BEE_PWS_-_Revised_21_Aug_(FINAL).pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR THE BIOENVIRONMENTAL ENGINEER CONTRACT AT

PATRICK AIR FORCE BASE, FLORIDA

FA2521-15-Q-B332

Part 1

General Information

1. GENERAL: This is a non-personnel services contract to provide Bioenvironmental Engineering (BE) Services.

The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the contractor who, in turn is responsible to the Government.

1.1 Description of Services/Introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Bioenvironmental Engineering Services as defined in this Performance Work Statement (PWS) except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2 Background: This is a new contract. Previous services were performed by an active duty member. The contractors shall provide personnel possessing the skills, knowledge, abilities, and training to satisfactorily perform the Bioenvironmental Engineering service requirements included in this PWS. Contractor personnel performing work in support of medical services shall be fully trained in all aspects of the work to be performed.

1.3 Objectives: To provide Bioenvironmental Engineering services at Patrick Medical Clinic, Patrick Air Force Base and Cape Canaveral Air Force Station (CCAFS), FL also referred to as the Medical Treatment Facility (MTF).

The contractor shall comply with all applicable civilian, Department of Defense (DoD), Air Force and Medical Treatment Facility (MTF) directives and instructions to include the Joint Commission (TJC) and Unit Effectiveness Inspection (UEI).

1.4 Scope: The Bioenvironmental Engineer (BE) will perform Bioenvironmental Engineering activities in the fields of industrial hygiene (IH), occupational health (OH), and radiological health, to ensure healthy working conditions are maintained and that the environment is not adversely affected by USAF operations.

1.5 Period of Performance: The period of performance shall be for one (1) year.

1.6. General Information:

1.6.1. Point of Contact: The Contractor shall provide a point of contact (POC) that shall be responsible for the performance of the work. The POC shall have full authority to act for the contractor on all matters relating to the daily operation of this contract. The POC may be the contract employee providing services in accordance (IAW) this PWS. The contractor shall designate this individual, in writing, to the Contracting Officer (CO) before the contract start date. An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary POC.

1.6.1.1. Arrange for Replacement Staff: If requested, the contractor shall arrange for coverage when the employee will be unable to provide services for two (2) or more consecutive scheduled shifts. Any replacement staff will be required to have the same training/certifications as the person they are replacing.

1.6.2. Health Requirements:

1.6.2.1. Not later than 5 working days prior to commencement of work, certification shall be provided to the CO’s representative that the contract employee has completed a medical evaluation. This certification shall state the date on which the examination was completed, the doctor’s name that performed the examination, and a statement concerning the physical health of the individual. The certification shall also contain the following statement:

“(name of contract employee) is suffering from no contagious diseases to include but not limited to Tuberculosis, Hepatitis, and Venereal Disease.” The government will not reimburse the contractor for the cost of this medical evaluation.

1.6.2.2. Also, as a condition of employment, Occupational Safety and Health Association (OSHA) requires that all contract employees who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive contractor provided Hepatitis B vaccine, or have documented proof of immunity to Hepatitis B infection. The government will not reimburse the contractor for the cost of this vaccine.

1.6.3. Training: Contract employees shall complete initial/annual training required in accordance with (IAW) HIPAA, Information Privacy Practices, AF Computer Security Policy, AF Safety Policy, and all other training requirements deemed necessary by the MTF within 15 calendar days of start of work onsite. In rare instances, it may be necessary for contract employees to perform services in MTF areas other than those to which they are normally assigned. Performance shall be according to the requirements contained in this PWS.

1.6.3.1. At a minimum, all contract personnel working within the MTF must maintain current certification in either the American Heart Association Basic Life Support (BLS)(Course C) or the American Red Cross CPR/BLS (Heart Saver) Course. Initial training must be obtained in the community at no cost to the Government so that contract personnel arrive in the position fully qualified. The Government will not pay for initial training or recertification training obtained outside the MTF.

1.6.4. Computer Access: Contract employees shall complete and submit DD Form 2875, Personnel Security Program Management, with the 45 MDG Systems Office on start date for approval for access to government computer systems.

1.6.5. Quality Control: The contractor shall develop and maintain an effective quality control program 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 quality control program is the means by which he assures himself that his work complies with the requirement of the contract. The QCP will be delivered within 30 days after contract award or with the contractors proposal if it is an evaluation factor, three copies of a comprehensive written QCP shall be submitted to the CO and COR within 5 working days when changes are made thereafter. QCP will be delivered within 10 days after the first day of the month the contract is in effect.

After acceptance of the quality control plan the contractor shall receive the contracting officer’s acceptance in writing of any proposed change to his QC system.

1.6. Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must 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 the minimum acceptable defect rate(s).

1.7. Personnel Requirements:

1.7.1. English Language Requirement. The contract employee shall read, understand, speak, and write English fluently.

1.7.1.1. Conflict of Interest: The contract employee shall not be a person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The contract employee shall not be a person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval IAW DoD Directive 5500.7, Standard of Conduct and Air Force Policy.

1.7.1.2. Relationship of the Parties: This is a non-personal services contract. Contractor personnel are not subject to the supervision and control of a Government officer or employee. (FAR 37.104(a)(1)(ii)). Rather, contractor personnel perform their duties IAW specific tasks outlined in the PWS. Supervisory function such a hiring, directing, counseling, and firing of contractor personnel are not performed by the Government. The Government retains the right to reject services for contractual non-performance.

1.8. Recognized Holidays: Contractor is not required to perform services on holidays.

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Independence Day Christmas Day

1.8.1. Hours of Operation: The contractor is responsible for conducting business, between the hours of 0730-1630, Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The Contractor must be present at all times to maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

1.8.2. Place of Performance: The work to be performed under this contract will be performed at government facilities, the 45th Medical Group, the Bioenvironmental Engineering Office, Bldg. 1366, Patrick AFB, FL 32925 and CCAFS.

1.8.3. Type of Contract: The government will award a Firm Fixed Price contract.

1.8.4.1. PHYSICAL Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.8.4.2 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons.

NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall develop procedures covering key control that shall be included in the Quality Control Plan. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the Contracting Officer.

1.8.5. Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conferences convened by the contracting activity or contract administration office IAW Federal Acquisition Regulation Subpart 42.5. The CO, COR, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor’s performance. At these meetings the CO will apprise the contractor of how the government views the contractor’s performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.8.6. Identification of Contract Employees: All contract personnel attending meetings, answering Government telephones, and working in other situations where their Contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by the Contractors are suitably marked as Contractor products or that Contractor participation is appropriately disclosed. Contract personnel are required to visibly wear 45 MDG contractor badges in the performance of this service.

1.8.7. Data Rights: The Government has unlimited rights to all documents/materials produced under this contract.

All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the Contractor without written permission from the CO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

PART 2

DEFINITIONS & ACRONYMS

2. 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. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.7. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.8. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.9. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.10. SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.11. WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12. WORK WEEK. Monday through Friday, unless specified otherwise.

2.2. ACRONYMS:

AAAHC Accreditation Association for Ambulatory Health Care AFB Air Force Base BE Bioenvironmental Engineer BLS Basic Life Support CBRN Chemical, Biological, Radiological and/or Nuclear CCAFS Capt Canaveral Air Force Station CO Contracting Officer COR Contracting Officer Representative CPR Cardiopulmonary Resuscitation

DD254 Department of Defense Contract Security Requirement List DMHRSi Defense Medical Human Resource System - internet DoD Department of Defense DOEHRS Defense Occupational and Environmental Health Readiness System FAR Federal Acquisition Regulation FAX Facsimile FL Florida HAZMAT Hazardous Material HIPAA Health Insurance Portability & Accountability Act IA Information Assurance IAW In Accordance With IH Industrial Hygiene LSO Laser Safety Officer MDG Medical Group MGIs Medical Group Instructions MTF Medical Treatment Facility MTF/CC Medical Treatment Facility Commander OCI Organizational Conflict of Interest OH Occupational Health OH&E Occupational Health and Environmental OSHA Occupational Safety and Health Association POC Point of Contact PPE Personal Protective Equipment PSC Personal Services Contract PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RAMMIS Radioactive Materials Management Information Systems RSO Radiation Safety Officer TE Technical Exhibit TJC The Joint Commission UEI Unit Effectiveness Inspection USAF United States Air Force USAFSAM United States Air Force School of Aerospace Medicine USC United States Code

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: The Government will provide general custodial services in the work center, trash removal, recycling, fire and security services, telephone (local and long distance) and FAX services, copier (reproduction) services, and computer based training for use of government computers.

3.2 Facilities: The Government will provide adequate facilities, workspace, and necessary equipment for performing services outlined in this PWS to include desk space, telephones, computers, and other items necessary to maintain an office environment.

3.3 Utilities: The Government will provide all utilities in the facility. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment. The contractor shall abide by the Telephone use policy when using government telephone services “For Official Use Only”.

3.4 Equipment: The Government will provide necessary equipment to include: work center furniture, i.e., desk, chair, lighting, computer, printer, scanner, FAX machine, copy machine, and telephone. The MTF will also provide non-medical supplies (administrative) commonly used in the facility for the care and management of patients. The Government will be responsible for any repair, cleaning and inventory required for the Personal Protective Equipment (PPE). The service provider is responsible for determining whether the government supplied PPE is adequate for their employees. The service provider is also responsible to provide all required occupational health physicals, PPE training and fit-testing associated with that PPE. The service provider will respond to any concerns raised by employee regarding compatibility with government supplied PPE and if needed, provide an alternate source of PPE. The government does not provide uniforms, laboratory coats, or other personal clothing.

3.5 Materials: The Government will provide Standard Operating Procedures and Policies, personnel identification badge to be used in accordance with MTF and base security policy, non-medical supplies commonly used in the facility for the care and management of patients or services.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Part 3 of this PWS.

4.2. Equipment. The Contractor shall have access to BE surveillance and monitoring equipment. The contractor shall be responsible for the repair and or replacement of any broken BE equipment caused by neglect or misuse.

PART 5

SPECIFIC TASKS

5. Specific Tasks:

5.1. Basic Services. The contractor shall provide the following services for Bioenvironmental Engineering.

5.1.1. Occupational Health/Industrial Hygiene: The contractor will review OH programs for compliance with Federal, and AF instructions and regulations.

5.1.1.1. The contractor will plan and review evaluations of workplace operations involving potentially hazardous conditions that may affect employee health.

5.1.1.2. The contractor will coordinate and review routine and special assessments of industrial work centers to identify and quantify potential IH/OH hazards to include, but not limited to, Aircraft Maintenance, Civil Engineering, and other agencies on or supported by Patrick AFB/CCAFS.

5.1.1.3. The contractor will assess work center operations for potential chemical, physical, and biological hazards, to include, but not limited to, inhalation or skin contact with vapors, mists, gases, and dusts; and from physical hazards such as noise, heat, excessive pressures, radio-frequency radiation and ionizing/non-ionizing radiation.

5.1.1.4. The contractor will collect necessary measurements and samples using survey instrumentation to evaluate exposures and determine compliance with established exposure standards.

5.1.1.5. The contractor utilized survey equipment includes, but is not limited to, sound-level meter, air sampling equipment, radiation measuring devices, and air velocity meters.

5.1.1.6. The contractor will review and provide quality assurance/quality control (QA/QC) on all IH air sampling, determine appropriate sampling methods, complete air sampling calculations, and conduct health risk assessments based on the occupational hazard.

5.1.1.7. The contractor will review and provide QA/QC on ventilation system assessments including the required calculations to document industrial ventilation systems are operating properly to control potential industrial work place health risk exposures.

5.1.1.8. The contractor will review and provide QA/QC on noise surveys/dosimetry to determine occupational health risk exposures, including all calculations and required documentation.

5.1.1.9. The contractor will review and recommend appropriate respirator selection to ensure proper health risk assessments based upon the occupational hazard.

5.1.1.10. The contractor will review and provide QA/QC on confined space assessments to ensure health risk assessments are based on occupational hazards.

5.1.1.11. The contractor will review and provide QA/QC on all IH casefiles, ensure data has been correctly entered into DOEHRS, determine appropriate forms are being utilized, all chemicals used within the workplace have been completely evaluated, and all recommended personnel protective equipment adequately controls the hazards.

5.1.1.12. The contractor will advise government workplace supervisors on control measures and recommend changes in work procedures necessary to protect worker health and comply with Federal regulations including personnel protective equipment, administrative controls and engineering controls.

5.1.1.13. The contractor will develop and maintain electronic work center case files, records of survey, and laboratory analysis results in support of DoD, USAF, and OSHA regulations. The contractor will enter collected data into the most current DOEHRS and other data bases used by the Patrick AFB BE Flight/43E/4BO career fields.

5.1.1.14. The contractor will maintain, calibrate, and use technical IH/OH and environmental (OH&E) sampling equipment. The contractor will prepare and employ equipment such as, but not limited to, sound level meters, noise dosimeters, high volume air sampling pumps, impingers, PH meters, etc., in sampling and measurement of OH&E hazards. The contractor will evaluate limitations of newly acquired equipment predicting optimal operational characteristics and troubleshoot malfunctions for OH&E operations.

5.1.1.15. The contractor will perform technical reviews of correspondence to ensure compliance with OSHA, US Environmental Protection Agency, Nuclear Regulatory Commission, and Department of Transportation Code of Federal Regulations, Florida Department of Public Health and other regulatory agencies. The contractor will ensure correspondence is well substantiated, clearly outlined, and explained in easy to understand terminology.

5.1.1.16. The contractor will assist in the administration of the day-to-day activities of the BE flight through close review of external office correspondence and presentations to various working groups.

5.1.2. Radiation Safety: The contractor will review and provide QA/QC on radiation swipe tests, area surveys, and monitoring to ensure health risk assessments based on the occupational hazard. Contractor must be able to conduct required calculations to document survey information.

5.1.2.1. The contractor will provide monthly status updates (on the 5th day of each month) of the installation radiation protection program to the BE Flight Commander.

5.1.2.2. The contractor will perform duties in radiological health.

5.1.2.3. The contractor will survey facilities, equipment, materials, and operations for ionizing and non-ionizing radiation to ensure compliance with environmental, safety and health standards and licensing or permit requirements.

5.1.2.4. The contractor will help maintain radioactive materials licenses and permits.

5.1.2.5. The contractor will monitor radioactive materials, storage, and shipments.

5.1.2.6. The contractor will assist the base Radiation Safety Officer and base activities in implementing radiation protection programs and correcting deficiencies.

5.1.2.7. The contractor will help conduct surveys of ground and airborne radar, lasers and others non-ionizing radiation sources.

5.1.2.8. The contractor will analyze data obtained from radiological surveys and evaluations to identify adverse health trends.

5.1.2.9. The contractor will recommend approaches to control occupational health hazards found in industrial, construction, engineering, environmental operations, and planned acquisitions of ionizing, non-ionizing, Electro Magnetic Frequency, or laser emitting radiological containing materials or devices.

5.1.2.10. The contractor will prepare detailed reports outlining survey and evaluation results for command-level personnel and Federal regulatory agencies.

5.1.2.11. The contractor will provide instruction and training to employees on all aspects of ionizing and non-ionizing radiation safety.

5.1.2.12. The contractor will educate employees regarding workplace radiation hazards; provide specific training based on the results of radiation investigations or surveys.

5.1.2.13. The contractor will manage the Patrick AFB/CCAFS radiation health protection program and the installation industrial radiation dosimetry program in coordination with the Installation RSO.

5.1.2.14. The contractor will comply with Federal, state, and local regulations regarding the receipt, storage, handling and transportation of radioactive materials.

5.1.2.15. The contractor will author and review base policy for receipt, storage, handling and transportation of radioactive materials, including contractor usage of the same.

5.1.2.16. The contractor will prepare, review, and certify all required radiative material shipping documentation.

5.1.2.17. The contractor will survey inventories and properly label radioactive materials being shipped.

5.1.2.18. The contractor will identify radioactive material designated for disposal and coordinate proper disposal procedures.

5.1.2.19. The contractor will maintain all radioactive material shipping and disposal records.

5.1.3. CBRN Advisor: The contractor will provide consultation on response to incidents involving possible Chemical, Biological, Radiological and/or Nuclear (CBRN) contamination.

5.2. The contractor will be required to personally record hours worked in the Defense Medical Human Resource System – internet (DMHRSi) system as required by the MTF.

5.3. All contracted employees shall participate in emergency preparedness plans (drills and actual emergencies) within the MTF as scheduled by the MTF. Contracted employees will be required to provide contact information to the COR upon commencement of services as part of a recall list in advance of an actual emergency. If an emergency occurs, the government supervisor will contact the contracted employee’s with shift and reporting instructions.

5.4. Special Qualifications: The Contractor is responsible for ensuring all employees possess and maintain the following:

5.4.1. Knowledge of BE instructions, policies, procedures and standards related to industrial hygiene (IH), occupational health (OH), and ionizing and non-ionizing radiation is required. Knowledge of BE work practices, policies, procedures and standards related to IH, OH, and ionizing and non-ionizing radiation is similarly required.

5.4.2. Ability to use computer systems, standard Microsoft Office software, the Defense Occupational and Environmental Health Readiness System (DOEHRS), and the United States Air Force (USAF) Radioactive Materials Management Information Systems (RAMMIS.).

5.4.3. General office administrative and clerical skills to perform receptionist duties and answer telephones.

5.4.4. Ability to organize and manage various time-dependent tasks and requirements.

5.4.5. Knowledge in the following areas is required: basic and applied mathematics, basic chemistry, physics and computer usage, IH fundamentals, community environmental surveillance, OH, radiological health, environmental protection, medical administration, BE aspects of medical readiness, written and oral communication, and basic office administrative and clerical skills to perform receptionist duties including answering telephones.

5.4.6. Must possess normal color vision as defined in AFI 48-123, Medical Examinations and Standards.

5.4.7. Must be able to lift 40 pounds. Requirements may include prolonged walking, standing, sitting or bending.

5.4.8. Must have knowledge of AIHA fundamentals of Industrial Hygiene.

5.4.9. Must have at least 10 years of experience in the Industrial Hygiene Field, preferably as a DoD Bioenvironmental Engineering officer, or 4 years of experience as a Certified Industrial Hygienist within the last 15 years.

PART 6

APPLICABLE PUBLICATIONS

6. APPLICABLE PUBLICATIONS (CURRENT EDITIONS):

DoDI 1402.5 Criminal History Background Checks on Individuals in Child Care

Services DoD 5200.2-R Personnel Security Program DoDD 5500.7 Standards of Conduct DoDD 6040.40 Military Health System Quality Management Control Procedures DoDD 8500.1 Information Assurance

AIR FORCE INSTRUCTIONS/MANUALS/INSTRUCTIONS

PUB NO. TITLE

AFI 44-119 Medical Quality Operations AFI 48-105 Surveillance, Prevention, and Control of Diseases and Conditions of

Public Health or Military Significance AFI 48-137 Respiratory Protection Program AFI 48-148 Radiation Protection Program AFI 48-139 Laser and Optical Radiation Protection Program AFI 48-145 Occupational and Environmental Health Program AFI 90-821 Hazard Communication AFMAN 48-146 Occupational & Environmental Health Program Management AFMAN 48-155 Occupational and Environmental Health Exposure Controls

6.1. The Contractor must abide by all applicable regulations, publications, manuals, and local policies and procedures.

PART 7

ATTACHMENT/TECHNICAL EXHIBIT LISTING

7. Attachment/Technical Exhibit List:

7.1. Attachment 1/Technical Exhibit 1 – Performance Requirements Summary

7.2. Attachment 2/Technical Exhibit 2 – Deliverables Schedule

7.3 Attachment 3/Technical Exhibit 3 – Estimated Workload Data

7.4. Attachment 4/Technical Exhibit 4 – Business Associate Agreement (BAA) (Medical Disclosure)

TECHNICAL EXHIBIT 1

Performance Requirements Summary The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective

Standard Performance Threshold

Method of Surveillance

PRS # 1.

The contractor shall provide QA/QC data on all IH air sampling (i.e. determine appropriate sampling methods, complete air sampling calculations, and conduct health risk assessments based on the occupational hazard). [PWS paragraph 5.1.6].

The contractor will provide appropriate sampling methods, air sampling calculations, and health risk assessments based on the occupational hazard.

No more than one

(1) error per survey.

Monthly Inspection by BE Flight CC

PRS # 2

The contractor shall review and provide QA/QC on ventilation system assessments) [PWS paragraph 5.1.1.7]

The contractor will perform required calculations to document industrial ventilation systems are operating properly to control potential industrial work place health risk exposures.

No more than one

(1) error per survey.

Monthly Inspection by BE Flight CC

PRS # 3

The contractor shall review and provide QA/QC on noise surveys/dosimetry to determine occupational health risk exposures. [PWS paragraph 5.1.1.8.]

The contractor will review noise dosimetry calculations and required documentation.

No more than one

(1) error per survey.

Monthly Inspection by BE Flight CC

PRS # 4

The contractor shall review and recommend appropriate respirator selection to ensure proper health risk assessments based upon the occupational hazard. [PWS paragraph 5.1.1.9.]

The contractor reviewed the health hazards for an industrial workplace and recommend appropriate respirator selection to ensure proper health risk assessments based upon the occupational hazard.

No more than one

(1) error per survey.

Monthly Inspection by BE Flight Commander.

PRS # 5

The contractor shall review and provide QA/QC on confined space assessments to ensure health risk assessments based on occupational hazards. [PWS paragraph 5.1.1.10.]

The contractor will attend the annual confined space meeting and provide recommendations on new confined space permits.

No more than one

(1) error per survey.

Annual Inspection by BE Flight CC

PRS # 6

The contractor shall review and provide QA/QC on radiation swipe tests, area surveys, and monitoring to ensure health risk assessments based on the occupational hazard. [PWS paragraph 5.1.2]

The contractor will conduct radiation surveys and calculations in order to determine the safe zone around an active x-ray machine.

No more than one

(1) error per survey.

Monthly Inspection by BE Flight CC

PRS # 7

The contractor shall maintain, calibrate, and use technical IH/OH and environmental (OH&E) sampling equipment. [PWS paragraph 5.1.1.14.]

The contractor will prepare and employ equipment in sampling and measurement of OH&E hazards and troubleshoot malfunctions for OH&E operations.

No more than one

(1) error per sampling event.

Monthly Inspection by BE Flight CC

PRS # 8

The contractor will provide instruction and training to employees on all aspects of ionizing and non-ionizing radiation safety.

[PWS paragraph 5.1.2.11.]

The contractor will educate employees regarding workplace radiation hazards;

provide specific training based on the results of radiation investigations/surveys.

No more than one

(1) error per survey.

Monthly Inspection by BE Flight CC

PRS # 9

The contractor will provide consultation on response to incidents involving possible Chemical, Biological, Radiological and/or Nuclear (CBRN) contamination. [PWS paragraph 5.1.3.]

The contractor will participate in base readiness exercises involving CBRN issues.

100% Compliance.

Zero deviation from standard.

Inspection by BE Flight CC

TECHNICAL EXHIBIT 2

DELIVERABLES SCHEDULE

Deliverable Frequency # of Copies Medium/Format Submit To Health Requirement [PWS paragraph

1.6.2. and 1.6.2.1.]

NLT 5 working days prior to start of work.

1 original provided 5 days prior to start date.

Paper (hardcopy) CO’s representative

Training [PWS paragraph 1.6.3]

Within 5 calendar days from start of work.

15 days from start of work.

Computer-based training

45 MDG Education & Training Department

Quality Control [PWS paragraph 1.6.5.]

30 days after contract award; 10 days after first day of month contract in affect.

3 copies of comprehensive written QCP

Paper (hardcopy) CO; COR

Radiation Safety QC [PWS paragraph 5.1.21]

Monthly status updates

1 original and 1 copy

Powerpoint Briefing slides by email

BE Flight CC

TECHNICAL EXHIBIT 3

ESTIMATED WORKLOAD DATA

ITEM

NAME

ESTIMATED QUANTITY

1 Occupational Health/Industrial Hygiene 23 hours/week

2 Radiation Safety 10 hours/week

3 Representative of Bioenvironmental Engineering Flight at meetings

6 hours/week

4 CBRN Advisor 1 hour/week

Technical Exhibit 4

1032952565C Typewritten Text

1032952565C Typewritten Text

1032952565C Typewritten Text

1032952565C Typewritten Text

1032952565C Typewritten Text

Typewritten Text

1 May 2015