Ambulance_PWS_Revised_13 Sep.docx

Contract # FA2550-10-X-XXXX

PERFORMANCE WORK STATEMENT

FOR

EMERGENCY AMBULANCE SERVICES

AT

SCHRIEVER AIR FORCE BASE

COLORADO

Revised: 13 Sep 2010

TABLE OF CONTENTS

SECTION 1 – Description of Services/General Information

SECTION 2 – Services Summary

SECTION 3 - Government-Furnished Property and Services

SECTION 4 – Appendices

1. DESCRIPTION OF SERVICES/GENERAL INFORMATION

The Contractor shall provide full emergency patient transport services at Schriever Air Force Base, including the housing area on Schriever AFB (hereafter referred to at SAFB). This emergency transport service will consist of one dedicated ambulance on SAFB, with backfill. The Contractor shall participate in Schriever AFB and 21st Medical Group/Schriever Medical Dental Clinic (referred to as MTF hereafter) exercises, special events, sports events, and specialized training. The Contractor shall furnish all labor, management, supervision, vehicle, supplies, equipment, transportation, and reports, except as provided in appendix 2, Government- Furnished Facility and Equipment. The Contractor shall, at a minimum, cover the full range of Emergency Medical Technician (EMT), paramedic and ambulance services provided in the local community to include local protocols or standing orders and staffing minimums in accordance with the most current Colorado applicable regulations and protocols. Performance shall be according to the requirements contained in this Performance Work Statement (PWS) and professional standards of the Accreditation Association for Ambulatory Health Care (AAAHC), and the Colorado State Department of Health’s Division of Emergency Medical Services.

1.1 EMERGENCY MEDICAL RESPONSE AND PATIENT TRANSPORT

The Contractor shall provide ambulance response to emergencies as requested by the SAFB Fire Department. Patients will be transferred to nearest appropriate medical facility. These hospitals will be referred to as “local hospitals” hereafter. Actual work involved in performance of this contract shall include:

1.1.1 Providing ambulance services 24 hours per day every day of the year to include all holidays. This contract is the sole avenue for SAFB emergency patient transport. The Contractor must establish and maintain a system to ensure that backup support is provided in the event of simultaneous responses, equipment failures, or other unforeseen circumstances. Services must always be available.

1.1.2 Traveling to response sites in an appropriate medical response vehicle per information received primarily from the SAFB Fire Department.

1.1.2.1 Response time is defined as the time of receipt of call from SAFB Fire Department to the time of arrival at the emergency location identified.

1.1.2.2 Response time for all calls on SAFB, to include Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS), will be within 8 minutes, 90% of the time, in accordance with Section 2, Service Summary item.

1.1.3 Responding to calls with, at a minimum, one State of Colorado certified Emergency Medical Technician (EMT) and one State of Colorado certified Emergency Medical Technician-Paramedic/Advanced Cardiac Life Support (EMT-P/ACLS).

1.1.4 Providing medical care and treatment appropriate to patient’s condition. The Contractor will respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.

1.1.5 Coordinating in-field care, to include EMT-P/ACLS Care, in accordance with protocols developed by the Contractor’s physician advisor in cooperation with representatives from local Fire Departments and the closest hospital with capability.

1.1.6 Coordinating patient transport with local hospitals.

1.1.7 Transporting patients to local hospitals from SAFB.

1.1.8 Ensuring an EMT or Paramedic remains with patients until a qualified member of the receiving hospital properly accepts patients.

1.1.9 Notifying Command Post, via telephone, (719-567-2180), for any on base response. This notification must be provided not later than one (1) hour after receiving hospital properly accepts patient: name of patient, status (military, civilian, contractor, dependent, etc), and name of hospital. If notification is delayed due to response to another emergency call, then notification must be made as soon as possible (ASAP).

1.2 SAFB AND MTF EXERCISE/SPECIAL EVENTS/SPORTS EVENTS/

SPECIALIZED TRAINING.

The Contractor shall be responsible for participating in SAFB and MTF exercises, events, and training, as required/requested.

Specific responsibilities include:

1.2.1 Participating in advance and post exercise meetings.

1.2.2 Responding with EMTs to exercise sites and performing mock duties.

1.2.3 Coordinating all activities during exercises with the On-Scene Medical Director.

1.2.4 Providing ambulance stand-by during live-structural fire training.

1.2.5 Providing one (1) ambulance stand-by special events (i.e. Change of Command and other official ceremonies) as requested.

1.3 QUALITY REQUIREMENTS

1.3.1 The Government will periodically evaluate the Contractor’s performance by appointing a Quality Assurance Personnel (QAP) to monitor performance to ensure services are received. The Government QAP will evaluate the Contractor’s performance through inspections of call logs/reports and receive and investigate all complaints from base personnel. The Government may inspect each task as completed or increase the number of surveillances if deemed appropriate because of repeated failures discovered during quality control inspection or because of repeated customer complaints. Likewise, the Government may decrease the number of quality control inspections if performance dictates. The Government QAP shall make final determination of the validity of customer complaint(s). The Contractor shall not be held responsible for being unable to meet response time due to factors beyond their control. This will include, but is not limited to, road construction or road closures, vehicle failures, inclement weather, communications problems, employee incapacitation, responding to one call when being called for a second, etc.

1.3.2 If any of the services do not conform to contract requirements, the Government may require the Contractor to perform the services again in conformity with contract requirements, at no increase in contract amount. When the defects in services cannot be corrected by re-performance, the Government may:

1.4 DATA

1.4.1 The Contractor’s Quality Control Plan (QCP) shall be provided to the Contracting Officer, for approval, no later than 15 days after contract award. Any changes to the QCP shall be provided to the contracting officer, for approval, not later than 15 days after changes are made.

(CDRL #1)

1.4.1.1 The Contractor’s QCP should address risk management to include processes are in place to evaluate and ensure the standard of care is met in all cases, per Contractor’s current audit procedures.

1.4.2 The Government will provide access to the MTF on a periodic basis that is agreed upon by the two parties involved relating to all transports. This will be accomplished according to relevant Health Insurance Portability and Accountability Act (HIPAA) of 1996 guidelines. This information will include, but is not limited to: date, response time, type of run (BLS or ALS), whatever available patient information (full name, military last 4 of SSN or civilian, patient condition, address responded to, the name of the hospital transported to) and an explanation of any exceptions to response time contained in Section 2, Service Summary. All refusals should also be documented to the same level, not withstanding hospital transport.

1.4.2.1 Patient information shall be treated as privileged information. Lists and/or names of patients shall not be disclosed to or revealed in any way for use outside the MTF without prior written permission by the MTF Commander, except as required by paragraph 1.1.9. All patient information shall be handled in accordance with all applicable HIPAA regulations and guidelines.

1.4.3 The Contractor will provide bi-annual documentation to the MTF relating to vehicle maintenance records of vehicles responding to SAFB. (CDRL#2)

1.5 GENERAL INFORMATION

1.5.1 Contract Manager: The Contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate(s) who shall act for the Contractor when the manager is absent shall be designated in writing to the contracting officer and the Contract Specialist prior to contract start date.

1.5.1.1 The Contract Manager or alternate shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract and be available during normal business hours (0730-1630).

1.5.2 Education and Training requirements. The Contract Manager and alternate(s) must be able to read, write, speak, and understand English.

1.5.2.1 The Contractor shall ensure that all employees involved in activities that require certification or licensing shall meet all such requirements for:

1.5.2.2 Operating an emergency ambulance in the State of Colorado and possessing a valid Class “C” Colorado driver’s license. Drivers must not have any reckless or dangerous driving citations within the previous 24-month period and have no Driving While Intoxicated (DWI) or Driving Under the Influence (DUI) convictions in the previous three years. Drivers can have a maximum of six points per year assessed under the State of Colorado driving infractions system.

1.5.2.3 Possessing a current license to perform EMT and Paramedic services in the State of Colorado. Possessing current CPR certification from a Colorado Department of Public Health and Environment CPR- approved provider.

1.5.3 Contractor shall maintain files to assure that all EMTs performing work under this contract shall have current certifications and/or documents for the duration of their employment. Upon request, the Contractor shall allow the Government access to review/audit these documents for any EMT/Paramedic performing under this contract. The Contractor shall provide copies of certification upon request.

1.5.4 All EMT’s/Paramedics responding to SAFB will have a State of Colorado background check, which includes a Criminal Record Check. NO Contractor employees shall be assigned to the SAFB site until their background check comes back with ‘No Felony’ conviction.

1.5.5 The Contractor is solely responsible for compliance with the Occupational Safety and Health Act (OSHA), Public Law 91-596, and the resulting standards, OSHA, Standard 29 CFR 1910, 1926, and the protection of their employees. It is the Contractor’s sole responsibility to make certain that all safety requirements are met. Additionally, the Contractor is responsible for the safety and health of all sub-Contractor employees.

1.6 HEALTH REQUIREMENTS

1.6.1 In accordance with Air Force Instruction (AFI) 48-105, attachment 3 and 4. All health care workers shall follow the methods for controlling and preventing disease as described in the American Public Health Association publication, Control of Communicable Diseases Manual, and the Centers for Disease Control and Prevention (CDC) publication, Morbidity and Mortality Weekly Report (MMWR), and its supplements. Where applicable, the most recent guidelines from these publications are utilized as the standard. The contractor shall adhere to the Medical Group MDGI 48-02, Medical Employee Health Program.

1.6.2 Vaccination, immunity, or testing is required for the following:

1.6.2.1 Mumps, Rubella, and Rubeola (MMR): If born after 1956 without proof of immunity, disease or history of two lifetime MMR vaccinations will be vaccinated per Advisory Committee on Immunization Practices (ACIP) guidelines (two MMR vaccinations). Those born prior to 1957 do not require vaccination and will be offered MMR, if desired. The MTF will not administer the MMR shots or lab work to contract employees unless they are authorized medical care at the MTF. Contract employees that are not authorized, must go to their private physician to receive shots/blood work and bring proof to Public Health (PH) clinic for documentation.

1.6.2.2 Tuberculin (TB) Skin Test: Contractors must be screened within the first 10 days of employment, prior to direct patient care. No annual tests are required. The MTF may administer the TB Skin Test to Contractor s if they have not been tested within the previous 12 months. If not, then they must go to their private physician to receive a Purified Protein Derivative (PPD) screening test with reading (if positive, proof of negative chest X-ray within 12 months). Bring proof to Public Health (PH) for documentation.

1.6.2.3 Varicella: Contractor s will be screened to determine their varicella immunity status. The MTF will not administer the varicella shots or lab work to Contractors unless they are authorized medical care in the MTF. If not, then they must go to their private physician to receive the vaccine or lab work and bring proof to PH for documentation.

1.6.2.4 Hepatitis B Immunity: Proof of immunity will be in the form of documentation of previous vaccine administration or an adequate serum antibody titer. Personnel with a history of having received the Hepatitis B vaccine series but no documentation of receiving the vaccine, must be sent to a lab to have a Hepatitis B serum antibody titer. PH will determine at the time of in-processing the employee’s blood borne pathogen risk category. Contractor s having duties involving direct patient contact and hired/beginning work activity after 1 Jan 97, will be vaccinated and must have serological proof of immunity. Other contract employees, who are not high-risk, or exposure-prone, will be encouraged to receive the vaccine. Low-risk contract employees do not require starting the Hepatitis B series.

1.6.2.5 Tetanus, Diphtheria, Acellular Pertussis (Tdap): Contractor's will be vaccinated with Tdap when it has been at least 2 years since their last Tetanus (Td) vaccination. Those with contact to patients and/or children should be prioritized to receive Tdap as soon as practical. The MTF will not administer the Tdap vaccine to Contractor s unless they are authorized medical care in the MTF. If not, then they must go to their private physician to receive the vaccine and bring proof to PH for documentation.

1.6.2.6 Influenza: Yearly requirement. The MTF will not administer the Influenza vaccine to Contractor s unless they are authorized medical care in the MTF. If not, then they must go to their private physician to receive the vaccine and bring proof to the Immunizations Clinic for documentation.

1.6.2.7 Polio: Original series. The MTF will not administer the Polio vaccine to Contractor s unless they are authorized medical care in the MTF. If not, then they must go to their private physician to receive the vaccine and bring proof to the Immunizations Clinic for documentation.

1.6.2.8 Human Immune deficiency Virus (HIV) Testing: HIV test is required. The MTF will not pay for/test the contractor unless they are authorized medical care in the MTF. If not, then the contractor must go to their private physician to receive the test and bring proof to the PH clinic for documentation?

1.6.2.9 PREGNANT EMPLOYEES. Health care workers should report their pregnancy to the Contractor and Government supervisor. The Public Health Office will provide information concerning any work hazards in her work area inherent to gestational females. The Government is to notify the pregnant health care worker of any work hazards. It will be the Government, Contractor, and health care worker’s joint decision whether she continues work in the environment.

1.7 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)

OF 1996

HIPAA is comprised of several different sections, each to be implemented by the Dept. of Health and Human Services. The medical facilities of the military services and the Department of Defense (DOD) health plans are specifically listed as covered by HIPAA. Currently, HIPAA Privacy and Security Rules, as set forth in the Code of Federal Regulations, are in effect for all MTFs. The specific implementation of HIPAA Privacy for DOD medical facilities is set forth in DOD 6025.18-R, and for HIPAA Security, the requirements for AF MTFs are contained in DOD 8580.02-R and AFI 41-217, which also contains additional Information Assurance requirements for all AF MTFs. DOD 6025.18-R, DOD 8580.02-R and AFI 41-217 are incorporated herein by reference. MTFs are responsible to insure overall compliance with HIPAA requirements, which includes incorporation of certain requirements in contracts entered or amended after the respective implementation dates.

IAW these regulations, the Contractor and its employees meet the definition of Business Associates. Therefore, a Business Associate Agreement is required by law to comply with both the HIPAA Privacy and Security regulations. This clause serves as that agreement for each MTF, whereby the Contractor and its employees agree to abide by all HIPAA Privacy and Security requirements regarding health information as defined in this clause, DoD 6025-18-R, DOD 8520.02-R and AFI 41-217. Additional HIPAA requirements will be addressed when implemented.

1.7.1 Definitions and Requirements

(a) Definitions. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DOD 6025.18-R, DOD 8520.02-R or AFI 41-217.

Individual has the same meaning as the term “individual” in 45 CFR 164.50 1 and 164.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).

Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.

Protected Health Information has the same meaning as the term “protected health information” in 45 CFR 164.501, limited to the information created or received by The Contractor from or on behalf of the Government.

Electronic Protected Health Information has the same meaning as the term “electronic protected health information” in 45 CFR 160.103.

Required by Law has the same meaning as the term “required by law” in 45 CFR 164.501 and 164.103.

Secretary means the Secretary of the Department of Health and Human Services or his/her designee.

Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160,162 and part 164, subpart C.

Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR 160.103, 160.502, 164.103, 164.304 and 164.501.

(b) The Contractor agrees to not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law.

(c) The Contractor agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract.

(d) The Contractor agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this Contract.

(e) The Contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the Contractor of a use or disclosure of Protected Health Information by the Contractor in violation of the requirements of this Contract.

(f) The Contractor agrees to report to the Government any security incident involving protected health information of which it becomes aware.

(g) The Contractor agrees to report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract of which the Contractor becomes aware of.

(h) The Contractor agrees to ensure that any agent, including a subcontractor, to whom it provides Protected Health Information received from, or created or received by the Contractor on behalf of the Government, agrees to the same restrictions and conditions that apply through this Contract to the Contractor with respect to such information.

(i) The Contractor agrees to ensure that any agent, including a subcontractor, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it.

(j) The Contractor agrees to provide access, at the request of the Government, and in the time and manner designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524.

(k) The Contractor agrees to make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government or an Individual, and in the time and manner designated by the Government.

(l) The Contractor agrees to make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the contractor on behalf of, the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner designated by the 'Government or the Secretary, for purposes of the Secretary determining the Government's compliance with the Privacy Rule.

(m) The Contractor agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

(n) The Contractor agrees to provide to the Government or an Individual, in time and manner designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

General Use and Disclosure Provisions

Except as otherwise limited in this Agreement, the Contractor may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of Protected Health Information would not violate the HIPAA Privacy Rule, DOD 6025.18-R, the HIPAA Security Rule, or DOD 8580.02-R if done by the Government.

Specific Use and Disclosure Provisions

(a) Except as otherwise limited in this Agreement, the Contractor may use Protected Health Information for the proper management and administration of the Contractor or to carry out the legal responsibilities of the Contractor.

(b) Except as otherwise limited in this Agreement, the Contractor may disclose Protected Health Information for the proper management and administration of the Contractor, provided that disclosures are required by law, or the Contractor obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the Contractor of any instances of which it is aware in which the confidentiality of the information has been breached.

(c) Except as otherwise limited in this Agreement, the Contractor may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B).

(d) Contractor may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j) (1).

Obligations of the Government

Provisions for the Government to Inform the Contractor of Privacy Practices and Restrictions

(a) Upon request the Government will provide the Contractor with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520, as well as any changes to such notice.

(b) The Government will provide the Contractor with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the Contractor’s permitted or required uses and disclosures.

(c) The Government will notify the Contractor of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522.

Permissible Requests by the Government

The Government will not request the Contractor to use or disclose Protected Health Information in any manner that would not be permissible under the HIPAA Privacy Rule, DOD 6025.18R, the HIPAA Security Rule, or DOD 8580.02-R, if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the Contractor as otherwise permitted by this clause.

Miscellaneous

(a) Regulatory References. A reference in this Clause to a section in DOD 6025.18-R, HIPAA Privacy Regulation or DOD 8580.02-R, HIPAA Security Regulation, or any CFR or AFI provision means the section as currently in effect or as amended, and for which compliance is required.

(b) Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with DOD 6025.18-R, the CFR HIPAA Privacy Rule, DOD 8520.02-R, the CFR HIPAA Security Rule and AFI 41-217.

1.8 PRIVACY ACT PROGRAM

The Contractor shall adhere to AFI 33-332, Privacy Act Program.

1.9 TOBACCO USE

The Contractor shall adhere to AFI 40-102, Tobacco Use in the Air Force.

1.10 SAFETY

The contractor shall ensure conformance with standards developed under United States Public Law 91-596, the Occupational Safety and Health Act (OSHA) of 1970, and State Occupational Safety and Health (OSH) Standards, and American National Standards Institute (ANSI), and National Fire Protection Association (NFPA) standards. If a conflict occurs, the contractor shall apply the more stringent standards. The contractor shall ensure that the 50 SW Safety Office (50 SW/SE) is notified of any mishaps within one (1) hour. Phone numbers for reporting mishaps to the 50 SW/SE are: (719) 567-SAFE, (719) 567-5617, or via the Wing Command Post at (719) 567-2180. The contractor shall allow the 50 SW/SE to monitor all operations to ensure the safety of Government property. While on SAFB, the contractor shall follow Air Force traffic regulations according to Air Force Instruction (AFI) 91-207 – The US Air Force Traffic Safety Program and AFI 31-204_50SWSUP_I - Air Force Motor Vehicle Traffic Supervision

1.11 FACILITIES SAFETY

The Government has the authority to conduct facility safety inspections in Government facilities occupied by the contractor.

1.12 MISHAP REPORTING

Report all mishaps involving personal injury or illness and damage to Government property resulting from contractor operations to the 50 SW Safety Office (50 SW/SE), Quality Assurance Manager, and the CO no later than the end of the next duty day. Regulatory Constraint: 50th Space Wing Visual Aid (50 SWVA) 91-1 – 50 SW Ground Mishap Reporting Procedure.

1.12.1 Mishap Investigation. The Government retains authority to conduct mishap investigations in Government facilities managed by contractors or to participate in the contractor’s investigation of contractor mishaps. As required by the Government, the contractor shall participate in, and cooperate with, mishap investigations. The 50 SW/SE will govern the investigation and reporting of mishaps involving damage to Government property.

1.13 SECURITY

1.13.1 The Contractor shall comply with all Schriever AFB (SAFB) security requirements. SAFB has a controlled/restricted area and special security procedures are utilized to deter espionage, sabotage, and theft of Air Force resources. The Contractor shall be responsible for security of their work areas in cooperation with applicable base agencies.

1.13.2 Security Clearances. The contractor shall provide personnel with a Secret security clearance. The Contractor shall arrange all needed security support for this PWS. The QAE will assist the Contractor to coordinate security matters with the 21 MDG and other base agencies, as needed. Training and assistance from the 21 MDG Security Manager and 50th Security Forces Squadron (SFS) personnel will be provided to the Contractor’s Security Officer when coordinated through the QAE. The Contractor shall initiate unescorted entry authorization requests and National Agency Check (NAC) no later than thirty (30) calendar days after employee start date. The Contractor shall direct each eligible employee to personally report to the QAE and the 21 MDG Security Manager for completion of the AF Form 2586, Unescorted Entry Authorization Certificate. Contractor employees will not be allowed unescorted entry to SAFB secured buildings until these procedures have been completed. The Contractor shall limit the number of designated Escort official (“E” badges) to no more than 25% of the permanent work force.

1.13.3 The Contractor shall request, obtain, and properly use vehicle passes for all vehicles used in the performance of this contract, in accordance with AFI 31-204, Air Force Motor Vehicle Traffic Supervision. A restricted area vehicle pass will be issued for the primary response vehicle assigned to Schriever AFB. A temporary vehicle pass will be issued for temporary vehicles assigned during maintenance of the primary vehicle. Personal vehicles (POVs) will also require registration with the 50 SFS, but will not have access to the restricted area.

1.13.4 Integrated Visitor Group Agreement. The contractor shall comply with the installation contractor long term Integrated Visitor Group Agreement (IVGA). The contractor will complete the Visitor Group Security Agreement (VGSA) with the CO upon contract award.

1.13.5 Security Training. The Government will provide initial and follow-up security procedures training to contractor personnel who work in controlled and restricted areas.

1.13.6 Communications Security (COMSEC). Contractor employees shall complete government provided COMSEC training and comply with COMSEC user requirements IAW AFI 33-201, Communications Security (COMSEC), Volume 1, paragraph 2.13.67; and Communications Security (COMSEC) User Requirements, Volume 2, paragraph 3.4.

1.13.7 Installation Security Requirements. The Contractor shall direct each eligible employee to personally report to the QAE and the 21 MDG Security Manager for completion of the AF Form 2586, Unescorted Entry Authorization Certificate. Contractor employees will not be allowed unescorted entry to SAFB secured buildings until these procedures have been completed. Unescorted entry based on a favorable records check will be limited to Area 7 (Restricted Area portion of SAFB). The restricted/controlled area badge shall only be valid for the term of employment or for the duration of the contract, whichever is shorter. Upon employee termination, the Contractor shall surrender the restricted/controlled area badge to 50 SFS Building 15, Visitor Control Center, no later than 4:00 p.m. on the following workday. When inside restricted area, Contractor personnel shall, at all times, display restricted/controlled area badges on their outer garments above the waist. Remove and secure the restricted/controlled area badges immediately upon departure from the restricted area to prevent loss. Incidents of a person not properly displaying badges or violating escort procedures (e.g. working out of view of escort) shall be treated as a breach of security and that person shall be susceptible to apprehension, search and detainment. Any person inside a restricted area without a restricted/controlled area badge will be detained or apprehended, searched, removed, and turned over to appropriate authorities for disposition.

1.13.7.1 Access to classified information by Contractor personnel during performance of this contract is prohibited. However, Contractor performance shall be within controlled areas that shall require Contractor compliance with various levels of security and require certain established personnel security entry control procedures. The violation of, or deviation from established security procedures by any Contractor employee may result in the confiscation of restricted/controlled area badges and denial of future entry to SAFB. Restricted/Controlled Area badges issued to Contractor personnel are subject to recall for inventory and verification purposes. Contractor personnel shall surrender restricted/controlled area badges to government personnel conducting such inventory and/or verification immediately upon notification.

1.13.7.2 The Contractor shall provide an Entry Authorization List (EAL) to the CO and the QAE by the second workday of each month, or as requested. The EAL shall be maintained current and correct at all times and shall include the name of each employee and their restricted/controlled area badge number, and vehicle listing with description. QAE will forward list to the 50 SFS.

1.13.7.3 50 SFS personnel will verify the identity through Computer Automated Card (CAC) or Contractor ID cards and entry authorization of each Contractor employee and vehicle, and may conduct a search of any baggage, articles, or vehicles on SAFB.

1.13.7.4 Contractor employees requiring entry, but not requiring unescorted entry, will be issued a visitor badge and will be under direct surveillance, at all times, of a Contractor employee possessing a restricted/controlled area badge with escort authority. Contractor employees entering SAFB will obtain their visitor badge from the 50 SFS, Visitor Control Center, Building 15. The visitor badge will be returned to the entry controller each time the employee departs the SAFB controlled area. While within the SAFB controlled area, Contractor personnel will display the visitor badge on their outer garment above the waist and shall remain at all times within view of the escort official.

1.13.7.5 The Contractor shall report the occurrence of lost badge(s) to the QAE, who will in turn report to 50 SFS. If the QAE is not available, the loss shall be reported directly to 50 SFS within one duty day of the loss. Replacement badge will not be issued until reporting procedures are satisfactorily completed.

1.13.7.6 The contractor shall adhere to the installation security requirements as provided for in AFI 31-601, Industrial Security Program Management, Chapters 1, 2, 7, and 8. When work under this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with AFI 31-101, The AF Installation Security Program, and AFI 31-501, Personnel Security Program Management, Section 3.24.

1.13.8 Physical Security. The contractor shall safeguard all government property and any controlled forms or products. At the close of each work day/period, facilities, support equipment, and materials shall be secured. The contractor shall designate a custodian(s) and alternate(s) to receipt and account for government-furnished facilities and equipment five (5) days prior to contract start date and as changes occur. Contractor shall immediately report all thefts, vandalism, or destruction of property and/or equipment (government or contractor owned) to the Security Forces upon discovery.

1.13.9 Building/Facility Access Control. The contractor shall establish and implement methods of making sure all access provided by the government to the contractor are not lost or misplaced and are not used by unauthorized persons. The contractor shall include procedures for immediate reporting to the QAP or CO any occurrences of lost, unauthorized uses, or unauthorized duplication of keys, badges or lock combinations.

1.13.9.1 Corrective Action(s). In the event keys or badges are lost or duplicated, the contractor may be required, upon written direction of the CO to re-key or replace the affected lock(s) or badges. Coordination for any combination changes shall be made through the facility manager. The government may, at its option, replace the affected lock(s), badges or perform re-keying and deduct the cost of such from the monthly payment due to the service provider.

1.13.10 Computer Security.

1.13.11 The Contractor shall adhere to the computer security requirements as provided for in AFI 33-100, User Responsibilities and Guidance for Information Systems and AFI 33-129, Web Management and Internet Use.

1.14 ENVIRONMENTAL AND HAZARDOUS MATERIAL (HAZMAT)

1.14.1 Environmental. The contractor shall ensure their operations and procedures do not result in acts or omissions that will violate environmental laws, or fail to exercise due care concerning human health and the environment. The contractor shall comply with all federal, state, and local environmental laws and regulations. The contractor shall report acts or omissions in violation of environmental law to 50 CES/CEV, (719) 567-4030 within 12 hours of discovery.

1.14.2 AF FORM 3952 Chemical Hazardous Material Request Authorization. The contractor shall furnish an AF Form 3952 – Chemical/Hazardous Material Request Authorization, electronic worksheet and or any future Environmental Management System document available to include Materials Safety Data Sheet (MSDS) to the Base Hazardous Materials Pharmacy (HAZMART), through the QAP, anticipated quantities, application, personal protective equipment, and method of disposal for all materials to be used under this contract. The listing shall include, but not be limited to, lubricants, spray cleaning solvents, and any known hazardous materials (HAZMAT). The contractor shall manage HAZMAT IAW AFI 32-7086 – Hazardous Materials Management. The contractor shall purchase materials/products in compliance with Section 6002 of the Resource Conservation and Recovery Act (RCRA) and Executive Order (EO) 13423 – Strengthening Federal Environmental, Energy, and Transportation Management. Regulatory Constraints: AFI 32-7086 and AFSPC 32-7086 Supplement 1 – Hazardous Materials Management.

1.14.3 Hazardous Materials. All HAZMAT must be registered with the Base HAZMART prior to introduction and use at SAFB. The contractor shall comply with the HAZMAT determination and authorization process as outlined in AFI 32-7086 – Hazardous Materials Management, and AFSPC 32-7086 Supplement 1. Contact 50 CES/CEV, (719) 567-4242 or 4030 for additional guidance.

1.14.4 Hazardous Chemical Reporting. The contractor shall comply with 40 CFR Part 370 – Hazardous Chemical Reporting, and 40 CFR Part 372 – Toxic Chemical Release Reporting Community Right to Know, that includes the following: Chemicals with special characteristics which in the opinion of the manufacturer can cause harm to people, plants and or animals when released by spilling, leaking, pouring, emitting, emptying, discharging, injecting, escaping, leaching, dumping or disposing into the environment (including the abandonment or discarding of barrels, containers, and other receptacles).

Regulatory Constraints: AFI 32-7086 – Hazardous Materials Management, and AFSPC 32-7086 Supplement 1 – Hazardous Materials Management.

1.14.5 Hazardous Waste (HAZWASTE). The contractor shall coordinate all HAZWASTE disposals with the installation environmental office. If there is any question about whether or not a substance is classified as hazardous, the contractor shall contact the installation environmental office. It shall be the responsibility of the contractor to pay for the disposal of HAZWASTE unless otherwise specified. The contractor shall handle, accumulate, and manage HAZWASTE IAW all regulatory requirements. Questions regarding the proper storage, handling and disposal will be directed to the environmental office through the CO. HAZWASTE manifested for disposal must be reviewed and authorized through the environmental office.

1.14.6 Transporting HAZMAT Notification. The contractor shall notify the Base HAZMART in writing prior to transporting HAZMAT onto the installation under this contract. The contractor shall comply with 29 CFR 1910.1200 – Hazard Communication Program, and 29 CFR 1910.120 – Hazardous Waste Operations and Emergency Response. The contractor shall contact 50 CES/CEV, (719) 567-4242 or 4030 for additional guidance. Regulatory Constraints: AFI 32-7086 – Hazardous Materials Management, and AFSPC 32-7086 Supplement 1 – Hazardous Materials Management.

1.14.7 Environmental Act Violation. The contractor shall ensure their operations and procedures do not result in acts or omissions that will violate environmental laws, or fail to exercise due care concerning human health and the environment. The contractor shall report acts or omissions in violation of environmental law to the 50 CES/CEV within 12 hours of discovery.

1.14.8 Reporting of Recyclable Content. The contractor shall report any products/materials purchased that contain recyclable content to the SAFB Recycling Manager (50 CES/CEV), (719) 567-4242 or 4030 through the CO or the Contract Specialist (50 CONS).

1.14.9 Federal, State, and Local Laws. The contractor shall perform the requirements of this contract in such a manner as not to violate any federal, state, or local laws, to include all Code of Federal Regulations (CFR). The contractor shall be solely responsible for any reporting requirements and repercussions resulting from violations.

1.15 ADVERSE WEATHER CONDITIONS

During adverse weather conditions, contractor personnel shall continue to provide services for SAFB.

1.16 SERVICE SUPPORT DURING AN EMERGENCY

In addition to routine operational support, the contractor shall respond to emergency work requests in support of contingency operations.

1.17 PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE NATIONAL COMMAND AUTHORITY (NCA)

The contractor shall perform services during a crisis declared by the National Command Authority (NCA) per contractual requirements. The contractor shall supply a list of employees including name, address and phone number of those who shall perform the services as required. All services shall continue unless otherwise directed by the CO.

1.17.1 Contingency Plan. The contractor shall establish and maintain a complete contingency plan that shall ensure continuation of services during periods of emergency, such as a national wartime mobilization IAW DODI 1100.22, Policy and Procedures for Determining Workforce Mix. One (1) copy of the service provider’s contingency plan shall be provided by the contract start date. The contractor shall submit updates or changes to the plan to the CO and QAP, within five (5) working days after changes occur. (CDRL#3)

1.18 CONTRACTOR LIABILITY

The contractor shall provide insurance IAW FAR 28.307-2. The contractor shall, at its own expense, provide and maintain during the entire performance period, at least the kinds and minimum amounts of insurance as follows:

The contractor shall provide written notification to the CO, prior to contract start, that the required insurance has been obtained.

2. SERVICES SUMMARY

3. GOVERNMENT-FURNISHED PROPERTY AND SERVICES

3.1 The Contractor will be provided a copy of SAFB’s grid-map prior to start of performance.

3.2 The Government will provide a train-the-trainer course for access to the Secured Area.

3.3 The Government will provide a location on SAFB to house the ambulance and for the ambulance crews to stand-by.

3.4 Government Furnished Facilities. The government will furnish or make available facilities as described in Appendix 3, Government Furnished Facilities. The government retains the authority to modify or realign facilities and space provided to the contractor based on current Air Force (AF) guidelines for space utilization, mission, and personnel requirements of the service provider. All facilities and personnel shall only be used in performance of this contract. Government facilities have been inspected for compliance with Occupational Safety and Health Administration (OSHA) and environmental regulations and are provided “as is”. No hazards have been identified which would prevent normal use of the facilities. The fact that no such conditions have been identified does not warrant or guarantee that no possible hazard exists, or that work-around procedures will not be necessary. Prior to contract start, the contractor shall perform a survey and environmental site assessment of government-furnished facilities and storage locations. Assess and document OSHA and environmental conditions. (Refer to AFI 32-7066, Environmental Baseline Surveys in Real Estate Transactions; 42 U.S.C. Section 9601, et seq. Provide a copy of any identified deficiencies to the QAP NLT five (5) days after contract start date. Should a hazard be identified, the government will correct the OSHA or environmental hazard(s) according to base-wide developed and government approved plans. A higher priority for correction will not be assigned to the facilities provided merely because of this contracting initiative. Should the contractor cause the OSHA or environmental hazard (negligence, misuse of space, non-compliance, disturbing of materials includes asbestos, lead based paint) the service provider, at their expense, shall remediate the hazard and any other consequences of such action. Compliance with OSHA and other applicable laws and regulations for the protection of employees is exclusively the obligation of the service provider. Further, the government will assume no liability or responsibility for the service provider's compliance or noncompliance with such requirements, except, for the aforementioned requirement to make corrections according to approved plans of abatement subject to base-wide priorities. Before any modification of any government provided facility is performed, the contractor shall, at the contractor’s expense, furnish the QAP documentation describing, in detail, the modification requested. The contractor shall return the facilities to the government in the same condition as received less fair wear and tear and approved modifications. The government will accomplish a survey and site assessment at the completion of this contract. The contractor shall be liable for all corrective actions arising from deficiencies not documented in their initial survey.

4. Appendices

Appendix 1 – Reference Documents

DOD REGULATIONS/MANUAL/INSTRUCTIONS/DIRECTIVES

DoDI 1100.22

AIR FORCE REGULATIONS/MANUALS

AFI 33-201 V1

Table 1 Paragraph 2.13.67

AFI 33-201 V2

Paragraph 3.4

AFI 33-332

AFI 48-105

Attachments 3 and 4

AFI 31-601

Chapters 1.2.7 and 8

AFI 31-101

AFSPC Supplement 1 1 Mar 2003 2 Jan 2003

AFI 31-501

Section 3.24

AFI 32-7086

AFSPC Supplement 1

21st MEDICAL GROUP REGULATIONS

50th SPACE WING REGULATIONS

Appendix 2 - Government Furnished Facility and Equipment

The following facilities are provided in order to facilitate the performance of requirements under this PWS. The square footage below indicates that space allotted for the performance of the AMR requirements.

The following pieces of furniture/equipment are provided to the contractor by the government in order to assist the contractor in performing the requirements in this PWS.

Appendix 3– Acronyms