectiveness, professionalism, and mission impact. Trend Analysis may be conducted using historical performance data, utilization metrics, participation statistics, injury trends, resiliency indicators, and other relevant information to identify recurring issues or opportunities for improvement. Direct Observation may be used to evaluate training sessions, workshops, consultations, assessments, coaching activities, and other services provided under this contract. Record Review may be conducted to verify compliance with documentation requirements, credentialing standards, security requirements, and reporting obligations. The Government reserves the right to increase surveillance activities when performance concerns are identified or mission requirements dictate additional oversight.

4.4 Performance Evaluation

Contractor performance shall be evaluated against the measurable standards established within Section 3.0 of this Performance Work Statement. Performance evaluations shall consider timeliness, accuracy, effectiveness, professionalism, compliance, responsiveness, and mission impact. The Government shall assess whether services are being provided in accordance with contract requirements and whether established performance standards are being consistently achieved. Failure to meet established performance standards may result in additional surveillance, corrective action requirements, or other remedies available under the contract.

4.5 Frequency of Surveillance

Surveillance activities shall be conducted on a recurring basis with frequency determined by mission requirements, performance history, and the criticality of the service being evaluated. High-priority activities, including personnel assessments, command consultations, critical incident support, and clinical services, may be monitored continuously or immediately following completion. Documentation compliance reviews shall normally occur monthly. Training effectiveness reviews may occur following individual training events or on a recurring quarterly basis. Overall program performance reviews shall normally occur quarterly unless increased surveillance is warranted. The COR retains authority to increase surveillance frequency whenever performance concerns arise.

4.6 Corrective Actions

If Contractor performance fails to meet established standards, the Government may initiate corrective actions appropriate to the severity and frequency of the deficiency. Corrective actions may include verbal notification, written deficiency notices, requests for corrective action plans, increased surveillance, performance improvement discussions, and other contractual remedies authorized by the contract. Corrective Action Plans (CAPs) shall identify the root cause of the deficiency, describe corrective measures to be implemented, establish timelines for completion, and identify actions designed to prevent recurrence. The Contractor shall respond promptly to identified deficiencies and take all reasonable actions necessary to restore compliance with contract requirements.

4.7 Continuous Improvement

The Government encourages proactive identification of opportunities to improve service delivery, increase efficiency, enhance mission effectiveness, and strengthen program outcomes. The Contractor shall actively evaluate program performance and may submit recommendations to the COR regarding operational improvements, training enhancements, process efficiencies, staffing initiatives, technology utilization, and other opportunities that support mission success. Continuous improvement efforts shall not alter contract requirements without approval from the Contracting Officer; however, the Government encourages innovative approaches that improve performance while maintaining compliance with contract requirements. The objective of the continuous improvement process is to ensure that Contractor performance not only meets established standards but continues to evolve in support of the 435 AGOW mission.

5.0 GENERAL INFORMATION

5.1 Hours of Operation

Services shall normally be performed Monday through Friday between the hours of 0730 and 1630, excluding U.S. federal holidays. Work schedules may be adjusted as necessary to support mission requirements, operational demands, training events, assessments, consultations, and geographically separated units. Schedule adjustments shall be coordinated through the COR and managed by the Contractor Program Manager. The Contractor shall ensure sufficient flexibility exists within staffing schedules to support mission requirements while maintaining continuity of service.

5.2 Travel

Contractor personnel may be required to travel in support of geographically separated units, mission requirements, training events, consultations, workshops, assessments, and operational support activities. Travel may occur within Germany, throughout the European theater, or to locations within the Continental United States (CONUS) when approved by the Government and authorized by the contract. The Contractor may request attendance at professional conferences, certification courses, training opportunities, and continuing education events that support contract performance. Reimbursement of authorized travel expenses shall be governed by the terms and conditions of the contract.

5.3 Telework

Telework is not authorized except during contingency operations, force health protection measures, emergency situations, or when specifically authorized by the Government. Approval of telework shall not relieve the Contractor of any performance requirements contained within this contract.

5.4 Confidentiality

The Contractor shall protect all information acquired during performance of this contract and shall comply with all applicable privacy, confidentiality, information protection, and records management requirements. Contractor personnel shall not disclose information obtained through contract performance except as required for official purposes and authorized by applicable law, regulation, or policy.

5.5 Restrictions

Contractor personnel shall not bill service members or Government personnel for services provided under this contract. Contractor personnel shall not operate outside their professional scope of practice and shall not accept compensation, gifts, favors, or benefits that could create an actual or perceived conflict of interest with their official duties under this contract.

5.6 Credentialing and Privileging

Physical Therapists and the Operational Psychologist shall meet all applicable MTF credentialing and privileging requirements prior to performing clinical services. Clinical privileges shall be maintained throughout the period of performance. Any lapse, restriction, suspension, or revocation of credentials or privileges shall be immediately reported to the COR and Contracting Officer. The Physical Therapist shall maintain all credentialing, privileging, competency, and documentation requirements established by the 86th Medical Group for the duration of performance.

5.7 Background Investigations

All personnel performing under this contract shall successfully complete all required background investigations and installation access requirements prior to performing services. At a minimum, personnel shall meet applicable Department of Defense requirements for installation access and contractor personnel screening. The Contractor shall ensure all personnel maintain eligibility throughout the period of performance.

5.8 Medical Treatment Facility Compliance

Personnel performing clinical services shall comply with all Medical Treatment Facility policies, procedures, instructions, documentation requirements, infection control standards, patient safety requirements, and clinical practice standards. Contractor personnel shall cooperate with all credentialing, quality assurance, patient safety, risk management, and compliance reviews conducted by the supporting MTF.

5.9 Regulatory Compliance

The Contractor shall comply with all applicable Federal statutes, Department of Defense directives, Department of the Air Force instructions, host nation requirements, installation policies, security requirements, and professional practice standards. Nothing contained within this contract shall be interpreted as authorizing Contractor personnel to exercise inherently governmental functions.

5.10 Professional Certification and Qualification Requirements

Certified Strength and Conditioning Specialist (CSCS)

The Contractor shall ensure all CSCS personnel possess and maintain a current Certified Strength and Conditioning Specialist certification issued by the National Strength and Conditioning Association or an equivalent credential approved by the Government. Personnel shall also maintain current CPR and AED certification throughout the period of performance.

Physical Therapist (PT)

The Contractor shall ensure all Physical Therapists possess a Doctor of Physical Therapy degree from an accredited institution and maintain a current, active, unrestricted license to practice physical therapy in a U.S. state, territory, or the District of Columbia. Physical Therapists shall successfully complete all MTF credentialing and privileging requirements prior to performing clinical services.

Resilience and Performance Coach (RPC)

The Contractor shall ensure the Resilience and Performance Coach possesses a Master of Social Work degree from an accredited institution and maintains a current, active, unrestricted Licensed Clinical Social Worker credential recognized within the United States.

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