CRSU-17-026.pdf

oFFEROR TO COMPLETE BLOCKS 12, 17,23, 24, & 30

6 SOLICITATION ISSUE

OATE

o3t28t17

8, OFFEB DUE DATE/

LOCAL TIME

04128117

9ISSUEO

Cheyenne River Health Center 24276 1601h Sheet, Airport Road PO Box 1012 Eagle Butte, SD 57625

DESTINA

% FOB:

SHOWN lN SLOCK 18€ UNLESS

7. FOR SOLICITATION

INFORMATION CALL:

TION UNLESS BLOCK IS

[4ARKED

SCHEDULE

Cheyenne River Health Center 24276 'l66th Street. Airoort Road

AUTHORIZED FOR LOCAL BEPBODUCTION

PREVIOUS EDITION IS NOT USABLE

s

UNRESTRICTED OR E.r, o'or, NAICSI

SIZE STANDAFD

OFFEROB

MADE BY

Great Plains Area Indian Health Center Division of Financial [,ranagement Federal Building, Room 309 1 15 4th Ave SE Aberdeen, SD 57401

TELEPHONE NO

E 17b CHECK rF REMITTANCE lS DIFFERENT AND PUr SUCH ADDRESS lN

INVOICES TO

BELOW IS CHECXED

27b CONTFACT/PURCHASE OFDEF INCORPOFATES BY REFERENCE FAR 52 212'4 FAR 52 212'6 S ATTACNED AOOENDA

'19

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24.

AMOUNT

tFor Govr Use OntYl

27a SOLCITATLON INCOFPOFAiES gY REFERENCE FAR 52 212'1 522124 FAA'22123 AND52212'' aRE ATTACHEo AoDENOA

29 AWARO OF CONTRACTT AEF

DATEO YOUR OFFEF ON SOLICITATION

28 CoNTBAcToR ls REOUIRED To SIGN THls DocUt\'4ENT ANo RETURN

COPIES TO ISSULNG OFFICE CONTBACTOB AGBEES TO FUBNISH AND

DELIVER ALL ITEMS SET FORTH OB OTHEBWISE DENTIFIED AEOVE AND ON ANY

ADOITIONAT SHEETS SUBJECT TO THE TEBI\,4S ANO CONOITIONS SPECIFIEO

iBLOCK 5), INCLUOING ANY ADDITIONS OR CHANGES WHICH AAE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

AMER CA

S GNED

I3€ THIS CONTRACT ls A

BATED OROER UNDER

DPAS (15 CFB 700)

SCHEDULE OF SUPPLIES/SERVICES

Firm Fixed Price, Non-Personal Health care services contract under which the contractor that will result in base year plus four (4) one (1) year options contract to provide tele-radiology services for the

Cheyenne River Health Center in Eagle Butte, SD

All work will be completed in accordance with the attached statement of work.

PLEASE USE ATTACHED BID SHEET,

STANDARD FORM 1449 {BEv 3/2oo5l Presc bed by GSA FAB 148 Cl-R) 53 212

19.

ITEM NO

20.

SCHEDULE OF SUPPLIES/SERVICES

OUANTITY

UNIT

23.

UNIT PRCE

24.

AMOUNT

LUMN 21

RECEIVED

REPRESENTATIVE

L-l tNspEcrEo LJ rccepreo, lt'to coNFoRMs ro rHE coNTRAcr, ExcEPT as NorED:

NEPRESENlATIVE

"o^r".rt, ! ro"r'o. n

4la. I CEBTIFY THIS ACCoUNT lS CoBRECT AND PROPER FOR PAYMENT

STAITIDARD FOR 1449 tREv. 3/2oos) BACK

Tele-radiolggy Services cheyenne River service Unit, Eatk Butte, SD

Firm Fixed Price, Non-personal Sewices contrast to provid€ fiot Tele. radiology SerViqOS at the Eaglt BUtte tHs Hospital, Eagle 8utte, south oakota. The Period of PerfofiRance will be {.om the "Date of Award or

Ju|y1,2017throu8hJune30,2o22{BaseYearwithFour-oneY€aloptions).Thecontractori9to gerform in accordance with the Statement of Wor*'

Base Year: July 1, zO17 or Date of Award - June 30, 2018 option Year 1: JulY r' 2919:II9jo,419

Item Nd-

Descrigtion of S€rvices Estimated Quantrty

U nit t nit Price Total Anrqrnt

1 Read of Plain Films 8500

Read of cdmputed Tomopraohv (CT)

3000 €A

3 Read of Ultrasound Exams

Read of MRI Exams 400 EA

5 Peer Review {4 reviews oer vear)

4 EA

Onsite visit ( 2 visits Per 2

Total Base

Year

Item Descri9tion of Servlees Estimated Qua ntitY

Unit Unit Pnte Total Amount

---.-t Rpe.l of Plain Films 8500 ___:----)2l Read of ComPuted tomoeraohv (CT)

3000 EA

3 Read of Ullrasound Exams

800 EA

4 Read of MRI Exams _ Peer Review (4 reviews ner'vearl

400 EA

EA

6 Onsite Vitit ( 2 visits Per year)

2 EA

Tol3l gpEon Year I

Option Year 2: July 1, F19 - June 30, 20m

Option Year 3: ,ulv 1, 2o?9:-lg!j9 39r

Option Year 4: Jufy 1', zO2! - lune-3o.' 2022

Item No, Descrlption of services Estimated OuantiW

Unit Unft Price Tel Amount

1 Read bf Plain Films 8500 EA

2 Read of Computed Tomography (CT)

3000 EA

3 Read of Ultrasound Exams

4 Read of MRI Exams 4m EA

5 Peer Review (4 reviews Der vear)

4 EA

5 Onsite Vislt { 2 visits P€r vearl

L EA

Total Option Year 2

Item No.

Descriptisn ol Services €stimated €&antity

Unit Unh Price Total Amount

1 Read of Platn Films 8500 EA

2 3000 EA

EA3 R€ad of Ultrasound Exams

4 Read of MRI Exams 400 EA

Peer Review (4 reviews per year)

6 p-ns'rte visit ( z visits Per ivear)

ToEl ogtion Year 3 unit I unit Price Item ilo.

Description of Sewic€s Estirnated

Qu:,ntity

1 Read of Plain Films 8500 EA

2 Read of ComPuted T^h^d':nhv lCTl

3000 EA

5 Read of Ultrasound Exams

800 EA

4 Read of MRI €xams 400 EA

5 Peer Revlew {4 reviews oer veall 5 Onsite Visrt { 2 visits Per yeal) ,. --

2 EA

Total Optlon Year 4

Total Contract, Base dus O m

STATEMENT OF WORK

Radiographic Interpretation

Service

CHEYENNE RIVER HEALTH CENTER FACILITY

Eagle Butte, South Dakota 57625

C-1 GENERAL

To provide Radiographic Interpretation Service for the CHEYENNE RIVER HEALTH CENTER FAC|tlry in

Eagle Butte, South Dakota. The mission of the Cheyenne River Health Center Facility in Eagle Butte, South Dakota is to provide the best possible Health Care services to the Native American population on the Chevenne River Indian Reservation. To meet the mission ofthe Cheyenne River Health Center

Facility it will require contractor support to assist the Indian Health Service Hospitalwith Radiographic lnteroretation Service in the Great Plains Area.

The Contract resulting from this solicitation shall:

a.) Be a fixed-price non-personal health care service contract under which the

Contractor is an independent contractor that will result in a base + 4/1yrs links contract.

b.) Allow the Government to evaluate the quality of professional and administrative services provided.

1.1 Scope of Work

The Contractor shall provide Radiographic interpretation services using a teleradiology system, in the followinB estimated proportions per year:

The government reserves the right to accept or relect services if the level of performance is unsatisfactory to 1.H.5.

The Joint commission on Accreditation of Health care organizations (JCAHO) standards must be considered and adhered to at all times on order to be compliant. All Medical Record Information generated in the performance of this contract shall remain the property of and subject to the exclusive control ofthe Indian Health service (1.H.5). The contractor is responsible for maintaining Patient confidentiality and adhering to the Privacy Act of 1974 and the Health Insurance Portability &

Accountability Act (HIPAA) of 1996.

Direct [abor by Category Quantity per year

Read of Plain Films 8500

Read of Computed Tomography (CT) 3000

Read of Ultrasound Exams 800

Read of MRI Exams 400

Peer Review (4x per Year)

Onsite Visit (2x per Year)

The Contractor shall provide telephone consultations with the Indian Health Service attending clinician concerning their patients' medical images as medically indicated.

The Contractors viewing equipment shall interface with the Service Units teleradiology platform. The successful offeror shall possess a teleradiology system that is compatible with the Service Units lmaging Network, capable of receiving/transmitting a 14X17, 2kb chest film within 4 minutes. In addition, the Contractors computer system must be compatible with the Service Unit's PACS software.

The Contractor must be able to provide compression software to ensure timely transmission times of rmages.

All interpretations shall be performed on diagnostic, medical-grade, high resolution monitors. All monitors shall be calibrated at least semi-annually, or consistent with proper quality control procedures at the interpretation sites.

The Contractor's network shall have established firewalls and procedures to ensure patient confidentiality and security compliant with The Health Insurance Accountability and Portability Act of

1995 (HIPAA) and IHS security Standards.

1.2 Personnel

The Contractors facilities shall be compliant with any applicable Medicare (CMS) requirements and

Health Insurance Portability and Accountability Act (HIPAA) requirements.

The Contractor shall maintain appropriate certification and licensing for Contractors work facilities and will assure appropriate certification and licensing for all Radiologists providing services.

The Contractor and any subcontractors who interpret studies must use Board Certified or Board

Eligible Radiologists who possess an unrestricted license to practice medicine in the United States.

The Contractor must provide a current and up-to-date copy of professional

Credentials to the Service Unit, and must be appointed to the Cheyenne River Service Unit Medical

5taff.

The contracting Radiologist must maintain MQSA certification The Contractor and any subcontractors must be physically practicing medicine in the United States.

The Contractor shall furnish proof of a minimum of 12 peer review (over- reads) annually.

1.2,1.1 Contractor Representative

The contractor shall designate a representative in accordance with FAR 52.235-6 included in section 1 of this contract. The name of this person shall be designated in writing and provided to the co.

1,2.1.2 Response Time

The contractor representative shall be available during normal duty hours within 30 minutes to meet with government personnel designated by the CO to discuss and resolve performance issues. After normal duty hours the representative shall be available within t hour.

1.2.1.3 Reports

The contractor representative shall provide weekly (or other frequency) accomplishment reports to the designated government representative. Reports shall be in writing and provided within three days following the workweek

1.2.1.4 Language

The contractor representative must be able to read, write, speak and understand English

1,2,2 Employees

1.3 Quality Control

1.3.1 Quality Control Plan

The contractor shall establish and maintain a quality control (QC) program/plan to ensure the requirements of the contract are achieved. one copy of the contractor's QC plan shall be furnished to the CO (mark appropriate item):

Prior to the start of contract work.

Priorto issuance ofthe Notice to Proceed.

X With the initial proposal.

Revisions or updates to the submitted QC plan must be submitted in the same manner as the original Plan.

t,3.2 Plan Contents

1.3,2,1 Inspection system

An inspection system must cover all the services listed on the performance requirements summary (PRS). lt must specify the areas to be inspected on either a scheduled or unscheduled basis, how frequently inspections will be accomplished, and the title of the individual(s) who will perform the inspection. The inspection system must provide for a written record of inspections and results.

1.3.2.2 Methods

The methods for identifying and preventing defectives in the quality of service performed before the level of performance becomes unacceptable

1.3.2.3 Records

On-site records of all inspections conducted by the contractor and necessary corrective action taken. This documentation shall be made available to the CO, as requested, during the term of the contract.

1.3,3 GovernmentReview

The government may review the contractor's QC plan to determine if it is adequate. lf the plan is found to be adequate, a government will authorizethe plan. lf the plan is not adequate as submitted, the deficiencies will be identified to the contractor in writing. The contractor shall correct all identified deficiencies and submit a corrected QC plan within 1.0 working days or by contract start date whichever is sooner. Contractor-performed work that fails to conform to standards when this CO performs quality assurance (QA) work will serve as an indicator at the contractor is QC system is not adequate.

1.4 Quality Assurance

7,4,L ContractingOffice/sRepresentativeresponsiblefor:

- Monitoring the Contractor's technical progress

- Interpreting the statement of work

- Technical evaluation as required

- Technical inspections and acceptance required by this contract

- Assisting in the resolution oftechnical problems encountered during performance ofthis contract

1,4.2 GovernmentMonitoring Agovernmentwi||monitorthecontractor,sperformanceunderthiscontractUsingthe method(s) of surveillance specified in that PRs. All monitoring observation will be recorded by thegovernment.Whenandobservationindicatesdefectiveperformance,thiscoRwil|request thecontracto/srepresentatiVetoconfirmdefectiveWorkandperformcorrectiveaction.

1.4.3 Performance Evaluation Meetings

ThecontractmanagermayberequiredtomeetWeek|yWiththatcoRorothersduringthefirst monthofthecontractmeetingsha||beasoftenasnecessarythereafterasdeterminedbythis CO. However, if the contractor requests, a meeting will be held whenever a contract discrepancyreportisissued.Themeetingssha||focusoncontractorperformanceandactuaIor potential problems. A mutual good faith effort shall be made by all parties to resolve all issues.

The written minutes of these meetings shall be signed by the parties to the discussion. Should the contractor not concur with the minutes, the contractor shall state any areas of nonconccurrence in writing to the CO within 7 work days of the minutes.

1.5 Phvsical Security

The contractor shall be responsible for safe guarding all government property provided for contractor use in accordance with the government property (GP) clause, FAR 52.245.1

1.6 Hours of operation

1.6.1 Normal Hours

1.5,1.1 Contractor must provide 24/7 covetage.

Federal Government Holidays, weekends and overtime are included in the base price.

GOVERNMENT HOTIDAYS

New Year's Day January I Martin Luther King's Birthday Third Monday in January

President's Day Third Monday in February

Memorial Day Last Monday in MaY

Independence Day lulY 4

Labor Day Filst Monday in September

Columbus Day Second Monday in October

Veteran's DaY November 11

Thankstiving Day Fourth Thursday in November

Christmas Dav December 25

L.5.2 EmergencyServices

On occasion, servlces may be required to support an activation or exercise of contingency plans outside the normal duty hours described above. The contracto/s responsibilities for emergency support are described in section C-5.

Documentation and Records

All documentation, records, and schedules as described in the PWS that are the responsibility of the contractor are the property of the government and shall be turned over to the government upon completion or termination of the contract. All records are subject to the Freedom of Information and/or Privacy Acts and any request for release of any records shall be handled accordingly.

C-2 DEFINITIONS

2.1 Standard Definitions

2.1.1 Acceptable Quality tevel (AQL)

The maxamum percent defective (or the maximum number of defects per 100 units) that, for purposes of random sampling, may occur before the government will effect the price computation system in accordance with that PRs and the Inspection of services clause. when the method of surveillance is other than random sampling, the AQL is defined as the number of defects or maximum percentage of defects and a lot that may occur before the government will effect the price computation system in accordance with the PRs and the Inspection of services clause. An AQL does not allow a contractor to knowingly offer defective service but limits reduced payment to circumstances in which defective performance results in a measurable reduction in the value of services rendered'

2,1.2 Defective Service

A unit of service that contains one or more defects or nonconformance with specified requirements.

2.1.3 Lot

The total number of service outputs in a surveillance period, as defined in the AQL column of the PRS.

2.1.4 Performance Requirements Summary (PR5)

ldentifies the key service outputs of the contract that will be evaluated by the Government to ensure contract performance standards are met by the contractor.

2.1.5 Quality Assurance (QA)

The actions taken by the Government to ensure that services meet the requirements of the PWS

2.1,6 Contracting Officer's Representative

A Government person designated by the CO with authority to act within the scope of the delegated authority.

2.1.7 Quality Assurance Surveillance Plan (CI,ASP)

The purpose of the eASP is to describe the systematic methods used to monitor performance and to identify the required documentation and the resources to be employed. The QASP provides a means for evaluating whether the contractor is meeting the performance standards/quality levels identified in the

PWS and the contractor's quallty control plan (QcP), and to ensure that the Bovernment pays only for the level of services received.

2.1.8 Quality Control (Qc)

Those actions taken by contractor to control the performance of services so that services meet the reouirements of the PWs.

2.1.9 Random samPling

A sampling method in which each service output in a lot has an equal chance of beinB selected'

2.1.10 Sample

A sample consists of one or more service outputs drawn from a lot. The number of outputs in the sample is the samPle size.

2.1.11 Sampling Guide

The oart of the surveilla nce/monitoring plan that contains all the information needed to perform a random sample.

2,2 Technical Definitions Peculiar to this PwS

C.3 GOVERNMENT.FURNISHED PROPERTY

All unique government information related to the Radiologist service that is necessary for contractor performancewi||bemadeavai|ab|etothecontractor'ThecontractinsofficerorCoRdesigneeWi||be theoointofcontactforidentificationofanyinformationthatissupp|ied.

taSK

Description

Performa nce

Standard

AQL Method of Monitoring + or - lncentives

Provide

Rad iographic

Interpretation

Service for the

CRHC.

Provide 24/7 coverage for Rad iogra phic

Interpretation

Services.

Radiographic

Interpretation

5ervrces z4l /.

L00%

Daily workload logs checked for completed reports.

S500 deduction for each documented instance when a

"Routine" exam report is submitted after 24hrs.

Positive contract evaluations.

The Service Unit will provide the Contractor with an imaging requlsition for each patient. This will be transmitted to the Contractor along with the patients imaging files.

The Servlce Unit is responsible for maintaining patient records.

C-4 CONTRACTOR-FURNISHED PROPERTY/SUPPtIES/MATERIATS/EqUIPMENT/ETC.

4.1 General

The Contractor shall provide a complete written report for each medical imaBing study. The Contractor shall have the completed report electronically dictated and signed, via the Contractors voice recognltion software, delivered directly into the Service Units Radiology Information System (RlS)/Hospital

Information System (HlS).

4.2 Specific Requirements

The Contractor will have a system that is compatible with the l.H.S. computer system.

This is conditional uoon the existence of interfaces between the Contractors software and the Service

Units RIS/HlS. This scope of work is not intended to limit the application of technology that improves efficiency in the process. The expense of developing any Contractor dictation software interface with the Service Units RIS/HtS shall be the responsibility of the Contractor.

Unless noted below, the average turnaround time between the initial receipt of the imaging study and delivery of a signed radiologic interpretation shall be twelve (12) hours or less.

The turnaround time for preliminary STAT interpretations shall be sixty (50) minutes or less for STAT CT exams and forty five (45) minutes or less for regular STAT x-ray exams. Ninety (90)% of preliminary interpretations will be followed up with a telephone call or a written interpretation within sixty (60) minutes of transmiSsion.

The Contractor may subcontract to provide coverage during periods of unavailability, e.g. holidays, illness, vacation etc...

c-5 SPECtFTC TASKS

5.1 Task 1

Connectivity issues that may arise after regular business hours.

5.1.1 Standard

Contractor will provide 24/7 technical lT support for any issues that may arise after regular business hours.

QUALITY ASSURANCE SURVEILLANCE PLAI{ (QASP)

Services contract for staffrng, management, and operation of Radiographic Interpretation Seruice r).t8t2016

QUALITY ASSI]RANCE SURVEILLA}ICE PLAN

(QASP)

1 INTRODUCTION

This quality assurance surveillance plan (QASP) is pursuant to the requirements listed in the performance work statement (PWS) entitled Radiographic Interpretation Service. This plan sets forth the procedures and guidelines the lndian Health Service Great Plains Area Offtce will use in ensuring the required performance standards or services levels are achieved by the contractor.

1.1 Purpose

l.l.l The purpose of the QASP is to describe the systematic methods used to monitor performance and to identifu the required documentation and the resources to be employed. The QASP provides a means for evaluating whether the contractor is meeting the performance standards/quality levels identified in the

PWS and the contractor's quality control plan (QCP), and to ensure that the government pays only for the level of services received.

1.1.2 This QASP defines the roles and responsibilities of all members of the integrated project team

(IPT), identifies the performance objectives, defines the methodologies used to monitor and evaluate the contractor's performance, describes quality assurance documentation requirements, and describes the analysis of quality assurance monitoring results.

1.2 PerformanceManagementApproach

1.2.1 The PWS structures the acquisition around "what" service or quality level is required, as opposed to..how" the contractor should perform the work (i.e., results, not compliance). This QASP will define the performance management approach taken by the Indian Health Service Great Plains Area Office to monitor and manage the contractor's performance to ensure the expected outcomes or performance objectives communicated in the PWS are achieved. Performance management rests on developing a capability to review and analyze information generated through performance assessment The ability to mike decisions based on the analysis of performance data is the cornerstone of performance management;

this analysis yrelds information that indicates whether expected outcomes for the project are being achieved by the contractor.

1..2.2 Performance management represents a significant shift fiom the more tradttional quality assurance (QA) COncepts in several ways. Performance management focuses on assessing whether outcomes are being athieved and to what extent. This approach migrates away from scrutiny of compliance with the processes and practices used to achieve the outcome. A performance-based approach enables the contractor to play a large role in how the work is performed, as long as the proposed processes are within the stated constraints. The only exceptions to process reviews are those required by law

(federal, state, and local) and compelling business situations, such as safety and health. A "results" focus provides the coDtractor flexibility to continuously improve and innovate over the course ofthe contract as iong as the critical outcomes expected are being achieved and/or the desired performance levels are being met.

1.3 PerformanceManagementStrategy

1.3.1 The contractor is responsible for the quality of all work performed. The contractor measures that quality through the contractoi's own quality control (QC) program. QC is work output, not workers, and t'h"."io.e inciudes all work performed under this contract regardless of whether the work is performed by contractor employees or by subcontractors. The contractor's QCP will set forth the staffing and procedures for self-inspecting the quality, timeliness, responsiveness, customer satisfaction, and other performance requirements in the PWS. The contractor will develop ard implement a performance management system with processes to assess and report its performance to the designated govemment representative. The contractor's QCP will set forth the stafFrng and procedures for self-inspecting the quality, timeliness, responsiveness, customer satisfaction, and other performance requirements in the PWS. This QASP enables the government to take advantage ofthe contractor's QC program.

1.3.2 The government representative(s) will monitor performance and review performance reports furnished by the contractor to determine how the contractor is performing against communicated performance objectives. The government will make determination regarding incentives based on performance measurement metric data and notiry the contractor ofthose decisions. The contractor will be iesponsible for making required changes in processes and practices to ensure performance is managed effectively.

2 ROLES AND RESPONSIBILITIES

2.1 The Contracting Officer

The contracting officer (CO) is responsible for monitoring contract compliance, contract administration, and cost control and for resolving any differences between the observations documented by the contracting o{ficer's representative (COR), and the contractor. The CO will designate one full-time COR as the government authority for performance management. The number of additional representatives serving as technical inspectors depends on the complexity of the services measured, as well as the contractor's performance, and must be identified and designated by the CO

2.2 The Contracting Officer's Technical RepresentatiYe

The contracting ofhcer's technical representative (COTR) is designated in writing by the CO to act as his or her authorijed representative to assist in administering a contract. COTR limitations are contained in the written appointment letter. The COTR is responsible for technical administration of the project and ensures proper govemment surveillance ofthe contractor's performance. The COTR is not empowered to make any ctntrictual commitments or to authorize any contractual changes on the government's behalf.

Any changes that the contractor deems may affect contract price, terms, or conditions shall be referred to the CO foi action. The COTR will have the responsibility for completing QA monitoring forms used to document the inspection and evaluation of the contractor's work performance. Govemment surveillance may occur under the inspectiOn of services clause for any service relating to the contract.

3IDENTIFICATIONoFR-EQUIRf,DPf,RFoRMANcESTANDARDS/QUALITY Lf,VELS

The required performance standards and/or quality levels are included in the PWS and in Attachment l, ,,Performance Requirements Summary." [Adjust the following sentences to refled. the instant acquisition.] lfthe;ontractor meets the required service or performance level, it will be paid the monthly u-ount ugri"d on in the contract. If the contractor exceeds the service or performance level, it is eligible to receivJ an incentive or award fee as stated in the contract. Failure to meet the required service or performance level will result in a deduction from the monthly amount'

4 METHODOLOGIES TO MONITOR PERFORMANCE

4.1 SurveillanceTechniques

In an effort to minimize the performance management burden, simplified surveillance. methods shall be used by the government to evaluate contractor performance when appropriate. The primary methods of surveillance are (include those that apply)

Random monitoring, which shall be performed by the COTR/COR designated inspector.

l00o/o Inspection - Each month, the COTRJCOR, shall review the generated documentation and enter summary results into the Surveillance Activity Checklist.

Periodic Inspection - COTR/COR typically performs the periodic inspection on a monthly basis.

4.2 Customer Feedback

The contractor is expected to establish and maintain professional communication between its employees and customers. The primary objective of this communication is customer satisfaction. Customer satisfaction is the most significant external indicator of the success and effectiveness of all services provided and can be measured through customer complaints.

Performance management drives the contractor to be customer focused through initially and internally addressing customer complaints and investigating the issues and/or problems but the customer always has the option to communicate complaints to the COR, as opposed to the contractor.

Customer complaints, to be considered valid; must set fotth clearly and in writing the detailed nature of the complaint, must be signed, and must be forwarded to the coTRJCoR. The coTR/coR will accept those customer complaints and investigate using the Quality Assurance Monitoring Form Customer

Complaint Investigation, identified in Attachment 3.

Customer feedback may also be obtained either from the results of formal customer satisfaction surveys or from random customer complaints.

4.3 Acceptable Quality Levels

The acceptable quality levels (AQLs) included in Attachment l, Performance Requirements Summary

Table, for contractor performance are structured to allow the contractor to manage how the work is performed while providing negative incentives for performance shortfalls. For certain critical activities iuch as those involving positive patient outcomes, the desired performance level is established at 100 percent. Other levels of performance are keyed to the relative importance of the task to the overall mission performance at the Cheyenne River Health Center.

5 QUALITYASSURANCEDOCUMENTATION

5.1 The Perforrnance Managernent Feedback Loop

The performance management feedback loop begins with the communication of expected outcomes.

perfoimance standards ire expressed in the PWS and are assessed using the performance monitoring techniques shown in Attachment 1.

5.2 Monitoring Forms

The government,s QA surveillance, accomplished by the_coR, will be reported using the monitoring formJ in Attachments 2 and 3. The forms, when col pleted, will document the govemment's assessment ofthe contractor's performance under the contlact to ensure that the requiled results are being achieved'

5.2.1 The COR will retain a copy of all completed QA surveillance forms'

6 ANALYSIS OF QUALITY ASSURANCE ASSESSMENT

6.1 DeterrniningPerformance

6.1.1 Govemment shall use the monitoring methods cited to determine whether the performance standards/service levels/AQls have been met. Ifthe contractor has not met the minimum requirements, it may be asked to develop a corrective action plan to show how and by what date it intends to bring performance up to the required levels.

6.2 Reporting

6.2.1 At the end of each month, the COR will prepare a written report for the ACO summarizing the overall results of the quality assurance surveillance of the contractor's performance. This written report, which includes the contractor's submitted monthly report and the completed quality assurance monitoring forms (Attachment 2), will become paft of the QA documentation. It will enable the govemment to demonstrate whether the contractor is meeting the stated objectives and/or performance standards, including cost/technical/scheduling objectives.

6.3 Reviews and Resolution

6.3.1 The COR may require the contractor's project manager, or a designated altemate, to meet with the ACO and other government IPT personnel as deemed necessary to discuss performance evaluation.

The ACO will define a frequency of in-depth reviews with the contractor, including appropriate self-assessments by the contractor; however, ifthe need arises, the contractor will meet with the COR as often as required or per the contractor's request. The agenda ofthe reviews may include:

F Monthly performance assessment data and trend analysis

) Issues and concerns ofboth parties

) Projected outlook for upcoming months and progress against expected trends, including a corrective action Plan analYsis

) Recommendations for improved efficiency and/or effectiveness

6.3.2 The QAR must coordinate and communicate with the contractor to resolve issues and concems regarding marginal or unacceptable performance.

6.3.3 The CoR and contractor should jointly formulate tactical and long-term courses of action.

Decisions regarding changes to metrics, thresholds, or service levels should be clearly documented.

Changes to sirvice levels, procedures, and metrics will be incorporated as a contract modification at the convenience of the PCO/ACO.

ATTACHMENT I: PERFORMANCE REQUIREMENTS SUMMARY

$500 deduction for each documented instance when a ttRoutine" exam report is submitted after 24hrs.

Positive contrrct evduations.

(Negative incentive)

Rrdiographic Interpretstion Services 2417.

l00o/o

Daily workload logs checked for completed reports.

Proviile 24fl coverage for Radiographic Interpretation Services.

Provide Rrdiographic Interpretation Service for the CRIIC.

ATTACHMENT 2: SAIVIPLE QUALITY ASSI]RANCE

MOMTORINGFORM

SERVICE or STAITIDARD:

SIJRVEYPERIoD. AWINE

SURVEILLANCE METHOD (Check) :

o Random Sampling o 100% Inspection fl Periodic lnspection D customer complaint

LEVEL OF SURVEILLANCE (Check):

O Monthly Cl QuarterlY O As needed

PERCENTAGE OF ITEMS SAMPLED DURING SURVEY PERIODT

-%ANALYSIS OF RDSULTS:

Observed Service Provider Performance Measurement Rate: %

Service Provider's Performance (Check): D Meets Standards

O Does Not Meet Standards

Narrative of Performance During Survey Period:

PREPARED BY: DATE:

ar-!

i6 9oi +

S?Pn7

^F-(,Eoq, =.986' ol o ooo(,occ?

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TECHMCAL NVALUA'TION CRI'I'ERIA

Tirc pririrary considcradon in evaluating this cr contract in a manlrcr mosr aovan "geoT i to the of nroueals according to cstablishcd evaluation critr

I*[ir""*ot ttto, * Jontrrct bc awlrdcd on dtc basis of lowest proposcd cosr' t, i, u*y l*por,-, on ths four criteria Ilealth Scrvicc rcscrvcs the righl !o make rn as not be tnor€ than tcn (10) pages in leogth'

Evaluatlor frctors:

-{. PAST ?ERFORMANCE

irnilar radiology conuacts, Covemrnenl aod/or

@ rdcts rnust cogtain the samc typc ol oi Work' irrcluding consider to bc thc mo'st suctcssful' and the f Work deem

d. sbove contl"acts' of organizdiou' a P llar vi'luc, ard da

B. PROBI.Ii}I AND APPROACII

a. Proposals, 'rtrich mcrcly offcr a stiltcnrol to conduot/provide scrvices itl accordiu)cc *ilh th" '"'ltti;t;-^t in ih' Gou"tttcnt'i statcmcnt of work' r'rill

*i U- tifgrbf" t'.'r arvarii Tlre offeror nrust submit lEl explanation ol thc ilp"r.Oi""ftti*l approach in conjunction '^'irh the tasks ornlincd in lhc fferor will asgume hc c 6ust itls(r bca clear

C. MANACE}IENT

'j'jtc ,.,.'il:uict! Prrrposlil iis it ttrttlitnltt!r mrNt irrcltrilc lhc lrrllot'ing inlormatioll ;n suflicicnt

.r.l.*liu, ,,if,r*j, "imnlcie al:tLt--tis oi the olliror's lllrrtrir'lerncnl ciLDlbilities untl r.sp.,n5ibiii11"

a. ljiniutcill c:rpa['ilitr t" l'cr']i'trtt tl:c Stflt'lllrent ol'\\'ork' b' Clpebiliry tr; tlicui ''lclir':11 trl l)i: lurrlrJltci r!llcrllles lt i*"rr;t'tt 'ri'::cccs:a:1 orgrrnizi'til'tl' uxp.'riclcc ar':rl tcchnical skillsltl

:rcrltrrl:r drc rsork' i:r !Lc lrbiiit\ lo ')lr[:ull Lllci]l-d tos\.s:ii{)D o: :'ci'iL:irc'i ilcilitics'

D. KEY ?ERSONNtrL

I lrc incltrttc.i irr rhe t itnicrtl propLrsal'

I rri{ :

'Jl

I

ATTACHMENT 2: SAMPLE QUAIJIT ASSTJRANCE

MONITORING FORM

sLrRvEY PERTOD; lllnu1 -113012018

SURVEILLANiCE METEOD (CbECK):

O Random Sarryling 8l00%Inspectim J Pcriodio Inspection 0 Customcr Conplaint

LEVEL OF SL,'RVEILLA NCE (Check):

d Moothly Ct QuancrlY D As nceded

PERCEIITAGE OF TTEMS SAMPLED DIJRTI{G ST'RVEY PERIOD:

ANALYSIS OF RESUIJS:

Obseireit Servlce Provlder Pcrformanc€ Mcrsuretnmt Rttqi o/o

Servhe PmYlder's Perlormance (Check)t 3 Mccts Standatds

3 Docs Nd Mect stsndards

Nrrratlve of Pgrformeocc Durlng Survcy Perlod:

ic I nterpretatioaScwice24f/ &I

PREPARED BY: IIATE:

lndien Heafh Se OffcE of Hrtnan Resources

Memorandum

Fram:

s"b,f"t mberit

{favorably adjudicated}.

The pos:Ion and individual identitied has been designated as a covered posltion and has been granted Povisional aulhorizatlon;

tne m).

Secu.itY'HR

Ofiice

Narie:

Posttion title:

..r lG .rn.|'l .h'neroned at alliimes by a s{att person and/or altetnates uase lyPg r6vuavry wi_.-"- Chapetgne name:

Ch e name:

Chape{gne name:

Case type favorablY adjudicaed '.- Case tyP€ favorably adjudicated

I have verified a hwrable inve€li)ation is on flle ior identified chapero :

Your signature indicates .you .are . '-fiilH H assure lhe above named indMdual

-_.-_-6de--the above criterb, and will

-------5Lte_-

.-=; r^"; S.cur. f), ;l R Ofl rce i'sig nee r,/Designee

Ei6i6@Eoriiaoorr'qf fi :iate oate

Declaration for Federal Employmenf lnstsucfo s ate tnis.

o gtat!]nanl on any p3't of thtr decta6tton or at&hgd iormtsr€&€etg

;6;l;; Gl" *;ti. Abo, vou mav be Punlshod bv a ltns or

5 lorm gr pdnt deady tn dark lnk lf yojneed ;' " !y Nu'abor' ahd llc r numbgr an ladt lnoa|-pri--.

qtafarnFnt

Publtc Burden statement \r,ah oi bgr l5 dlgglaYed'

Pl6.d .ddcB.rs.6t rat& US. OffiEs ol Pe6annsl !'lam0ern8nl rus.c r:.L s' !aa. s I p !'

Declaration for Federal Employm,enf

- i"rii t*o toy

"oo oo t !!{ lo q!5€st lilr'lslv todct-J co"cdd orT|oltntf||l

GENERAL INFO ATION '*"--- -

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3a. PLACE o

(l;cJdc dty s'l! rlalc or c!unl'Y)

N- SOCTAL SECURIYY NUMSER

I 3b. AFEYOU A U.S. CITIZE}I?

- YES l: NO {r'xo'.9ori.o co!t{'Y "n 1!=1!-jl

;-ofrER NAtrtEs EvA USED (For 6tsm c tntdcn norc rlclnamc' ak) c s E. PHOI{E NUSIBERS E tt'';r

Baekgfound tnfatmation '| r' '

Forr'r qu--"-* --^rr' -!r -r{'nri'rr3r rcq"9:!q1l{::1i$91 3*:lt:T,i:::"iil1H'l* 'iccls' rhe cirelms'r€ncf,e d o.Edl€ven!

ror.trqs - -'-sei yoiican Slt* €nsldcred tol Fcd€r4lFbs.

'eu iist \Yil rnost @

Fc. aueitont 9. nd I I . you{ 3nswers snould inctu& convicllon! n$'l8ng .kom^' l,HliSt t ;;;.';i!60'- ':' : '-'-"-- ^' '-w col1!l"d.b"l-" t9y1l9l:5f.,^"1'.(:,) rstnie'ires!l5J0Qi":i"";;d;; Youth oltender lav (4) anv ctnvlcton set "'-- - -- -rh" r'..?.1wtc etDu^oad under Fs etal - _'_ _ '$e record \Yts erpungeo under Fci etel

L bccn on and all o

, end llto r,dd'ass o! lhe njljlsry aulttuily ot coo( Itlwtvo"'

-- -^^t6t ^l tha a€ srud€nrand rnfut':d:oats.) lr'YEs,'uso.dem ltjto.pt?,!"-':,':ll?:,::1::i,-d anotmt ol tho r upt yotr oto tokil{' to cottTct tho onol!!!ry!!2:P!:;

U,S. OI[.e o, Personnel ManagErient

Declaration r Federal f C-thb furn *st d!s!a lo ssas ltrtLl llf q|grr alel

Addluonal QuodEo{|s

la. l- Yes l: !P r*&''6hlp, urat @o ant'5tws\ '8gat q u-e' v' Iadsftvot|Itg, urcrf,3

'15. Oq Ycu rgt.ive. or F€iarsl c$ct8r, or

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Cerfrf,catons , Addltlonal Ou€sflors on rhb 6rn nd !r, gtytng lor a gotluor fotm slrd dl etttdlEo hrwnbh t8c b'l{O,'rEe n,€t'| roE u5. O8lct ol Pstionn€l M3na€ornonl autS l*, !!! !ao{ ltEt I dl' oMB ltl4!44 For€ l*0, i9l7{ael

E!r!rdDr&!.l ItltC(Et!

A.ddeudun to Declaration for Fedenl EmPl (OF 306)

I8d X:*ltb SerYlce

Child Crre & triliaE Cbitd Cgrc Workcr Pssld66r

Ilco 15. AgeusY SPsciSc Qucsllor

Sdl S€8lritY Norrbc':

42 cJ.R 0 136.406.

To aslurc cornpliance wittr dtc sbovc lg$'5' thc followi[t quc$ions ar! !dd'd to thc DcctEarion fot Fcdenl EnploymcnE

l. H.vt you evc' bern drencd fot or chq8cd with s 6inc involvin8 s chlld?

y6-No-othlo, orfte 6rre5t ar chotgs' Ptac' tl* f n aftledolalon dlspotltion of rfu ar''g o" chorgt' Ptoce olocruft'E* d E o, cotal tttol!,€dl

Pctiuty' rlich is Punish'blc t'y fine udlr"fth tE ofthG U.s'

! 'iavtt notio itttr s o;-iod clpc* rriu bc condustd' I ewilrttc ro ute tt'rftan tl'alti Scwi" snd mt nSht lo bcd in thc r'Potl"

6lt.-a', Slg"rfr* (rtgE 16 t!l) plbt4rad.s. ---.-,),1.p,:!.:,y:::t5:,:#H,'#::iPlbn rad.4 '-_tJ-o t"aon o .,,r*+ 'aa OXA t ruFE .., ., - ...Lt^ ,.- tr-ab' 'tll k c.Iq' ],lffiilL "..* u' -t' - *r 4, ::!!..: -to-

',{D 1-5-53?7 (Rev,-21 was firs: pcsted on

.ATG1S3SR O!- H;ICE DETER INAT]3NS UNDER

rili; SIiRVICE CONTRAC? ACT

By direc.ion of the S€sre:ary of Labo!

Pagc I ofll wh'w.HdoI.gov on a7lO3 / 20!'1

O. S. DEPART!{ENT OF T,ABOR

EI{PLOYM'NT STANDA*ADS ADMINISTRATION

IiAGE ANB }iE!R DIVISION riAsHtN D, C. 20270 waqo OeLelrsln .Li:-on No.: 2015-53??

Revlglotr No. : 2

DaLe of Revi.siot\, L2/ 30 / 2476 Da:liel 91. Sirurrs Di rectc::

Di.eision of Waqe De !e lIrli na L j. o ns I l{"t. , U:rle Ji caiecdaryear2Olrapplics:oaficontracLssubiect!o:h'eserviceContract AcL for r4hlch r-he conlracE :s auarded {and eny solicitaliol: $as issued} on or afte! Janualy 1, 2015. If ihis contlaca is covereci by Lbe Eo' the coltractgr r..ls! pay dlI workers ln a!]y classificaLlon listeci on Lhis "rage deaerminatloll t i.i"i S1C.ZO pe! nour {or the applicable nage rate listed on this wage

Ccieliilration, !i j'! is hj-gher) for all hours spent ltesfor:ninq on tbe contraq+-in caleFda! year 201'7. The EO nin wage rate "rill be adlusted annuelly' Addj-aional iirlormation on corlElaqlor requiretnents and riorksr ptotections utlde r the to is avallable at www ' dol. qev/t{hd/ qov con! racta '

SLrt0: Souln Dakota

A:eai soulh Dakora counEies cf Beolet.t. Bt)t!e, corson, Del?ey, Fall R1ver, Geogoly, Ilaakon, llardiog. .lackson, Jcneg, Lawrerice, I ' llellerie' Perkins' sha.rccn, Sian:ey, Iodd, Tripp, Ziebach

"Frlnge Bene:1ts neq"irea Fol lotr the OccupdticI:al LrsLing'-

OCCOPAIION CODE - TITLE FOOTNOTE

C1O0C - Jt&lnlstrati're suPport And Clertcal Occupalions 010i1 - Accounting Clerk I 010i2 - Accounrrng clerk iI 01013 - e.ccou:1iing CIe:k III O1a:10 - Aoiorr,iStrative A5:; istani- 01435 - Courc RePo r Ler OlCiil. - Cu s t-cri'.\s.!: Service IePlesenlaeivo I 01042 - cusLonor serv:ce Repr:esentatlTe tT 0j.013 - CusLomer Service ReprEsentative ttI 01i5: - Data EDtrY OPerator I OlC52 - Da--a Enr.Y O-De.aLor I:

C'.C6c - DisFdlclre!, Motor Vehicl'e 0;!7C - DocurncnL PlepaEa:j-oD Clerk 0109c - DuPlicaring Machine Cperatcr Cl;.1i - Gene:e- Clcrk I Cl:1.:. - Genet.ll Clcrk II cl1I3 - Gcncral clerk III C1I2O - llousirrq Rcfor!af A'ssistan" C1-41 - Yestc'lgcr cc'J.ler :-- 191 - Ordor clcr.k i 0l192 - c:l.r Clclk 1l 01251 - Pc::sonnel ri:rsisEa:lt :grr9loy 'ent) I 0l:a2 - ?arson:le1 Asslst:.,-. ( l'3y|[eit) Il O1263 - Perso:1nel Assi.jtajlt' (EmPlr\4lenL) lII OISIC - Producrion conErol" Cferk G1290 - Renta: clerk 01300 - Schcdulc!, Halntena*ce OI3l! - Secreta.Y I httpsJ/wwrv- wdol.goviwdol/scafi ledstd/l 5'53'17'uit1'v=2

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01313 - sEcraeni'g r 01320 - servlcc Oidqt Ol41O - suPPlY TechrlciaJ} 01{20 - Survey Horker 01150 - S!.l lchboard op€rator/Rec+Ptlaniiat 01531 - Trave] Clerk I 0!532 - Travel C:.erk II di5t3 - travel cl€rk rTr 01611 - brd Proc€ssor r 01612 - i'ord ?rocasgor !r 01613 - nord Prooessor III

O5OOO - AutoBotlve s€r\ricc torf 05005 - &uboaobile Bndy ' FlitserglaEg o5o7o - Autot&glYa ngl|(€r v...:' '. -l_-i-l:c1 ,r I ,';rr:i! :

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O?Ooo - Food P io4 lvl4 {t'retce occupatloDs 07010 - Baxer O?0{l - Cook r 0?042 - Cook II 070?0 - Dls||flashgr 0?130 - Food ggrvlcc worber O?210 - u."t eu3t"" 0?260 - FaiEe

Ogooo - Furnitu And Rep'!.t" qcqu'Pettons

09010 - E-Iect Paint€r O9O4O - FurFiture dler 09080 - Furniture Refitlisher 09090 - Fulnirure Refitlisher Helger 09110 - Eurniture Repalrer, ltinor 09130 - uPhqlsterer rf66o-- cen"raf services And rt occupalll'itd 11030 - Clean€!, Vehi 6

1tO6O - Elevator otteEator 11090 - Gardenet 11122 - Yousekeepltrg Aide 11150 - Jaotrtot 11210 - li$orer, G ltalntenancc 11240 - Urid or tlouseEan 11260 - Prun€r 112?o - Traqtor @erator 11330 - trtfl Haintenance Lorker 11360 - lclndoe cleaner

12OOO - Healtb Occq)atlola 12010 - Aabulance Dllvet 12011 - Bre.ch l2ol2 - certif raPist Assl*tLnt 12013 - C€rttf sL Asllstsng 12020 - D€nta! Aasistani'

11.{ 5 11.16 rt,.9l s.77 9,18

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12025 - Denra! g!'gj.enj st I:030 - EKG Techr.lcian 12?33 - El ec: ton eu rodl agnosil c ?eehngLogjst 120{O - Energelrcy Medical Teclrniciarr l,20lI - Licensed Praclj.ca] Nur€e I 1?072 - L:censed Praccical Nurse II 120?3 - Li.ce:lsed !'ractical Nulse IiI 1210 0 - Medical AsslstanE 121-iC - Heiical Labolalcry Techr:ician 12160 - Medical Record Clerk 12190 - l:e<llca] Record Technician 12195 - Yedica! tlanscript:'on: st 12210 - Nuclear Mediclne Tecilno-Iogist 12221 - Nu:sing Assistant I 12222 - Nursilg Assistant lI 12223 - Nursing Assislant Tr:

12224 - l;.rrslng Asslsf,ant TV

12235 - optrcat Dispenser 12236 - oP':icaL :ecltirl(:Ia'j 12250 - PlariiiacY Technj'cj'dn I2280 - thlebctotu st 12305 - Raciolcgic 'lechnologisE 12311 - Regisiered Nurse :

!2312 - ;i€Eisicred Nurse II i)ii: - *.9itt*red liursc Il' spec!a1ist 1231{ - RcgisLered Nurse :1I :Z:f5 - n"qiot-.red Nutse III ' Anesthetlst i2:li6 - Registcrod Nu!se 1'/ riii-, - s"r't"a"rer lDrug and Alcohol Testlrrg) iii:o - iut"autce lb'rse TreaLmen! counselgr

13OoO - Ir:Jo-rrnatic. Aid Arts Occ'lpations 13011 - Edlbits SpecialisL I I3012 - Exhibits SPecialist iI 13013 - Exhj.btts speciallst III 13041 - Illusttator I 13042 - I l':llsrrator fI 13043 - r:.Iusttiito! III 13 04't * Libra raan 13050 - Library Alde /Clerk r!6ie - lirt..y' 1:lfcrnraLion Techr:o1ogy systems a\d,rinistrato.

13059 - Library lecholsian llO6I - f'!edi a SPcc!aList I L3062 - I'ledi3 sPeciailst lI 1306.: - l4ed:a sPeciallst Itr I307L - thoroqr;lpher i 130? 2 - PhotograPher It 13073 - PhotograPher IIi 130? 4 - PhoEog:apher IV

14044 - Cc:ipute: OPeratot IV 14045 - C te: OPeEato: v 14011 - C ter Prog!'5nlrne' I 1{072 - C !e! Ploglanrner If ilcr: - c ;e! ?rograhner rr!

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14071 - CoEputer Prog v (sae 1' 14101 - CoQuter syst Yst I (sce lt 1{lo2 - co@uter syst l'€t rI (6ee 1} lillo3 - conputEr sysl yst lII (cee 1) 14150 - Perlpheral Egui'F!.nt operatcE 14160 - Personal CoFuiar Sup.port TechnlcilrB L41?o - Systen supPorit specl.lLst

15000 - Inatructional Occllpatioai 15010 - AlEerei TrainlnE Dctlces lEstlucior (xgn-Eitee4)

15O20 - Aircrer ?ralnlng Oevlces tD4'ructor (RatEdl 15030 - A.1r cEeH tralnlng DaviceE roottUctsr .(Pilotl 15050 - coEputer Eaa€d training sp.clattsi y' trtt tor 15060 - E:aicatt onal t6pliEologl.st 150?0 - Sltqht InEtltrctqr (Filot) l5OBg * N€n inrerancd 'testlco-Pilot 15090 - Technical Inetructor l509l - Technict . tnstructor/Cou.:se EBvsloPt!

15110.- lest Pi'octqr 15120 - autor

16000 - l.$ftiry. Dry-Cl4nlng, Presslng And Rela$d occupalions 16010 - Ass ler 150-f f60 - rk' Machine 16110 - Fressel, Itacblns. Drycleanlng 16130 -. Dresser. tftehlne' Shirts 16150 - PEesser, l{achiDe, Fclring Appatal, tiquEeBy 15190 - Sefltnq lrachine Operator 15220 - Tailor 16250 - waFher, Machlne

19000 - MachlD. Sool Opelatlon Ard RBPair occgPqtlr}ns 1901,0 - l4gclrtne-Tool' OPcrabo! (TooI Roottrl

21020 - ForkLift OPerator 21030 - ltatetial Coordin&toE 210{0 - MateElal EJqrsdlter 21050 - !'latertsl Ffrdltng Labc-6E 21071 - Ord r Flll'5r 2IO8O - Pto uctlo{r Lioe $orker (E(rcd !"ocesslnE) 21110 - shi.PPlng Packer ?1130 - Shippi.tglR€celvlng clerk 21140 - stoEe Horker I Zll.50 - Scock Clerk 21210 - Toots And Parls Attcnda$t

23010 - Ae ace ral Feld6r 23019 - Ai ft Record+ ?'chnlclan 23021 -Al f,L I 23022 - al.craft Hgotianlc ff a3O$O - A!€raft, Painter 23060 - Alrcr '. Servlccr 230?0 - Aircr E Survlval FflEht Equ1peeat TechDicitn 23080 - A:rcrafL To!,(er

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2C.00 75.19 18.09 tiJ.l4 r9. l8

21.72 18.2I 20.33 79.22

10. ?8 18 . 4-7

2D.Z!

:4 .58 20.l3 21.40

!9.1s

19. 49 18.37

20. 33 18.08 18.15 7'1 .25 24.54

11 .61 ?,a.33 1:.-/9 t 1.54 9.12

T ta

III

23391 - Gutltdltb I 23392 - cuBlo4i.th II

23.393 - Gunsqllih III iii'i6-i.iiits, v€ntilat{on Air-cond{,oi'oaing' u€Eha!iciiiiil-ri...ins, ventilatio4 silil 4ir cont+if {on Mechanic {Rcaearch Faclllty} ?3430 - Heavy EquiFatt l€s'barll:c 23440 - tleavy EqutFcltt F€f,atsr 23450 - Instrulent U€ctsani c 23lt65 - tr-bolqtory/Shel ter l'echanlc 234?0 - Labotcr 23510 - Locksnith ,3530 - Hachinery Hd,RtsEance uechaDlq

23510 - t'ltf lltriqht ag?1o - ogfic.- ApPliance REltairer 23? 50 - Palnterr ll?lntenaoce 23790 - Pipefltt€?, ualnte 2 810 - PIuSer, Ualntenanee i i:d - pneuaraurlc syst€es uechanis 23850 - Rlgger

23950 - TelgPbon" LIneDaD iisZo - tt tiit, coEbinatlon' Harntgna'oo' 23965 - t9el I DllIIe!

239?0 - ltoodcraft tioli(er 23980 - tloodworker

24000 - personal Needs occupations 24550 - Case Uanager 2{5?O - Chl].d C.re At.lc

.fit?v+l

24580 - ChXId care Center Clerk 24610 - Chore A13e 24620 - Farnily ReadiDess And Srppor: serv!ces Coordi nator 24630 - lloftefliaker

25000 - ild!rt P.:.:r syscer Cperations occupaEions 25910 - 3oi.Ler Tende:

25040 - Sew.rge Prait OperaEor 25C 70 - S.aticnarY fl]ginec!

2 5I90 - VcI.:ild.'-:on Equl'pre:1i '1ei-de' 252lC - Hate: Treainent P:ant operator

27000 - Protcctive Selvice occuparrol.ls 2?004 - AIar:-" lonitor 2?00? - Baggage ftisP€cEor 2?003 - Car:ection€ Officer 2?010 - Coult secusity offi.cer…