Attachment 5 NCNG Medical Laboratory Services PWS 11DEC25.pdf

Ver. October 2025

PERFORMANCE WORK STATEMENT (PWS)

FOR

NCNG Medical Laboratory Services BPA

1.0 General: This is a non-personnel services contract to provide Medical Laboratory Services.

The Government shall not exercise any supervision or control over the contract service providers performing the services herein.

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform NCNG Medical Laboratory Services, as defined in this PWS.

1.1.1. Objectives: The vendor shall provide laboratory services to the North Carolina National Guard (NCNG) for analyzing blood and urine samples as provided by the National Guard. The Government will perform the collection of all samples. The vendor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform for Laboratory services for the NCARNG as defined within this PWS.

1.2 Background: The basic principles of force-sustainment for the NCARNG include physical readiness which translates to mobility readiness. Increased deployments and missions locally and around the globe have required Soldiers to be deployed more frequently, for longer periods in high physical and mental stress operations.

1.3 Period of Performance (PoP): The Period of Performance shall be 5 years.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services and available to pick up samples on any day (weekday or weekend) between the hours of 0800 and 1630, except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.4.1.1 Reserved

1.4.1.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays.

Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.1.3 The contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation.

Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times, and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance.

The Government reserves the right to direct the removal of an employee from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays. The contractor shall not perform services on these days:

1.4.2.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Juneteenth National Independence Day: June 19th

1.4.2.6 Independence Day: July 4th

1.4.2.7 Labor Day

1.4.2.8 Columbus Day

1.4.2.9 Veteran’s Day: November 11th

1.4.2.10 Thanksgiving Day

1.4.2.11 Christmas Day: December 25th

1.4.3 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its

QCP.

1.4.4 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.5 NCARNG Installation Access and Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5 NCANG Access and General Protection/Security Policy and Procedures. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Contracting Officer’s Representative (COR). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by the local installation’s Security Forces, Director of Emergency Services or local Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DoD, Headquarters Air Force (HAF) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1. The contractor shall obtain base identification and vehicle passes, if required, for all contractor personnel who make frequent visits to or perform work on the Air Force installation(s) cited in the contract. Contractor personnel are required to wear or prominently display installation identification badges or contractor-furnished, contractor identification badges while visiting or performing work on the installation.

2. The contractor shall submit a written request on company letterhead to the contracting officer listing the following: contract number, location of work site, start and stop dates, and names of employees and subcontractor employees needing access to the base. The letter will also specify the individual(s) authorized to sign for a request for base identification credentials or vehicle passes. The contracting officer will endorse the request and forward it to the issuing base pass and registration office or Security Forces for processing. When reporting to the registration office, the authorized contractor individual(s) should provide a valid driver s license, current vehicle registration, valid vehicle insurance certificate, and [insert any additional requirements to comply with local security procedures] to obtain a vehicle pass.

3. During performance of the contract, the contractor shall be responsible for obtaining required identification for newly assigned personnel and for prompt return of credentials and vehicle passes for any employee who no longer requires access to the work site.

4. Reserved

5. Upon completion or termination of the contract or expiration of the identification passes, the prime contractor shall ensure that all base identification passes issued to employees and subcontractor employees are returned to the issuing office.

6. Failure to comply with these requirements may result in withholding of final payment.

1.4.5.1 Reserved

1.4.5.2 NCARNG For contractors that do not require a CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a Government representative).

1.4.5.2 NCANG For Contractors that do not require CAC, but require access to a DoW Facility and/or Installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate

Identification Index (NCIC-III) and Terrorist Screening Database (TSDB), Department of Defense Instruction (DoDI) 2000.16 Vol 1, Air Force Instruction (AFI) 10-245, AFI 31-101 and Air Force Manual (AFMAN) 31-113), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by Government representative).

1.4.5.3 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level 1 training within 30 (NCARNG)/ 15 (NCANG) calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website:

https://jko.jten.mil/courses/atl1/launch.html.

1.4.5.4 NCARNG iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)). This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each contractor employee and subcontractor employee to the COR within 15 calendar days after completion of training.

1.4.5.5 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations.

Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.6 Reserved

1.4.5.7 Reserved

1.4.5.8 Reserved

1.4.5.9 Reserved

1.4.5.10 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

1.4.5.11 Reserved

1.4.5.12 Reserved

1.4.5.13 Reserved

1.4.5.14 Reserved

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.6.1 Reserved

1.4.7 Special Qualifications: The vendor shall ensure all employees possess all required licenses/certifications to operate in a laboratory environment, in the performance of this contract. Vendors must ensure that any personnel performing under a contract are fully trained, licensed, certified and qualified to provide services. Vendor shall provide upon request any management, labor, test material and certifications necessary to provide listed services while maintaining compliance with current HIPAA, Privacy Act, Occupational Safety and Health Administration (OSHA), and any other applicable federal regulations.

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.10.1 The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles passes) to the KO within 14 days of an employee’s departure.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Reserved

1.4.13 Reserved

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.4.15 Reserved

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.5 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.9 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2 Acronyms:

AR Army Regulation AT/OPSEC Antiterrorism/Operational Security BI Background Investigation CM Contract Manager COR Contracting Officer Representative DA Department of the Army DD254 Department of Defense Contract Security Classification Specification DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense FAR Federal Acquisition Regulation HQDA Headquarters, Department of the Army KO Contracting Officer NGB National Guard Bureau OCI Organizational Conflict of Interest PII Personally Identifiable Information POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program SSN Social Security Number TE Technical Exhibit

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: None

3.2 Materials: None

3.3 Equipment: None

3.4 Services: None

3.5 Utilities: None

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

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

4.2 Reserved

4.3 Reserved

5.0 Requirements: The contractor shall:

5.1 The Government will perform the collection of samples within 24 hours of notification at the below possible locations:

Collection Location A:

Medical Readiness Detachment POC: Readiness or Supply NCO Simmons Army Airfield 919-664-7326/7327/7329

1559 Chinook Street, Building E Fort Bragg, NC 28310 Drop Off Location: Within 30 miles of MED DET

Collection Location B:

JFHQ/G1 Medical POC: G1 Medical Branch NCO 1636 Goldstar Drive 919-664-6623/6729 Raleigh, NC 27607 Drop Off Location: Within 10 miles of JFHQ

Collection Location C:

145Th Air Wing POC: Medical Administrative Officer 4930 Minuteman Way 704-391-4300 Charlotte, NC 28208 Drop Off Location: Within 10 miles of 145th Air Wing

Collection Location D:

449th CAB POC: BDE Medical Readiness NCO

2050 National Guard Drive 984-661-6401, Ext. 16401 Morrisville, North Carolina 27560

Drop Off Location: Within 30 miles of 449th

Collection Location E:

449th CAB POC: BDE Medical Officer 1195 National Guard Road 984-661-9066, Ext. 19066 Salisbury, North Carolina 28147

Drop Off Location: Within 30 miles of 449th

5.2 The Government will electronically order testing for samples to be collected at Patient Service Centers (PSC). This service provides remote screening collection for Soldiers unable to attend Medical Readiness Events.

5.3 Laboratory Service Regulatory Compliance: All clinical laboratory services shall be performed by a laboratory licensed through the U.S. Department of Health and Human Services (DHHS), Health Care Financing Administration pursuant to the terms of the Clinical Laboratories Improvement Act of 1967 (42 U.S.C. 263a) and the College of American Pathologies.

Laboratory services shall be performed by personnel certified under the American Society of Clinical Pathology.

5.4 Bloodborne Pathogens Regulatory Compliance: All healthcare workers shall comply with the requirements of 29 CFR 1910.1030 Bloodborne Pathogens Standard.

5.5 Hazardous Waste Regulatory Compliance: All infectious waste shall be disposed of in accordance with local, state, and federal regulation and disposed of by the contractor

5.6 Equipment Regulatory Compliance: Instrumentation shall meet or exceed appropriate performance standards, and calibration accuracy in accordance with local, state, and federal regulation. Supporting documentation indicating equipment compliance shall be provided as requested.

5.7 Laboratory services: The contractor shall conduct and perform the following lab tests:

Albumin, Random urine Alcohol, Ethyl Basic Metabolic Panel (8) Benzene Blood Blood Type CBC With Differential/Platelet CBC/Diff Ambiguous Default CBC-Complete Blood Count (HGB/HCT, WBC, Platelet count) Chlamydia (Urinalysis) Complete Cholesterol (Total cholesterol, LDL,HDL, and Triglycerides) Comprehensive Metabolic Panel Creatine Kinase, Total DNA Testing Drug Monitoring, Fentanyl Drug Monitoring, Panel 5 Fasting blood glucose and A1C Fecal Globin by Immunochemistry Glucose Glucose-6-phosphate dehydrogenase (G6PD) Gonorrhea (Urinalysis) HCG, Qualitative, Urine (Pregnancy) HCG, Total, Quantitative (Pregnancy-serum) HCV Antibody RFX to Quant PCR Hematocrit Hemoglobin

HEP A-AB

HEP B Quant HEP B Surface Antibody HEP B Surface Antigen Hepatic Function Panel (7) Hepatitis C (HCV) Hgb Frac. Profile Hgb Solubility Hgb+Hct

HIV

LDL Cholesterol (Direct) Lead Venous Lipid (LP) Panel Lipid Panel w/ Chol/HDL Ratio Lipid Panel w/Glucose

LP+1AC+PSA

LP+Glu+PSA+UA/M+Hct LP+Glu+PSA+UA/M+Hct LP+Glu+PSA+UA/M+Hgb PA+Hct LP+Glu+PSA+UA/M+Sickle+Hct+...

LP+Glu+RPR+UA+Sickle+CBC/Plt LP+Glu+UA/M+Hct LP+Glu+UA/M+Hgb PA+Hct LP+Glu+UA/M+Sickle+Hct+G6PD...

LP+Glu+UA+Sickle+Hct LP+UA/M+Hct LP+UA/M+Sickle+Hct Measles/Mumps/Rubella Immunity Occult Blood, Fecal, IA

PFAS

Platelet Count Pregnancy Testing (Urinalysis) Price Per Pick Up Trip (unlimited samples) Prostate Specific Antigen Test (PSA) PSA, Serum Rfx ProstaSURE(TM) Quantiferon(R)-TB Gold+ RPR (Rapid Plasma Reagin) Sickle Cell Screen w/Reflex Sickle Cell Screen w/Reflex to Hemoglobinopathy Evaluation Sickle Cell Testing Occult Blood, Fecal, IA Thyroid-Stimulating Hormone (TSH) Thyroxine (T4) Free, Direct, S Tuberculin Purified Protein Derivative (PPD) Uric Acid Urinalysis, Complete Urine Culture, Routine Urine specific gravity and urine microscopic Varicella Titer

5.8 Lab tests results shall be submitted electronically to the Gov’t POCs NLT 48 hours after the vendor has received the samples.

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

Publication (Chapter/Page)

Date of Publication

Mandatory or

Advisory

Website

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

Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/curr ent/index.html or https://www.acquisition.gov/dfars

DoD 5400.11-R Department of Defense Privacy

Program

05/14/2007 https://www.esd.whs.mil/Directives/issuances/d odm/

AR 525-13

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

AFI 31-101

Security Forces Standards and Procedures

08/18/2020 https://www.e-publishing.af.mil/Product- Index/#/?view=pubs&orgID=10141&catID=1&s eries=-1&modID=449&tabID=131

AFMAN 31-113

Security Forces Standards and Procedures

03/05/2013 Change 1:

12/02/2015 https://www.e-publishing.af.mil/Product- Index/#/?view=pubs&orgID=10141&catID=1&s eries=-1&modID=449&tabID=131

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

Form Date Website

DD 250

Material Inspection and Receiving Report

Aug 2000 https://www.esd.whs.mil/Directives/forms/dd0001_0499/

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

This PRS includes performance objectives the Government will use to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

Performance

Objective Performance Standard Acceptable Quality

Levels (AQL) Surveillance Method / By

Whom 5.1

Pick Up and Drop Off

Contractor shall be available for pickups/drop offs at designated hours, and pick up samples NLT 24 hours after placement of pickup call

No more than one instance of late pickup or unavailability of drop-off per month

Periodic Inspection/COR

5.2 – 5.6 Laboratory

Test Compliance with Local, State and Federal

Regulations

Exams shall be performed in accordance with all regulations in PWS

Zero instances of noncompliant tests per month

Periodic Inspection/COR

5.7 Results Delivery

Lab tests results shall be returned electronically to the Gov’t POCs within 48 hours of pickup

No more than one instance of late delivery of results per month

Periodic Inspection/COR

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference

/ Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

1.4.5.3 AT Level

1 Awareness

Training Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.5.4 iWATCH Training

Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.10.1 Identification

Media

Return within 14 days of employee’s departure from contract performance.

Original(s) Hard Copy COR

5.7 Lab Results Return within 48 hours

of pick up

Original(s) Electronic Submission

COR