Attachment A - PWS.pdf

Ver. January 2021

PERFORMANCE WORK STATEMENT (PWS)

FOR

Employee Assistance Program (EAP)

1.0 General:

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 assessments, counseling, and referrals for additional services to employees with personal and/or work-related concerns, such as stress, financial issues, legal issues, family problems, office conflicts, and alcohol and substance use disorders, as defined in this PWS.

1.1.1 Objectives EAPs can reap benefits for agencies, employees, families, and communities by:

• Improving productivity and employee engagement

• Improving employees’ and dependents’ abilities to successfully respond to challenges

• Developing employee and manager competencies in managing workplace stress

• Reducing workplace absenteeism and unplanned absences

• Supporting employees and managers during workforce restructuring, reduction- in-forces, or other workforce change events

• Reducing workplace accidents

• Reducing the likelihood of workplace violence or other safety risks

• Supporting disaster and emergency preparedness

• Managing the effect of disruptive incidents, such as workplace, injury, or other crises

• Facilitating safe, timely, and effective return-to-work for employees short-term and extended absences

• Reducing healthcare costs associated with stress, depression, and other mental health issues and

• Reducing employee turnover and related replacement costs.

1.2 Background: Title 5 U.S.C. 7901, Public Law 79-658 ()enables each agency to establish a health service program to promote and maintain the physical and mental fitness of approximately 725 employees.

1.3 Period of Performance (PoP): The Period of Performance shall be one base year of 12 months and four 12-month option periods.

1.4 General Information:

W912JB-2-Q-0079 ATTACHMENT A

Total Pages: 11 https://www.opm.gov/leaving/index.aspx?link=http%3A//www.gpo.gov/fdsys/pkg/USCODE-2009-title5/pdf/USCODE-2009-title5-partIII-subpartF-chap79-sec7901.pdf

1.4.1 Place and Performance of Services: The contractor shall provide services 24-7 to include recognized US holidays. Performance shall be at the vendor facility. 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 work force are essential. Telework is authorized.

1.4.1.1 Telework: The Government will permit the contractor to telework in support of this requirement. Telework shall be at no additional cost to the Government.

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays.

The contractor shall perform services on these days:

1.4.3.1 New Year’s Day: January 1st

1.4.3.2 Martin Luther King, Jr.’s Birthday

1.4.3.3 President’s Day

1.4.3.4 Memorial Day

1.4.3.5 Juneteenth: June 19th

1.4.3.6 Independence Day: July 4th

1.4.3.7 Labor Day

1.4.3.8 Columbus Day

1.4.3.9 Veteran’s Day: November 11th

1.4.3.10 Thanksgiving Day

1.4.3.11 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).

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 Installation Access and Security Requirements. Reserved

1.4.5 Access and General Protection/Security Policy and Procedures. Reserved

1.4.5.1 For contractors requiring Common Access Card (CAC): Reserved

1.4.5.1.1 Homeland Security Presidential Directive (HSPD)-12 Background Investigation Requirements: Reserved

1.4.5.1.2 Trusted Associate Sponsorship System (TASS): Reserved

1.4.5.1.3 Contractor personnel shall obtain a CAC from the nearest Real Time Automated Personnel Identification Documentation System (RAPIDS) Issuing Facility (typically the local Military Personnel Flight (MPF)). Reserved

1.4.5.1.4 New or renewal of CAC: Reserved

1.4.5.1.5 Return CAC: Reserved

1.4.5.1.5.1 Failure to comply with CAC responsibilities: Reserved

1.4.5.1.6 The contractor shall obtain an Army Knowledge Online (AKO) email address:

Reserved

1.4.5.2 For contractors that do not require a CAC, but require access to a DoD facility or installation: Reserved

1.4.5.3 Awareness Training (AT) Level 1: Reserved

1.4.5.4 iWATCH Training: Reserved

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.

1.4.5.7 Army Training Certification Tracking System (ATCTS): Reserved

1.4.5.7 Advanced Distributed Learning Service (ADLS). Reserved

1.4.5.8 Information Assurance (IA) Training. Reserved

1.4.5.9 Information Assurance (IA)/Information Technology (IT) certification: Reserved

1.4.5.10 Protection of Personally Identifiable Information (PII). Reserved

1.4.5.11 OPSEC Training: Reserved

1.4.5.12 OPSEC SOP/Plan. Reserved

1.4.5.13 Access to Classified Information. Reserved

1.4.5.14 Threat Awareness and Reporting Program (TARP). 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 Key Control. Reserved

1.4.6.2 Lock Combinations: Reserved

1.4.7 Special Qualifications:

1.4.7.1 Clinical Counselors shall be licensed in their field.

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: Reserved

1.4.10.1 Reserved

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 Contractor Travel: Reserved

1.4.13 Data Rights: 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 Phase In / Phase Out Periods: 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:

AEI Army Enterprise Infostructure 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 GFP/M/E/S Government Furnished Property/Material/Equipment/Services HQDA Headquarters, Department of the Army HSPD Homeland Security Presidential Directive IA Information Assurance IS Information System(s) KO Contracting Officer MING Michigan National Guard NGB National Guard Bureau OCI Organizational Conflict of Interest PII Personally Identifiable Information PIPO Phase In/Phase Out 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 SCR Service Contract Reporting 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: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS.

3.2 Materials: Reserved

3.3 Equipment: Reserved

3.4 Services: Reserved

3.5 Utilities: Reserved

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 Secret Facility Clearance: Reserved

4.3 Contractor Security Clearance: Reserved

5.0 Requirements: The contractor shall provide assessments, counseling, and referrals to employees with personal and/or work-related concerns.

5.1 24/7 Hour Hotline and Referrals:

5.1.1 The contractor shall provide a 24/7-hour hotline services for MING employees to call and discuss issues relating to personal and/or work-related concerns, such as stress, financial issues, legal issues, family problems, office conflicts, and alcohol and substance use disorders.

5.1.2 The contractor shall maintain contact with the MING employee until the employee has been referred to a provider if needed.

5.1.3 The contractor shall refer the MING employee to an additional provider service as needed. The referral shall be within 1 business day of the call session.

5.1.4 The referral provider locations shall be within 60 miles of the Michigan National Guard MING duty locations or home of record.

5.2 Additional service providers:

5.2.1 The contractor shall provide up to eight counseling sessions as needed to employees who have personal and/or work-related problems. The cost shall not be billed separately outside this contract.

5.2.2 The counseling/coaching sessions shall be provided by an experienced, licensed clinical counselors.

5.3. Reports & Certification:

5.3.1 The contractor shall provide to the COR a quarterly report reflecting usage of the services. The report shall provide the number of employees and the type of services provided. The report shall be provided within 30 days after the quarter ends (Jan-Mar, Apr- Jun, Jul-Aug, and Sep-Dec).

5.3.2 The contractor shall provide employee assistance services throughout the State of Michigan.

5.3.3 The primary contractor shall meet all certification requirements in accordance with the Certified Employee Assistance Professional Credential (CEAAP).

5.4 Contractor Manpower Reporting Application (CMRA): Reserved

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

Publication (Chapter/Page) Date of Publication Mandatory

(M) or Advisory ( A)

Website

Federal Acquisition Regulation A https://www.acquisition.gov/ Defense Federal Acquisition Regulation Supplement

A http://www.acq.osd.mil/dpap/dars/dfarspgi/cu rrent/ index.html or https://www.acquisition.gov/dfars

DoDM 1000.13-M-V1 DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b)

01/23/2014 (Change 1:

07/28/2020)

A http://www.esd.whs.mil/Directives/issuances/ dod m

Federal Information Processing Standards (FIPS) Publication 201- 2 Personal Identity Verification (PIV) of Federal Employees and Contractors (paragraph 9)

August 2013 A http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FI PS.2 01-2.pdf

DoDM 5200.2 Procedures for the DoD Personnel Security Program

(PSP)

04/03/2017 A https://www.esd.whs.mil/Directives/issuances /dod m/

DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card (CAC)

09/09/14 (Change 1:

05/04/2018)

A https://www.esd.whs.mil/Directives/issuance s/dodi

Homeland Security Presidential Directive (HSPD)-12 Policy for a Common Identification Standard for Federal Employees and Contractors

08/27/2004 A https://www.dhs.gov/homeland-security-presidential-directive-12

DoDI 5400.11 Department of Defense Privacy and Civil Liberties Programs

01/29/2019 M https://www.esd.whs.mil/Directives/issuance s/dodi

DoD 5400.11-R Department of Defense Privacy Program

05/14/2007 M https://www.esd.whs.mil/Directives/issuances /dod m/

DoDD 8140.01 Cyberspace Workforce Management

10/05/2020

M https://www.esd.whs.mil/Directives/issuances /dod d/

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

Form Date Website

DD 1172-2

Application for Identification Card/DEERS Enrollment

Mar 2017 http://www.dtic.mil/whs/directives/forms/index.htm

I-9 Employment Eligibility Verification

10/21/2019 https://www.uscis.gov/sites/default/files/files/form/i-9.pdf

DD 441

Department of Defense Security Agreement

Feb 2020 http://www.dtic.mil/whs/directives/forms/dd/ddforms0001- 0499.htm

DD 250

Material Inspection and Receiving Report

Aug 2000 https://www.esd.whs.mil/Directives/forms/dd0001_0499/ https://www.acquisition.gov/?q=browsefar http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html https://www.acquisition.gov/dfars http://www.esd.whs.mil/Directives/issuances/dodm http://www.esd.whs.mil/Directives/issuances/dodm http://www.esd.whs.mil/Directives/issuances/dodm http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.esd.whs.mil/Directives/issuances/dodi/ http://www.esd.whs.mil/Directives/issuances/dod http://www.esd.whs.mil/Directives/issuances/dod https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ http://www.dtic.mil/whs/directives/forms/forminfo/forminfopage2479.html http://www.dtic.mil/whs/directives/forms/forminfo/forminfopage2479.html http://www.dtic.mil/whs/directives/forms/forminfo/forminfopage2479.html http://www.dtic.mil/whs/directives/forms/index.htm https://www.uscis.gov/sites/default/files/files/form/i-9.pdf http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm 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 5.1.1

Provide 24/7 Hotline The contractor shall provide a hotline 24 hours a day, 7 days a week, every day of the year

100% Customer Input / COR

5.1.3 Referral to additional

services

The contractor shall refer MING employee within 1 business day of call session

75% of the referrals are completed within 1 business day

Customer Input / COR

5.1.4 Referral provider

location

The contractor shall refer MING employee to a provider within 60 miles of duty location or home of record

100% Customer Input / COR

5.2.1 Counseling Sessions

The contractor shall provide up to 8 counseling sessions as needed

100% Customer Input / COR

5.3.1 Quarterly usage report

The contractor shall provide quarterly usage report within 30 days after quarter ends

75% of the reports are provided within 30 days after quarter ends

Review of reports provided/COR

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference / Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

Provider’s license Provide within 60 calendar days after contract award

1 Electronic Submission COR

TECHNICAL EXHIBIT 3

Estimated Workload Data

This information is provided for historical background only.

It is not a guarantee of workload quantities.

ITEM NAME ANNUAL ESTIMATED

QUANTITY

1 Potential Number of Employees* 725

*Disclaimer: not all the employees would use the service.