DELIVERABLE - COVID-19 STATUS REPORT.xlsx
XLSX spreadsheet 29 KB Posted
- Attached to
- OFF GAS TEST AND ANALYSIS Federal contract opportunity
- Solicitation number
- H9224022T0008
- Issued by
- United States Special Operations Command
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| H92240-22-T-0008 0001.pdf | ||
| H92240-22-T-0008 .pdf | ||
| ADDENDA 02 - PRICING SHEET.xlsx | XLSX spreadsheet | |
| ADDENDA 01 - STATEMENT OF WORK (SOW).pdf |
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Text version
Tab 1 - Instructions
| CORONAVIRUS DISEASE 2019 (COVID-19) STATUS REPORT | |
| Ref: | (a) Executive Order 14043, “Requiring Coronavirus Disease 2019 Vaccination for Federal Employees,” signed 9 September 2021 |
(b) Safer Federal Workforce Task Force, “COVID-19 Workplace Safety: Guidance for Federal Contractors and Subcontractors,” issued 24 September 2021
(c) 252.223-7999 Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors (Deviation 2021-O0009)
| GENERAL INSTRUCTIONS: Do NOT include employee names or other Personally Identifiable Information (PII). The term "Covered Employee" per the above cited referrences. | |
| Populate Tab 2 for All Covered Contractor Employees as defined by Safer Federal Workforce Task Force. https://www.saferfederalworkforce.gov/contractors/ | |
| Populate Tab 3 for All Covered Contractor Employees performing work on-site in USSOCOM designated spaces. USSOCOM spaces are defined as the USSOCOM enterprise facilities including headquarters, and all subordinate component commands (NAVSOC, USASOC, MARSOC, AFSOC, etc.) Itemize by task order or individual contract (sample entries are provided in red for illustrative purposes). | |
| OCOM |
Tab 2 - All Covered Employees
| Contractor: |
| CAGE Code: |
| Prepared By/Date Prepared: |
| Total Population | Fully Vaccinated | Not Fully Vaccinated | ||||||||||||||||||||
| Exemptions (Medical or Religious only) | ||||||||||||||||||||||
| (pending or approved regardless of duration (temp or perm)) | Refusals | |||||||||||||||||||||
| (no intention of seeking exemption) | Vaccination Incomplete | |||||||||||||||||||||
| (2 of 2 Pfizer/Moderna or 1 dose J&J) | (includes partially vaccinated and non-vaccinated; all others) | |||||||||||||||||||||
| IDL | DL | ALL | IDL | DL | ALL | IDL | DL | ALL | ||||||||||||||
| IDL | DL | ALL | IDL | DL | ALL | MED | Relig. | MED | Relig. | MED | Relig. | CIV | CTR | ALL | CIV | CTR | ALL | |||||
| - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | |||||
| - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | |||||
| 1. Populate your data by personnel category; "ALL" columns are auto sum. | ||||||||||||||||||||||
| 2. Personnel should only be counted in one column. | ||||||||||||||||||||||
| 3. Exemptions include all exemptions pending or approved for medical or religious requests. | ||||||||||||||||||||||
| 4. Data is used from shaded cells above to populate data total personnel and is used in calculations shown on the briefing product. (Chart to right is actual CG briefing product) | ||||||||||||||||||||||
| 5. Refusals are those who do not intend to submit a exemption request or submit to vaccination. |
Tab 3-Covered Employees On-site
| Contractor: | |||||||||||||||||||||||||||
| CAGE Code: | |||||||||||||||||||||||||||
| Prepared By/Date Prepared: | |||||||||||||||||||||||||||
| Sample entries are provided in red for illustrative purposes | |||||||||||||||||||||||||||
| PIID | TO | Location | Total Population | Fully Vaccinated | Not Fully Vaccinated | ||||||||||||||||||||||
| Exemptions (Medical or Religious only) | |||||||||||||||||||||||||||
| (pending or approved regardless of duration (temp or perm)) | Refusals | ||||||||||||||||||||||||||
| (no intention of seeking exemption) | Vaccination Incomplete | ||||||||||||||||||||||||||
| (2 of 2 Pfizer/Moderna or 1 dose J&J) | (includes partially vaccinated and non-vaccinated; all others) | ||||||||||||||||||||||||||
| IDL | DL | ALL | IDL | DL | ALL | IDL | DL | ALL | |||||||||||||||||||
| IDL | DL | ALL | IDL | DL | ALL | MED | Relig. | MED | Relig. | MED | Relig. | CIV | CTR | ALL | CIV | CTR | ALL | ||||||||||
| H9224021D000X | H9224021F000X | NAB Coronado | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | |||||||
| H9224021F000Y | Stennis, MS | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | ||||||||
| H9224021D000Y | H9224021F000Z | Little Creek, VA | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | |||||||
| H9224021C000Y | Tampa, FL | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | |||||||
| - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | - 0 | ||||
| NOTES PART 1: | 1. Populate your data by personnel category; "ALL" columns are auto sum. | ||||||||||||||||||||||||||
| 2. Personnel should only be counted in one column. | |||||||||||||||||||||||||||
| 3. Exemptions include all exemptions pending or approved for medical or religious requests. | |||||||||||||||||||||||||||
| 4. Data is used from shaded cells above to populate data total personnel and is used in calculations shown on the briefing product. (Chart to right is actual CG briefing product) | |||||||||||||||||||||||||||
| 5. Refusals are those who do not intend to submit a exemption request or submit to vaccination. |
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