FA3047-15-R-0062.pdf

502D CONTRACTING SQUADRON

1655 SELFRIDGE AVE

JBSA LACKLAND TX 78236-5253

210-671-1700 210-671-3360

UNDER DPAS (15 CFR 700)

11. DELIVERY FOR FOB

RFQ

SEE SCHEDULE

14. METHOD OF SOLICITATION

IFB RFP

CODE

SEE ADDENDUM

BLOCK IS MARKED

DESTINATION UNLESS

12. DISCOUNT TERMS

(No Collect Calls)

$32.5M

13b. RATING

13a. THIS CONTRACT IS A RATED ORDER

X

CODE

FA3047-15-R-0062 13-Aug-2015

b. TELEPHONE NUMBER

210-671-0792

8. OFFER DUE DATE/LOCAL TIME

09:00 AM 28 Aug 2015

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV 3/2005)

Prescribed by GSA

FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER) 31c. DATE SIGNED

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

22. UNIT 23. UNIT PRICE 24. AMOUNT21. QUANTITY

CODE 10. THIS ACQUISITION IS

UNRESTRICTED

FAX: NAICS:

TEL:

CODE 18a. PAYMENT WILL BE MADE BYOFFEROR

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TEL.

FA3047

SIZE STD:

9. ISSUED BY

FACILITY

CODE

17a.CONTRACTOR/

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

15. DELIVER TO CODE F2MTW8 16. ADMINISTERED BY

59 LS/MSLE F2MTW8

CONTRACT SERVICES

2200 BERQUIST DR

LACKLAND AFB TX 78236-5300

TEL: 210-292-8371 FAX:

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

TIMOTHY D. SMITH

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

1 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.X

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES

SEE SCHEDULE

621511

TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS

SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

SB

HUBZONE SB

SET ASIDE: 100 % FOR

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

TEL: EMAIL:

2 COPIES

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

.OFFER DATED YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

X

8(A)

SVC-DISABLED VET-OWNED SB

EMERGING SB

X

X

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

SEE SCHEDULE

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 24. AMOUNT

PAGE 2 OF

23. UNIT PRICE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV 3/2005) BACK

Prescribed by GSA

FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

FA3047-15-R-0062

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES ESTIMATED

QUANTITY

UNIT UNIT PRICE ESTIMATED AMOUNT

0001 42,592 Hours Phlebotomist

FFP

Phlebotomist Services in accordance with the Performance Work Statement. These are estimated quantity amounts.

FOB: Destination

SIGNAL CODE: A

ESTIMATED

NET AMT

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 Each Travel

COST

Travel in accordance with the Performance Work Statement.

This is a Not to Exceed Amount of $5,000.00.

NOTE: Each = Dollar

ESTIMATED COST

UNIT UNIT PRICE ESTIMATED AMOUNT

1001 42,592 Hours OPTION Phlebotomist

FFP

Phlebotomist Services in accordance with the Performance Work Statement. These are estimated quantity amounts.

1002 Each OPTION Travel

COST

Travel in accordance with the Performance Work Statement.

This is a Not to Exceed Amount of $5,000.00.

NOTE: Each = Dollar

UNIT UNIT PRICE ESTIMATED AMOUNT

2001 42,592 Hours OPTION Phlebotomist

FFP

Phlebotomist Services in accordance with the Performance Work Statement. These are estimated quantity amounts.

2002 Each OPTION Travel

COST

Travel in accordance with the Performance Work Statement.

This is a Not to Exceed Amount of $5,000.00.

NOTE: Each = Dollar

UNIT UNIT PRICE ESTIMATED AMOUNT

3001 42,592 Hours OPTION Phlebotomist

FFP

Phlebotomist Services in accordance with the Performance Work Statement. These are estimated quantity amounts.

3002 Each OPTION Travel

COST

Travel in accordance with the Performance Work Statement.

This is a Not to Exceed Amount of $5,000.00.

NOTE: Each = Dollar

UNIT UNIT PRICE ESTIMATED AMOUNT

4001 42,592 Hours OPTION Phlebotomist

FFP

Phlebotomist Services in accordance with the Performance Work Statement. These are estimated quantity amounts.

4002 Each OPTION Travel

COST

Travel in accordance with the Performance Work Statement.

This is a Not to Exceed Amount of $5,000.00.

NOTE: Each = Dollar

FAIR OPPORTUNITY

Fair Opportunity- Award of Task Orders

The Government intends to issue two Multiple Award Indefinite Delivery, Indefinite Quantity contracts. All quantities listed on this solicitation are ESTIMATED quantities. The individual task orders will provide specific quantities, delivery schedule, protocol requirement, funding and payment information. Estimated award date is 11 September 2015 with a period of performance (PoP) date of 30 September 2015 to 29 September 2016 with four, 1-year option periods.

After contracts are awarded by the Government, services will be ordered by the issuance of individual Task Orders awarded on a competitive basis. Each Contractor will be given a fair opportunity to be considered for award of each individual task order. The fair opportunity process will operate as follows:

a. Task Orders

(1) A written Task Order, in accordance with the terms and conditions set forth herein, shall be the only basis for acquisitions of services under this contract.

(2) Task Orders will be placed directly with the Contractor by 502d Contracting Squadron Contracting Officers as a result of a Request for Task Order Proposal (RFTOP) competition.

(3) Some orders may be exempt from competition in accordance with FAR 16.505(b)(2).

(4) The Contractor shall be responsible for performance in accordance with the terms and conditions of the contract when a Task Order is placed by a 502d Contracting Squadron Contracting Officer.

(5) In accordance with FAR Subpart 5.202, Task Orders placed under any resultant contract need not be synopsized.

(6) No protest under FAR Subpart 33.1 is authorized in connection with the issuance or proposed issuance of an order under a task order contract contract, except for a protest on the grounds that the order increases the scope, period, or maximum value of the contract.

(7) Debriefings will not be provided on Task Orders under $5 million.

b. Ordering Procedures

(1) Request for Task Order Proposal (RFTOP) - When the Government identifies a specific requirement for work to be performed under this contract, the Contracting Officer will issue a written Request for Task Order Proposal (RFTOP) to each eligible contract holder. The RFTOP will contain information comparable to a competitive solicitation. Such information will include, but is not limited to:

• instructions to the Contractors for responding to the RFTOP;

• evaluation and award factors

• quantity

• PoP dates

• additional price discounts from the basic contract prices

Contractors are not required to respond to each RFTOP. RFTOPs will be sent by electronic mail (email) to each Contractor and responses will be required via email in Microsoft Word and Microsoft Excel.

(2) Task Order Evaluation and Selection Procedures - Awardees that elect to respond to an RFTOP must submit their proposals to the 502d Contracting Squadron Contracting Office by the due date and time stated in the RFTOP, usually within 7 calendar days. The Government, may at its discretion, use past performance on previous task orders as an evaluation factor. Evaluation criteria will be specified in the RFTOP. Evaluation criteria may vary for each RFTOP depending upon the emphasis of the task. Consistent with the procedures in the contract the Government will consider price and the amount of lead time to provide awardees a fair opportunity IAW FAR 16.505(b)1(ii) to be considered for each task order. Past performance on earlier orders under the contract, including quality, compliance, availability, delivery and price may be reviewed.

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/33.htm#P4_213

(3) Award of Task Orders will be made as a result of "best value” source selection. Best value means that the Government will consider any discounted pricing, the contractor's ability to perform, and meeting the performance start date.

c. The Government intends to issue a task order on/about 30 Sep 15 for 17424 hours (9 FTEs) using FY15 funding and a task order on/about 1 Oct 15 for 25,168 hours (13 FTEs). With their proposal for the basic contract, offerors shall submit a proposal for each of these task orders.

Task Order 0001 Period of Performance: 30 Sep 15 - 29 Sep 16 Phlebotomist services in accordance with the Performance Work Statement

Quantity: 17424 hours x $__________ (Unit Price) = $___________ (Extended Price)

Task Order 0002 Period of Performance: 1 Oct 15 - 30 Sep 16 Phlebotomist services in accordance with the Performance Work Statement

Quantity: 25168 hours x $__________ (Unit Price) = $___________ (Extended Price)

Issuance of each task order will be a result of fair opportunity to the two contract awardees based on low price, ability to provide the required quantity, ability to meet the required period of performance dates, and consideration of minimum quantities required by the contract ordering details in this contract.

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

(PERSONAL SERVICE)

FOR

PHLEBOTOMIST

12 August 2015

1. Description of Services.

1.1. Requirement with Background. The Department of Defense Military Treatment Facilities (MTF) in San Antonio, Texas, has a requirement for personal services as described in this PWS. This is a follow-on requirement for services currently being performed. Phlebotomists support donor blood drives, meet donor quotas set by the Armed Services Blood Program Office (ASBPO), support laboratory specimen collection, basic military trainee (BMT) medical processing, and specimen processing and shipping operations. Contractor Personnel (CP) shall work within the Government provided facility and use Government provided equipment and performs services and support compatible with the medical facility’s operating capacity and equipment.

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission standards, Accreditation Association for Ambulatory Health Care, applicable Department of Defense (DoD), military specific regulations, directives, and policies, and MTF specific policies and procedures. CP shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients.

1.3. Relationship of the Parties and Professional Liability.

1.3.1. This is a personal services contract (as defined by Federal Acquisition Regulation[FAR] Subpart 37.104) and is intended to create an employer-employee relationship between the Government and the CP only to the extent necessary for providing the health care services required under the contract. The performance of the CP under this contract is subject to day-to-day supervision, clinical oversight and control by healthcare facility personnel comparable to that exercised over military and civil service personnel engaged in comparable work. The personal services contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association, or other party or legal entity with which the CP may be associated.

1.3.2. Any personal injury claims alleging negligence by the CP within the scope of the CP performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by DoD military or civil service personnel. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.3.3. If any suit or action is filed or any claim is made against the CP, which occurred as a result of work performed by the CP under this contract, the CP shall immediately notify the Contracting Officer (CO) and furnish copies of all pertinent correspondence received.

1.3.4. The CP shall also cooperate with the Government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize Government representatives to settle or defend the claim and to represent the CP in, or take charge of, any litigation involved in such an action. The CP may, at the CP's own expense, participate in defense of such claim or litigation.

1.4. Specific Tasks. CP shall perform tasks in support of the medical facility to include the following:

1.4.1 Blood Donor Center Tasks:

1.4.1.1 Shall perform all tasks consistent with blood donor center operations. These tasks include, but are not limited to, donor registration, physical screening, routine and donor phlebotomy and post-donation care.

1.4.1.2. Perform component processing/manufacturing and blood product shipments. Maintain supply levels and perform quality control and equipment preventive maintenance and properly document results.

Perform ward rounds at Wilford Hall Medical Center and phlebotomy tasks at Reid Clinic.

1.4.1.3. Shall be able to work independently with attention to detail and full knowledge of all aspects of the daily collection process. Comply with safety, policies, procedures, and universal precautions in the work area.

1.4.1.4. Receive donors in a courteous and professional manner. Explain donor screening and collection procedures to all potential donors and their families, instruct donors on necessary physical requirements, and post-donation care information.

1.4.1.5. Perform all tasks in compliance with local operating instructions, Air Force Blood Program Technical Memorandum (AFBPTM), Code of Federal Regulations, American Association of Blood Banks (AABB), Food and Drug Administration (FDA), Joint Commission on Accreditation of Health Care Organizations (JCAHO) and College of American Pathologist (CAP) regulations and policies and all other Federal, State, and local laws.

1.4.1.6. Greet and interview potential donors. Demonstrate excellent customer service/ public relations and promote a positive professional image. Ensure whole blood units are collected in the proper amount and pilot tubes are collected to perform necessary laboratory tests. Enter test requests into the hospital information system.

1.4.1.7. Brief and assist donors in the preparation of blood donor record.

1.4.1.8. Perform donor deferral check and enter donor demographics into the automated blood banking systems and hospital information systems (e.g. DBSS, CHCS).

1.4.1.9. Prepare bags for issue at in-house and mobile blood drive collections.

1.4.1.10. Obtain complete donor history.

1.4.1.11. Perform donor weight checks, assess donor temperature, pulse, and blood pressure manually or automated and annotate on blood donor record.

1.4.1.12. Perform finger stick to obtain blood sample for hemoglobin and/or hematocrit determination.

1.4.1.13. Perform donor interview and determine donor eligibility.

1.4.1.14. Perform phlebotomy using donor collection bags.

1.4.1.15. Provide donors with post donation instructions. Assess donor status before departure and initiate appropriate measures in emergency situations (e.g. donor reactions).

1.4.1.16. Weigh, segment and prepare units after collection for component processing.

1.4.1.17. Manufacture components. Perform component processing to include preparation of red blood cells, fresh frozen plasma, recovered plasma, donor plasma, and platelets.

1.4.1.18. Assist in the set up and breakdown of mobile blood drives.

1.4.1.19. Inspect products for suitability.

1.4.2. Wilford Hall Ambulatory Surgical Center and Reid Clinic Tasks:

1.4.2.1. Shall perform all tasks consistent with basic military trainee medical processing at Reid Clinic, specimen collection area operations and laboratory specimen processing and shipping area operations.

These tasks include, but are not limited to, patient registration, age-specific phlebotomy to include pediatric, geriatric, and processing samples for shipping and/or testing.

1.4.2.2. Shall be able to work independently with attention to detail and full knowledge of all aspects of the daily collection process. Comply with safety, policies, procedures, and universal precautions in the work area.

1.4.2.3. Shall perform phlebotomy using standards collection techniques using and vacutainers, syringes, lancets, and/or butterflies as required for collection from patients.

1.4.2.4. Shall perform processing to prepare samples for testing and/or shipping.

1.4.2.5. Greet patients in a courteous and professional manner. Promote a positive professional image.

Explain collection procedures to all patients and/or their families.

1.4.2.6. Perform all tasks in compliance with local operating instructions, Accreditation Association for Ambulatory Health Care (AAAHC) and/or Joint Commission on Accreditation of Health Care Organizations (JCAHO), College of American Pathologist (CAP) regulations and policies and all other Federal, State, and local laws.

1.4.2.7. Perform operation of basic instrumentation. Instruments may include but not limited to centrifuges, incubators, point of care testing instruments and scales.

1.4.2.8. Perform basic computer operation to include but not limited to entering patient demographic data into hospital information system, and printing accession labels.

1.4.2.9. Perform basic administrative duties associated with work areas to include but not limited to answering phones, filing paperwork, and preparing sample kits.

1.4.2.10. Maintain supply levels for area operations to include stocking and quality control checks.

1.4.2.11. Perform phlebotomy at other blood collection sites as needed.

1.5. Special Qualifications.

1.5.1. The CP shall meet the following education requirements:

1.5.2. The contractor’s personnel shall have and maintain a current basic Life Support (BLS) certification through hospital approved association such as American Red Cross (ARC) or American Heart Association (AHA).

1.5.3. The contractor’s personnel shall be eligible for licensure or certification of Phlebotomist training or Texas certified Phlebotomist.

1.5.4. Shall have provide documentation of completed a phlebotomy course or other training course in which phlebotomy was part of the curriculum.

1.5.5. The contract personnel shall complete the initial profile package requirements.

1.5.6. Contractor’s personnel shall have a high school diploma or equivalent.

1.5.7. Contractor’s personnel shall have at least six (6) month phlebotomy experience with in the past five (5) years.

1.5.8. Knowledge of standard phlebotomy and capillary specimen collection techniques required to collect blood specimens.

1.5.5.2. Knowledge of the techniques and instrumentations used to prepare a blood specimen for testing or shipping.

1.5.5.3. Shall have basic computer skills to include but not limited to entering patient demographic data into Donor Center computer system and hospital information system.

1.6. General Information.

1.6.1. Contractor Representative. The contractor shall identify the name and telephone number of the contractor’s point of contact to the Contracting Officer (CO) in writing prior to beginning performance.

The contractor shall identify in the designation letter any limitations on its representative's authority to act on behalf of the contractor. The contractor shall provide an updated designation letter whenever any changes occur. The contractor representative may be required to meet with the Government during the performance of this contract at the request of the CO.

1.6.1.1. The Contractor Representative shall respond to a request to meet with the CO within twenty-four

(24) hours of notification under routine circumstances.

1.6.2. Hours of Performance.

1.6.2.1. Contract performance requirements are governed by the contract. Personnel working in these areas may be scheduled for any shift (day, evening, and night) to include rotating shifts and weekends.

Sample of shifts are 0400-1300, 0600-1500, 0730-1630, 0900-1800, 1100-2000, 1400-2300 and 2200- 0700 to include a one (1) hour unpaid lunch but not to exceed 40 hours per week. These shifts are not all inclusive and subject to change. Any deviation will be authorized by the Contracting Officer Representative.

1.6.2.2. The CP is advised that special activities including but not limited to commander’s calls, sports days, employee quality of life meetings, late reporting, staggered reporting times, early release, physical fitness time, office picnics, and holiday parties are for Government personnel only and do not apply to the CP unless expressly stated otherwise in the contract. If any special activity occurs, the CP will continue to perform contract requirements unless expressly excused by the contracting officer. In the event that the contracting officer excuses performance, the contractor understands that its employees’ participation in such event will not be at government expense. The CP is further advised that any special time off granted by the President or other competent authority is for Government personnel only and does not apply to the CP.

1.6.2.3. Absences. The CP shall ensure that scheduled absences do not interrupt service performance.

Scheduled absences shall be scheduled at least thirty (30) calendar days in advance and mutually agreed upon by the Contracting Officer Representative (COR). Unscheduled absences shall be reported to the COR by the CP no later than two (2) hours prior to the start of the shift by the CP.

1.6.2.4. If the CP are prevented from performing due to acts beyond the CP’s control including emergency base closure the standards in FAR clause 52.212-4(f) and or 52.249-8 as appropriate will be applied to determine if the non-performance is excusable. In the event of an emergency base closure due to weather or other contingency situation the COR will notify the CP of any changes in performance requirements. Under no circumstances will the contractor be paid for services not delivered.

1.6.2.5. Federal Holidays: The MTF will observe the ten federal holidays listed below.

Holiday Projected Date

New Year's Day January 1 Martin Luther King Jr's Birthday

3rd Monday in January

President’s Day 3rd Monday in February Memorial Day Last Monday in May Independence Day July 4 Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veterans' Day November 11 Thanksgiving Day 4th Thursday in November Christmas Day December 25

Should the official holiday fall on Saturday then the observed holiday is the previous Friday.

Should the official holiday fall on Sunday then the observed holiday is the following Monday.

1.6.2.6. CP performing under this contract shall abide by the provisions of MDWI 41-101 Medical Expense and Performance Reporting System (MEPRS), (Paragraph 2.1.3.). The contractor shall provide documentation or records of units worked through Wide Area Work Flow (WAWF) under inspector extension code: F2MTW4

1.6.2.7. Services performed under this contract have been determined not to be essential for performance during crisis declared by the National Command Authority.

1.6.3. Compliance.

1.6.3.1. The CP shall comply with all applicable Air Force Instructions (AFI), Department of Defense (DoD) Regulations, and Medical Wing Instructions (MDWI) as outlined in Appendix A.

1.6.3.2. MTF Orientation. The CP shall attend the MTF Orientation at the outset of their working at MTF. The MTF Orientation will familiarize the CPs with the policies and procedures of the MTF and will be scheduled by the COR within two (2) months of employment. Orientation attendance shall be required of the CP during Government paid working hours.

1.6.3.3. In/Out processing. All personnel performing service under this contract shall be required to in-process through the 59 MDW Medical Logistics Contract Personnel Office upon reporting for duty. At this time, the CP shall initiate the process to receive a Common Access Card (CAC), Base Identification Passes, Restricted Area Badges, and keys. Upon termination or expiration of the contract, contract personnel shall be required to out-process through the same office and turn in the CAC, Base Identification Passes, Restricted Area Badges, and keys.

1.6.4. Conduct Requirements.

1.6.4.1. The Government will restrict the performance on this contract by any individual who is identified as a potential threat to the health, safety, security, general well-being, or operational mission of the MTF and its population.

1.6.4.2. The CP shall not advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such person should receive care at an outside agency or provider at any place other than as designated under this contract.

1.6.4.3. The CP shall not use Government facilities or other Government property for personal use or other business not related to this contract.

1.6.4.4. CP shall not respond to any media inquiries nor provide interviews, comments, or any other responses to the media regarding any subject related to this contract. All inquiries or complaints from the media or other sources shall be immediately relayed to the COR.

1.6.4.5. The CP shall ensure that its employees conduct themselves in a professional manner while on the installation and refrain from disruptive, offensive, or otherwise improper behavior that undermines order and discipline. The CO may direct the contractor to remove from performance of this contract on this installation any contractor employee engaging in such misconduct.

1.6.4.6. Abide by federal and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act of 1996. All medical records and reports will remain the property of the Government.

All financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the CP during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The CP shall not release any of the above information without prior written consent of the contracting officer.

1.6.4.7. Smoking in AF Facilities. CP are advised that the Air Force has placed restrictions on the smoking of tobacco products in AF facilities. AFI 40-102, Tobacco Free Living, outlines the procedures used by the commander to control smoking in our facilities. CP and visitors are subject to the same restrictions as government personnel. Smoking is permitted only in designated smoking areas.

1.6.4.8. Joint Base San Antonio (JBSA) Traffic Code. All applicable Traffic Codes will be enforced and apply to all personnel operating vehicles on a JBSA installation. The governing instruction for all Traffic Codes is AFI 31-218(I) and AFMAN 31-116. For a complete listing of all JBSA Traffic Codes and all other applicable traffic policies and procedures, please contact the Contracting Office.

1.6.4.9. Cell Phone Usage. CP are advised that DoD Instruction (DoDI) 6055.04 prohibits cellular telephone usage when approaching, entering or exiting any installation gate. Cell phone usage by drivers on installations is prohibited in moving vehicles unless used with a hands-free device. The installation Security Forces Squadron (SFS) is strictly enforcing this regulation. Those found in violation of this regulation are subject to be ticketed.

1.6.4.10. Base Fire Prevention Program. The CP will be required to comply with the applicable Fire Prevention Program, for JBSA Lackland the applicable directive is AFI 91-203.

1.6.4.11. The CP will conduct themselves in a professional manner while on the installation and refrain from disruptive, offensive, or otherwise improper behavior that undermines order and discipline. The contracting officer may direct the CP to remove from performance of this contract on this installation any CP engaging in such misconduct.

1.6.5. Security.

1.6.5.1. General Security Requirements. The CP shall follow all guidelines found in the Security Requirements for Solicitation and Contract clause.

1.6.5.2. Internal Operating Instructions (OI). The CP shall abide by the MTFs current OIs for internal circulation control, the protection of resources, and the regulated entry into Air Force controlled areas during normal, simulated, and actual emergency operations.

1.6.5.3. Reporting Requirements. The CP shall comply with AFI 71-101, Volume 1, Criminal Investigations Program (Chapter 2, paragraph 2.7) and Volume-2, Protective Service Matters, (Paragraph 1.2). CP shall report to Security Forces any information or circumstances which may pose a threat to DoD or CP, resources, or DoD information.

1.6.5.4. Removal of CP. The Government, through the CO, reserves the right to require immediate removal from contract performance on the installation or any Government facility, any individual whose actions raise reasonable suspicion that patient care or services may be compromised in any way, or that pose a threat of harm to other CP/Government personnel or self. Removal under other circumstances will be subsequent to and at the direction of the CO only.

1.6.5.4.1. If a situation meriting removal occurs as outlined in the previous paragraph, the COR will contact the CO and the contractor’s representative within twenty-four (24) hours. A meeting may be required with the CO, COR and contractor representative to discuss further action.

1.6.5.4.2. The CO will notify the Contractor if and when permanent removal is required. In the event of a disagreement between the Government and the Contractor, the decision of the CO will be final. During the period of time between the removal and the final decision of the CO, the Contractor agrees to provide backup/replacement CP in accordance with the terms of this contract.

1.6.5.4.3. The CP may be required to submit to drug/alcohol testing. The Government may require temporary or permanent removal from contract performance any individual who refuses or fails testing.

1.6.5.5. Government Computer Access Requirements. If this contract requires contractor personnel to have access to government computers, contractor personnel requiring access to government computers shall successfully complete, a National Agency Check with Inquiries (NACI) request, before obtaining access to the computer. These investigations shall be submitted by the government at no additional cost to the contractor. All contractor employees affected by this requirement must have completed an acceptable submission that complies with all directions for completion of the investigation request through the government security office within 30 calendar days of Contract Award or Notice of Award.

To begin this process, all affected contractor employees must complete within 15 calendar days after Contract Award or Notice of Award Standard Form 85P worksheet that can be downloaded from http://www.opm.gov/forms/pdf_fill/SF85P.pdf . The contractor shall notify the Contracting Officer http://www.opm.gov/forms/pdf_fill/SF85P.pdf

Representative (COR) or Government Inspector when the worksheet is complete. The affected employee will then be scheduled by the government for two or more appointments to complete the security package. If at any point after submission of the security worksheet, disqualifying information is discovered or developed, the government reserves the right to deny computer access. In this instance the Contracting Officer will notify the contractor of the denial. That individual will no longer be allowed to perform duties requiring computer access. After submission of the complete security package through the security office and completion of an adjudicated NACI, contractor employees may obtain their “Common Access Card” (CAC) for the duration of their contract, unless disqualifying information is subsequently discovered. In this instance access will be revoked. The NACI adjudication process normally takes 2 to 5 months after submission of the package. The CP shall comply with DODD 5200.08R Physical Security Program, (Chapter 3, Section C.3) requirements.

1.6.5.6. Installation Access. Criminal History Check will be conducted on all prime/subcontractor employees requiring base access. The contractor shall provide the Contracting Officer and the Information Protection Office a current list of employees needing access within 3 working days after receiving award or Notice of Award. The list shall include employee’s name, date of birth, social security number, state driver’s license/state ID number and state of issue. Notifications of contractor employee additions and deletions shall be provided with the same information listed above and within 3 working days. Within 10 business days after receipt of the list the Government will notify the CP that installation access passes are available for those employees clearing the criminal history check. The duration of any pass issued will not exceed one year or the duration of the contract, whichever is shorter.

This process will be repeated at the exercise of any option period.

1.6.5.7. Government Data. The CP shall manage all data created for Government use or legally controlled by the Government, in support of the functional activity or required by AF publication, IAW with the records management procedures in Air Force Instruction (AFI) 33-322, Records Management Program, Air Force Manual (AFMAN) 33-363, Management of Records, and the Air Force Records Disposition Schedule (AFRDS) located at https://www.my.af.mil/gcss-af61a/afrims/afrims/rims.cfm.

1.6.5.8. Freedom of Information. The CP shall not respond to any Freedom of Information Act request or release any information in response to a Freedom of Information request. Any request for information received by the CP under the Freedom of Information Act will be referred to the Contracting Officer.

1.6.5.9. Physical Security. The CP shall comply with Force Protection Condition (FPCON) procedures, Random Antiterrorism Measures (RAMS) and local search/identification requirements.

The CP shall safeguard all government property, including controlled forms, provided for CP use. At the close of each work period, government training equipment, ground aerospace vehicles, facilities, support equipment, and other valuable materials shall be secured.

1.6.5.10. Key Control. The CP shall safeguard all keys issued by the government and ensure they are used only by authorized contractor personnel. The CP shall not duplicate issued keys and shall report lost keys to the contracting officer immediately. The CP will be charged for lost keys, re-keying, and lock replacement as applicable.

1.6.5.11. Additional Security Requirements. NACIs will be IAW Homeland Security Presidential Directive 12 (HSPD-12).

1.6.5.12. Unescorted Entry to Restricted/Controlled Areas. If this contract requires unescorted entry to controlled or restricted areas, the CP shall comply with DOD 5200.2-R, Appendix 1, and AFI 31-501, https://www.my.af.mil/gcss-af61a/afrims/afrims/rims.cfm

Personnel Security Program Management (Paragraph 3.24). If the performance of this contract requires unescorted entry to a restricted/controlled area, personnel must have a favorably adjudicated NACI investigation. All contractor employees affected by this requirement must have completed an acceptable submission that complies with all directions for completion, of the investigation request through the government security office within 30 calendar days of Contract Award or Notice of Award. To begin this process, all affected contractor employees must complete within 15 calendar days after Contract Award or Notice of Award Standard Form 85P worksheet that can be downloaded from http://www.opm.gov/forms/pdf_fill/SF85P.pdf. The CP shall notify the Contracting Officer Representative (COR) or Government Inspector when the worksheet is complete. The affected employee will then be scheduled by the government for two or more appointments to complete the security package. If at any point after submission of the security worksheet, disqualifying information is discovered or developed, the government reserves the right to deny entry to restricted/controlled areas.

In this instance the Contracting Officer will notify the CP of the denial. That individual will not be allowed to perform duties requiring access to restricted/controlled areas. Upon receipt of a favorable investigation results and authorization by the appropriate commander, the CP member will receive appropriate entry credentials for access to restricted/controlled areas, unless disqualifying information is subsequently discovered. In this instance access will be revoked. The NACI adjudication process normally takes 2 to 5 months after submission of the package.

1.6.5.13. Weapons, Firearms, and Ammunition. Contractor employees are prohibited from possessing weapons, firearms, or ammunition, on themselves or within their contractor-owned vehicle or privately-owned vehicle while on JBSA Lackland.

1.6.6. Health Requirements and Immunizations.

1.6.6.1. Prior to contract performance, the CP shall provide proof of immunization or immunity from or screening for the following diseases according to Air Force guidelines equivalent to that provided to active work Armed Forces: Hepatitis B, MMR (Measles, Mumps, and Rubella), Varicella, Tdap (Tetanus, Diphtheria, and Pertussis), Tuberculosis (TB), HIV (CP who has direct patient care) and influenza for all personnel. CP shall control and prevent disease in accordance with AFI 48-105 Surveillance Prevention and Control of Diseases and Conditions of Public Health or Military Significance, and 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, Air Force Policy (as applicable) and its supplements. For the TB screening, the CP shall provide proof of negative TB 2-step skin testing IAW CDC. If an individual has a past positive TB skin test, the CP shall provide proof of a negative chest X-ray within twelve (12) months prior to personnel performing. The Government reserves the right to require more frequent TB testing of personnel based on the facility annual TB risk assessment. Additional vaccines as they are made mandatory for health care workers may also be required in unusual circumstances. In summary, CP should have and maintain all requirements. See Appendix B.

1.6.6.2. Medical Tests. The CP shall not obtain medical tests or procedures at the MTF, unless identified in Section three (3), Government-Furnished Property and Services. The CP shall be responsible for the cost of any emergency medical services received.

1.6.6.3. Influenza Immunization. CP shall receive the current influenza immunization, at contractor’s expense, unless contraindicated by allergy; as an example, to eggs as evidenced by hives, difficulty breathing, itching, and other symptoms of anaphylactic hypersensitivity, this exemption requires a Physicians diagnosis. Proof of vaccination will be required.

http://www.opm.gov/forms/pdf_fill/SF85P.pdf

1.6.7. Hazardous Materials. This PWS does not call for any hazardous material to be provided by the Contractor.

1.6.8. Reports. The CP shall submit reports to the COR and/or credentials office (as applicable) for use in monitoring performance. Such reports may include:

1.6.8.1. Initial – Effective date of award

Quarterly – 1st Qtr (October 1), 2nd Qtr (January 1), 3rd Qtr (April 1), and 4th Qtr (July 1) Annual – September 5

Report Timeline

Health and Immunization requirements Initially Personnel Changes Quarterly Basic Life Support (BLS) as accepted by American Heart Association (AHA) or American Red Cross

Initially and upon expiration date *

Continuing Education Units Initially and upon expiration date *

Competency and currency of licensure/ registration

Initially and upon expiration date*

Security requirements Initially Invoices submitted in WAWF Monthly

*Note: In accordance with Military Training Bulletin NO. 07-003 (7 Feb 07), this training will not be provided by the Government.

1.6.8.2. Contractor Manpower Reporting Application (CMRA):

The Contractor shall report ALL Contractor labor hours (including Sub-Contractor labor hours) required for performance of services provided under this contract via a secure data collection site. The contractor is required to completely fill in all required data fields at http://www.ecmra.mil.

1.6.8.2.1. Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October of each calendar year. Contractors may direct questions to the CMRA help desk.

1.6.8.2.2. User Manual: Data for Air Force service requirements must be input at the Air Force CMRA link. However, user manuals for Government personnel and Contractor are available at the Army CMRA link at http://www.ecmra.mil. Once you get to this site, click the Department of Air Force CMRA link, to log-in or to initially set-up a user account.

1.6.8.3. Quality Assurance. The government will periodically evaluate the CP performance by appointing a Contracting Officer Representative(s) (COR) to monitor performance to ensure services are received and are acceptable. The COR will correspond with an assigned Functional Requirements Evaluator Designee (FRED) to assist in monitoring schedule compliance (days/hours worked) and http://www.ecmra.mil/ http://www.ecmra.mil/ inspecting work performance. The COR will evaluate the CP performance in accordance with the government's Quality Assurance Surveillance Plan (QASP) developed for this requirement.

2. Service Summary.

P.O. # Performance Objective (PO)

PWS

Paragraph

Performance Threshold (Per FTE)

1.

The Contractor shall provide personnel that complete donor and patient registration accurately

1.4.1.1 1.4.2.8

No more than one (1) discrepancy per month

2.

Shall perform donor referral checks, assist in prep of donor record and enter into the computer system 1.4.1.8

No more than one (1) discrepancy per month

3.

Shall perform phlebotomy using standard collection techniques and/or donor phlebotomy techniques

1.4.1.14 1.4.2.3

No more than one (1) discrepancy per month

4.

Shall perform component processing accurately

1.4.1.17

No more than one (1) discrepancy per month

5.

Shall perform samples processing accurately for testing and/or shipping 1.4.2.4 discrepancy per month

6.

Shall ensure that the contract personnel comply with tasks IAW local OI’s, AFBPTM, Code of Federal regulations, AABB, FDA, AAAHC, JCAHO, CAP and all federal, state and local laws

1.4.1.5.

1.4.2.6.

No more than one (1) discrepancy per month

7.

Shall provide contract personnel that demonstrate excellent customer service, public relations and a professional image

1.4.1.6.

1.4.2.5.

discrepancy per month

8.

Shall provide contract personnel who comply with the Hours of Performance 1.6.2.1

95% compliance with staffing requirements, no interruption in service

9.

Shall comply with all initial and annual reports. 1.6.8. 100% Compliance

3. Government-Furnished Property and Services.

3.1. The Government will provide use of all available MTF facility’s and support services, materials, publications and forms, use of equipment, and specialty clothing required for contract performance

(except as designated in the contract). The CP shall keep Government furnished supplies, equipment, and work areas in a safe, orderly and clean condition.

3.2. The Government will schedule and furnish initial and annual training which may include but shall not be limited to various applicable software, data base systems, quality assurance policies, radiation safety, local in-service, safety briefings, compliance, patient safety, performance improvement, risk management, infection control, fire protection, security, Operations Security (OPSEC) and patient sensitivity training. The classes may be scheduled as required throughout the life of the contract.

3.2.1. Specialty Training. The Government may provide voluntary specialty training to the CP.

3.3. Any space used by CP in performance of this contract may be used for other purposes during their absence. Items of clothing, personal effects, or equipment may not be able to be secured at the MTF.

The Government will not incur any liability for theft, damage to, or loss of such personal items.

3.4. The Government will provide local telephone service, Class-A telephone lines and Defense Switching Network lines limited to matters related to the performance of this contract. Personal long distance calls are not authorized.

3.5. The MTF will provide emergency healthcare for injuries occurring while working. The CP shall reimburse the Government for such services. This includes blood borne exposure protocols after start of work. The Government will provide initial testing at no cost, but the CP shall provide follow-up testing or reimburse the Government for such services performed within the MTF. The CP will provide the MTF with documentation for follow-ups performed outside the MTF as required by MTF policy. The Government will provide post-exposure tuberculosis testing at no charge to the CP when required (ex.

following exposure to active TB case with in MTF) to avoid testing delays.

3.6. The Government will provide MTF ID badges which will be worn/displayed at all times when in the MTF while at work. Upon favorable clearance, the CP will be issued a CAC in order to access patients’ records. Items will remain Government property and will be returned to MTF upon completion of use.

3.7. Travel: CP may be required to travel to locations or installations other than Joint Base San Antonio- Lackland TX, DoD MTF to include, but not limited to conferences and scientific meetings. The Government will schedule TDY requirements as far in advance as possible to allow the Contractor to obtain the best travel rates. Whenever possible, TDY will be planned at least thirty (30) days in advance of the travel. Travel shall be in accordance with FAR 31.205-46.

4. List of Appendices

Appendix A: Referenced Department of Defense, Air Force, and 59th Medical Wing Publications Appendix B: Contract Specific Requirements Prior to Performance Appendix C: HIPAA Business Associate Agreement (BAA)

APPENDIX A

REFERENCED DEPARTMENT OF DEFENSE, AIR FORCE, AND 59TH MEDICAL WING

PUBLICATIONS

In all instances, current version applies. Publications can be found electronically at http://www.e-publishing.af.mil and http://www.e-publishing.af.mil/otherpublishingsites.asp. Medical Wing Instructions and Operating Instructions will be furnished upon request.

AFI 31-218(I), Motor Vehicle Traffic Supervision (in its entirety) AFI 16-1404, Air Force Information Security Program (in its entirety) AFI 31-501, Personnel Security Program Management (in its entirety) AFI 33-322, Records Management Program (in its entirety) AFI 33-332, Air Force Privacy and Civil Liberties Program (in its entirety) AFI 40-102, Tobacco Free Living (in its entirety) AFI 48-105, Surveillance, Prevention and Control of Diseases and Conditions of Public Health or Military Significance. (Paragraph 1.10.10.)

AFI 71-101, Volume I, Criminal Investigations. (IAW 502 CONS & 802 SFS MOA) AFI 71-101, Volume 2, Protective Service Matters. (IAW 502 CONS & 802 SFS MOA) AFMAN 31-116, Air Force Motor Vehicle Traffic Supervision (in its entirety) AFMAN 33-363, Management of Records (in its entirety) DoD Directive 5200.28, Security Requirements for Automatic Data Processing (ADP) Systems (Paragraph E6.4.1.2) AFI 91-203, Air Force Consolidated Occupational Safety Instruction (in its entirety) DoD Directive 5200.2-R, DoD Personnel Security Program (Chapter 5) DoDI 1402.5, Criminal History Background Checks on Individuals in Child Care Services (Enclosure 5) DoDI 5200.08, Security of DoD Installations and Resources and the DoD Physical Security Review Board (PSRB) (in its entirety) DoDI 6055.04, DoD Traffic Safety Program (in its entirety) HSPD-12, Homeland Security Presidential Directive 12 (in its entirety) MDWI 36-2601, Human Resource Development (in its entirety) MDWI 41-101, Medical Expense and Performance Reporting Systems (MEPRS) (Paragraph 2.1.3.)

APPENDIX B

CONTRACT SPECIFIC REQUIREMENTS PRIOR TO PERFORMANCE

WILFORD HALL AMBULATORY SURGICAL CENTER/59 MDW

FAXED TO:__________________________FAX:__________________DATE:_____________

Contract Position: __________________________________________ Name:____________________________________________________

All personnel performing service under this contract shall be required to in-process through the 59th Medical Wing Contract Services Section upon reporting…