Attachment_1_PWS_Ambulance_Final.docx

PERFORMANCE WORK STATEMENT

AMBULANCE SERVICE

(NON-PERSONAL SERVICES)

AT

42 MEDICAL GROUP (42 MDG)

MAXWELL AIR FORCE BASE, ALABAMA

As of Jun 2019

OPR: 42 MEDICAL GROUP/SGSM

Ms. Nikki Klinger Ph: 334-953-5900

FAX: 334-953-5902

Email: nikki.klinger.1@us.af.mil

1. DESCRIPTION OF SERVICES. Performance shall be at the Maxwell Ambulatory Healthcare Center, also referred to as the “Medical Treatment Facility” (MTF) herein, according to the requirements contained in this Performance Work Statement (PWS), the professional standards of The Joint Commission (TJC), the Air Force Health Services Inspection Agency Office of the Health Service Inspector, and applicable Air Force (AF) regulations. The contractor shall furnish all labor, management, supervision, teaching, consultations and reports, except as provided in para. 6.1. through 6.2.5.

1.1. BACKGROUND

This contract is a Non-Personal Health Care Services contract, as defined in FAR 37.101, under which the Contractor is an independent contractor. “Non-Personal Services Contract” means a contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical or professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment performance shall be according to the requirements contained in this Performance Work Statement [PWS] and the professional pre-hospital emergency medical service protocols applicable to state of Alabama.) (Reference Appendix A).

1.2. SPECIFIC TASKS

1.2.1. Contractor shall furnish all management, supervision, equipment, vehicles, labor, training, and documentation to provide state certified Paramedic and Emergency Medical Technician (EMT) Services to respond to requests for emergency medical services, patient treatment, and stabilization as required. All equipment needs to be calibrated, inspected, and tagged annually.

1.2.2. Contractor must provide at least three dedicated, state-certified ambulances for this contract. The Paramedic may be required to perform only basic first aid or any level beyond to include Advanced Life Support (ALS).

1.2.3. The Contractor shall provide 24-hour, 7 days a week uninterrupted response coverage, to include response to in-flight emergencies (IFE’s).

1.2.4. The contractor shall respond to medical incidents within Maxwell Air Force Base (MAFB) property, all associated housing areas including MAFB family campground area and the federal prison camp. The contracted ambulance service response jurisdiction covers all areas directly in front of the gates on Maxwell Blvd East, Bell Street, and Day Street. The base is approximately 3,500 acres in size. There is only one (1) 24-hour access point which is the Maxwell Blvd East gate. The contracted ambulance service transfer boundaries are dictated by the availability of care within the civilian community. They will response to all calls per directions received primarily from 911 dispatcher, MAFB Fire/Rescue or Security Forces.

1.2.5. All calls will have a minimum of two State of Alabama certified Emergency Medical Technician (EMT personnel, and one designated as a Paramedic. The receiving hospital will be determined by patient needs, bed availability, transferring provider preference, and accepting physician. The patient transfer may need to be facilitated by the ambulance service attendant and the transfer of care report should be communicated through the transporting ambulance attendants. No patients will be transported back to the Maxwell Clinic, they must be taken to the receiving hospital off base. A Paramedic must remain with the patient until a qualified member of the receiving hospital properly accepts the patient.

1.2.6. The Contractor shall provide all evaluations, treatments and interventions as appropriate to the protocols of the State of Alabama.

1.2.7. The contractor must establish and maintain a system to ensure back up support is provided in the event of simultaneous responses, equipment failures, or other unforeseen circumstances. Services must always be available.

1.2.8. All employees shall have required certifications by the State of Alabama prior to performing services on this contract. Performance shall be according to the requirements contained in this PWS and professional standards of The Joint Commission on Accreditation of Healthcare Organizations, and Alabama State Emergency Medical Service agencies.

1.3. TRAINING OF AMBULANCE PERSONNEL. All contract personnel performing under this contract shall have a high school diploma or general education equivalence certificate. The Contractor shall ensure that the Paramedics and EMT’s providing emergency response services to MAFB maintain current, unrestricted appropriate licensure and certification within the state. Additionally, paramedics must adhere to the recurring training and certification requirements in accordance with (IAW) State of Alabama Medical Services Policies. The contractor must maintain files to assure that all EMTs performing under this contract have current certifications. Upon request the contractor must allow the government access to review these documents for any EMT/Paramedic performing on the contract. Provide copies upon request.

1.3.1. Paramedics certified by the state of Alabama shall continue to meet the minimum standards for Continuing Education Units (CEU) to remain current as prescribed in AFI 41-117, Medical Service Officer Education, dated 25 March 2015. CEU shall be obtained at no additional cost to the Government and shall be reported to the Contracting Officer’s Representative (COR) annually.

1.4. ORIENTATION. The Functional Representative Evaluator Designee (FRED) will ensure that all contract providers participate in the newcomers orientation for newly assigned personnel to include regulations specific to their professional specialty hospital and AF policy and procedures within. Must be accomplished within 30 days of hire. The contractors must maintain their annual training requirements IAW AF and MTF regulations and guidance.

1.5. EMERGENCY AMBULANCE LICENSE. The Contractor shall ensure that the all ambulance drivers performing services on Maxwell AFB are licensed to operate an emergency ambulance in the State of Alabama; license to include an ambulance endorsement, or demonstrate the ability to obtain/provide the required licenses with ambulance endorsement prior to the required contract start date. Operating all specialized ambulances being operated and completed the emergency vehicle operations course. 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 five years. Drivers can have a maximum of six points per year assessed under the state of Alabama driving infraction system.

1.6. FIRST RESPONDERS. As a First Responder on MAFB the contractor is responsible for and shall obtain First Responder OSHA HAZMAT Training, at no charge to the government. A certificate must be provided prior to required contract start date. Additionally, during incidents involving Chemical, Biological, Radiological, Nuclear or High Yield Explosive (CBRNE) requiring decontamination, the contractor agrees to transport patients after gross decontamination at the scene has been accomplished. Contractor operational procedures regarding CBRNE casualty management and transportation will be IAW State of Alabama Health policy and local facility agreements. Contractor personnel must also complete air field driving program training, provided by the government. In an occasion in which the contractor is called to respond to an airfield emergency, they shall wait to be escorted onto the airfield by the appropriate military personnel if they have not received the air-field driving training.

1.7. PROCEDURE GUIDANCE. The Contractor shall perform procedures within the scope of care for which they are trained. The Contractor shall follow the State of Alabama Emergency Medical Services protocols. For aero-medical emergencies, flight surgeon consultation and guidance shall be provided (including flight-line training). In the event that transportation of a crew member of an in-flight emergency is required, the ambulance crew will allow a flight surgeon to accompany the patient if possible.

1.8. The Paramedic and EMT’s will perform additional duties such as minor clerical duties, committee members, and assistance in preparation for special events at no additional charge to the government. These duties shall be performed during normal duty hours.

1.9. SPECIAL EVENTS & EXERCISES

1.9.1. SPECIAL EVENTS/SPECIALIZED TRAINING. The contractor shall provide additional coverage as required to support special events, for example, Officer Training School (OTS), Squadron Officer School (SOS), Air shows, health fairs, dedication ceremonies, etc. For historical estimates and information, on as needed basis, see Appendix C. The contractor will pre-position a Day-truck and paramedic at a mutually agreed location for all military sponsored special events and training.

1.9.2. EXERCISES. The contractor shall participate, as required, (approximately up to 12 per year) in exercises in support of the 42 ABW and the 42 MDG, Participating in advance and post exercise meetings is required, respond with paramedics to exercise sites and perform mock duties such as mock field patient care and mock patient transport, follow the direction of the fire chief or on scene commander regarding the positioning of the ambulance, provide detail exercise analysis as requested by the members of the 42 ABW and MTF exercise evaluation team. Real World situations supersede exercise scenarios; therefore, no additional coverage is required during exercises. If the need for contractor participation is requested for exercise purposes, prior notification to exercise dates will be given.

1.9.3. SERVICE COVERAGE FEES VS. TRANSPORT COVERAGE FEES. This service is a mechanism for Maxwell AFB to ensure it has full paramedic emergency response available for any medical emergency or in-flight emergency, and during special events and ceremonies. Payment will be solely for the availability of such services and participation in 42 ABW and MTF exercises. Actual patient transport fees will be billed according to beneficiary category and location of transport. This PWS includes any transport from building 760 (MTF). All claims, including all active duty personnel will be sent to the Managed Care Support Contractor ( MCSC), Humana Military. Claims should be submitted electronically or mailed to TRICARE East Region Claims, Attn: New Claims, P.O Box 7981, Madison WI 53707-7981. All transports will be billed directly to the address above, or the individual’s private insurance company for payment. Bills for these ambulance services will be charged at the reasonable and customary rates, with payment accepted at the Tricare Maximum Allowable Charge (TMAC) Rate. The contractor must accept assignment of these claims and cannot balance bill the beneficiaries any amount above the TMAC amount. The Contractor’s failure to obtain reimbursement, or collection of less than the billed amount, will not financially obligate the 42 Medical Group, the United States Air Force (USAF), or the United States Government (USG).

1.9.4. DOCUMENTATION. Prepare all documentation to meet or exceed established standards of the MTF to include: timeliness, legibility, accuracy, content, and signature. The contractor ensures complete patient identifying information is on all documentation to be provided to the MTF relating to the transport. Run sheets and patient information will be submitted to the MTF by the 5th calendar day of the following month. (Contract Data Requirements List [CDRL] A001)

1.9.5. RECORDS. The Contractor personnel shall be responsible for creating, maintaining, and disposing of Government required records. If requested by the Government, the Contractor personnel shall provide the original record, or a reproducible copy, of any such records within one duty day or receipt of the ambulance response. The contractor is also responsible for furnishing all records related to their response times dictating the time the ambulance unit is notified by dispatch, the time arrived on scene, total response time, and code designation for the call.

1.9.6. PATIENT LISTS. Regardless of its development, all patient lists shall be treated as privileged information. Lists and/or names of patients shall not be disclosed to, or revealed in any way, for any use outside the 42 MDG without prior permission by the Chief of Medical Staff for MAFB. All transports of Active Duty patients must be reported to the Chief of Medical Staff, name of patient, and location taken immediately upon return of transport run.

1.9.7. PATIENT SENSITIVITY. Contractor personnel shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.

1.9.8. RELEASE OF MEDICAL INFORMATION. The contract personnel shall only release medical information obtained during the course of the contract to destination civilian emergency room staff and to other 42 MDG staff involved in the care and treatment of that individual patient.

1.9.9. PATIENT PRIVACY/SECURITY. The contractor shall comply with all applicable aspects of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 to ensure the security and privacy of patient information. In addition to patient privacy, the contractor shall provide close hold on any information pertaining to base activities that are dispensed to the contractor in execution of their duties.

1.9.10. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT. Under this contract's PWS, the contractor shall be considered a 'Business Associate' under the terms of the HIPAA of 1996, Public Law 104-191, and its implementing regulations, including DoD 6025.18 “Privacy of Individually Identifiable health Information in DoD Health Care Programs”. In the performance of this contract, the contractor shall when performing as a 'Business Associate' comply with all rules and requirements applicable to a 'Business Associate' under HIPAA and its implementing regulations, including DoD 6025.18. Violation of HIPAA may result in the imposition of fines and/or imprisonment. The contractor shall include the HIPAA notification and requirement in every subcontract for 'Business Associate' service.

2.0. PERSONNEL REQUIREMENTS

2.1. CONTRACT MANAGER. The contractor shall appoint a member of their management team who, irrespective of other responsibilities, shall have a defined responsibility and authority to make relevant project decisions. 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 (CO) or the COR no later than the start of contract and within three (3) working days of any personnel change. (CDRL A002)

2.2. EMPLOYEES

2.2.1. The contractor shall provide only properly trained, duty qualified paramedics and EMTs with experience in related work areas. They will also be required to have a board certified Emergency Medicine or Family Health Physician to serve as the ambulance crews Service Medical Director per Alabama Public Health Guidelines to handle any requests to deviate from EMS protocols, questions on care, to conduct Quality Assurance reviews on care, IAW Alabama State Board of Health Alabama Department of Public Health Administrative Code Chapter 420-2-1, Emergency Medical Services. Personnel staffing the ambulance shall have all applicable paramedic certifications required by the law in the State of Alabama to include Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS), or demonstrate the ability to obtain/provide the required licenses with ambulance endorsement prior to the required contract start date. The Contractor shall ensure all certifications are current. The Contractor must take specific action including Primary Source Verification to ensure contract personnel have the required prerequisites for privileging and do not have disqualifying impediments for privileges in the State of Alabama.

2.2.2. In order to communicate with appropriate medical personnel, each Paramedic and EMT shall be able to read, write, and communicate clearly in the English language.

2.2.3. The contractor shall not employ any person who is an employee of the (USG) if the employment of that person would create a conflict of interest. Additionally, the contractor shall not employ any person who is an employee of the United States Air Force USAF, either military or civilian, unless such person seeks and receives approval IAW the Joint Ethics Regulation, DoD 5500.7R. The contractor shall not employ any employee of the USAF if such employment would be contrary to AF policies and guidelines.

2.2.4. Contractor personnel shall present a neat professional appearance and be easily recognized as contractor employees. Employee clothing, accessories, and hair length shall be safe for the operations involved in contract performance.

2.3. VEHICLE MAINTENANCE REQUIREMENTS. The contractor shall ensure preventive maintenance is performed on vehicles used to support this contract. Contractors much ensure the vehicle remain locked while on base at all times. All controlled medication must be secured and temperature controlled at all times. The vehicle and equipment is a inspectable item 24 hours 7 days a week to meet all state, federal and local regulations.

2.4. SECURITY REQUIREMENTS. The contractor shall be responsible for obtaining all necessary cards, passes, badges, buttons, decals, or other items required for access to the areas in which the work shall be performed. The contractor shall be required to apply for vehicle and individual identification media at the Security Forces Squadron (SFS), Pass and ID section. Also coordination must be done with the 42 MDG Security Manager prior to SFS. Upon completion or termination of the contract or an individual’s employment on the contract, the contractor shall retrieve all identification and access media issued and surrender it to the SFS, Pass and ID Section.

2.5. CRIMINAL BACKGROUND CHECK REQUIREMENT

2.5.1. The Government will conduct criminal background checks on individuals providing childcare services under this contract, using the procedures set forth in the most recent version of Department of Defense Instruction 1402.5. Background checks will be based on fingerprints of individuals obtained by a Government law enforcement officer and inquiries conducted through the Federal Bureau of Investigation (FBI) and state criminal history repositories. The individuals providing services under this contract will receive a National Agency Check plus Written Inquiries and Credit Check with Child Care (NACIC, Tier 1).

2.5.2. Individuals shall have the right to obtain a copy of any background check pertaining to them and to challenge the accuracy and completeness of the information contained in the report.

2.6. QUALITY ASSURANCE

2.6.1. QUALITY MANAGEMENT SYSTEM. The contractor shall develop and maintain an inspection system acceptable to the Government covering services under this contract. The contractor shall develop and implement procedures to identify and prevent defective services from recurring. As a minimum, the contractor shall develop quality control procedures that address the areas identified in the PWS and Service Summary (SS). The contractor shall prepare a contractor quality control plan (CQCP) that will describe the approach to developing and implementing a quality system that will encompass all aspects of the contract. This CQCP shall include, at a minimum, a monthly medical quality review of 10% of the ambulance runs, or 10 runs, whichever is greater. These results will be shared monthly with the COR. The contractor shall complete, implement and make the CQCP available to the Government for review no later than 10 days after contract award. All subsequent changes to the CQCP must be coordinated with the 42 MDG COR and the CO within 10 days of changes. (CDRL A003)

2.6.2. PERFORMANCE EVALUATION MEETINGS. The contractor shall meet with the 42 MDG COR, and/or the CO, and/or the Contract Specialist once a week during the first month of the contract. Meetings will be as often as necessary thereafter as determined by the Program Manager.

2.6.3. The contractor shall render services in compliance with the standards, policies and procedures of the Alabama Department of Health, Bureau of Emergency Management system providers. The Contractor shall, upon request, supply quality data and information related to services provided that support both the Performance Improvement Program and Risk Management.

2.6.4. RESPONSE TIMES. The contractor must adhere to Department of Defense Instruction (DoDI) 6055.06 “DoD Fire and Emergency Services (F&ES) Program” Table E3.T1 Minimum Level of Service Objectives-Operations for ground response times. The contractor must be able to navigate the geographical landmarks to provide timely and effective pre-hospital emergency services. The contractor shall adhere to the following ground response times: For all codes requiring a transport unit with Basic Life Support (BLS) and Automated External Defibrillator (AED) capability, and/or ALS capability the response time shall not exceed: 12 minutes. This applies to all areas of MAFB property. Internal Clinic transports or calls should not exceed 5 minutes.

2.6.5. EXEMPTION POLICY. Per DoDI 6055.06 the minimum response times shall be on time for an average of 90% of all calls. The 90% threshold will be calculated based on the aggregate of all responses annually, not including calls cancelled in route. As determined by the appointed COR, in some cases, late responses may be exempted from unsatisfactory performance reviews and response time compliance reports. These exemptions will be for good cause only, as reasonably determined by the COR. The burden of proof that there is good cause for the exemption shall rest with the contractor. The contractor must file an extended emergency response report (located in appendix F) in order to request an exemption for a call in any month. This document shall be filed with the COR within five (5) days of the end of the previous month. Such request shall list the date, the time, and the specific circumstances causing the delayed response. The alleged good cause must have been a substantial factor in producing the excessive response time and must be documented in the exception report per EMS Policy. Good cause for an exemption may include, but is not limited to the following scenarios:

2.6.5.1. Inaccurate dispatch information when unedited records or tapes verify the following:

a. Dispatcher gave incorrect call priority, address, or Thomas Brothers Map coordinates that had a negative effect on response time;

b. Incorrect or inaccurate dispatch information received from a calling party or 911 Public Safety Answering Point;

c. Disrupted voice or data transmission;

d. Dispatcher failure to document/record times;

e. Inability to locate address due to non-existent or inaccurate address;

f. Unavoidable delay caused by traffic congestion when there is no reasonable alternate access to the incident;

g. Weather conditions which impair visibility or create other unsafe driving conditions;

h. Unavoidable delays caused by road construction and/or closure;

i. Unavoidable delays caused by trains;

j. Off-road or off-paved road locations;

k. Unusual system overload;

l. A declared state of emergency or disaster;

m. Other situations requiring an exemption as judged by the COR

2.7. FREEDOM OF INFORMATION ACT (FOIA). All official Government records affected by this contract are subject to the provisions of the FOIA (5 U.S.C. 552/DoD 5400.7-R/AF Supplement). Any request received by the contractor for access/release of information from the records to the public (including Government/contractor employees acting as private citizens), whether oral or in writing shall be immediately brought to the attention of the CO. The CO will, in turn, forward this information to the Base FOIA Manager to ensure proper processing and compliance with the Act.

2.8. COMPLAINT PROCESSES AND DENIAL/TERMINATION OF PRIVILEGES. Complaints validated by the COR and Functional Requirements Evaluator Designee (FRED) shall be reported in writing to the CO and the contractor for action. Failure of the contractor to correct validated complaints brought up by 42 MDG staff and the CO shall be considered a failure to perform, and may result in an adverse performance appraisal that could lead to termination of contract.

2.9. EMERGENCY HEALTHCARE. MAFB has no Medical Emergency Services available. The Contractor shall be responsible for patient transportation for emergency medical care to the nearest appropriate and available Emergency Room.

2.10. INSURANCE REQUIREMENTS. Provide and maintain adequate liability insurance coverage consistent with the risks associated with the performance of all services required by this PWS. Minimum requirements are:

Commercial and General Liability and Malpractice Excess Liability Umbrella

Refer to Federal Acquisition Regulation (FAR) Clause 52.237-7, Indemnification and Medical Liability Insurance.

2.11. PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE NATIONAL COMMAND AUTHORITY OR OVERSEAS COMBATANT COMMANDER. Performance of Services during Crisis Declared by the National Command Authority or Overseas Combatant Commander. Patient Transport Services identified within this PWS are determined to be mission essential for performance during crisis according to DoDI 3020.27, Continuation of Essential DOD Contractor Services during Crises. Due to the critical nature of patient transport services, all services in this PWS shall continue during a declared crisis. Therefore, in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) provision 252.237-7024, Notice of Continuation of Essential Contractor Services, the contractor shall provide with their offer, a written plan describing how the contractor will continue to perform the essential contractor services listed in the PWS.

2.12. COMPLIANCE WITH FEDERAL AND ALABAMA OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION (OSHA)

2.12.1. The contractor shall comply with all applicable Federal and Alabama OSHA requirements, where applicable. Additionally, the contractor shall safeguard USAF personnel and property during the conduct of their services, including compliance with base traffic regulations under normal circumstances.

2.12.2. It is the Contractor personnel’s responsibility to report to the 42 MDG, Public Health Office information necessary to assure hospital records can be maintained correctly and therefore complies with the Accreditation Association for Ambulatory Health Care (AAAHC), OSHA, and Center for Disease Control (CDC) health record requirements.

2.13. CONTRACTOR MANPOWER REPORTING. The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the USAF via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address http://www.ecmra.mil.

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

2.13.2. Uses and Safeguarding of Information: Information from the secure website is considered to be proprietary in nature when the contract number and contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the contractor name and contract number associated with the data.

3.0. HEALTH REQUIREMENTS:

3.1. PREASSIGNMENT MEDICAL EVALUATION. No contract employee shall perform health care services under this contract unless a pre-assignment medical evaluation has been performed not more than thirty (30) calendar days prior to submission of credentials. The purpose of this medical evaluation is to determine if the individual, from a medical standpoint, possesses the minimum physical abilities needed to perform the proposed job without significant risk to personal health or the health and safety of others. As a minimum, the individual shall be free of physical defects or medical conditions which might reasonably be expected to place other workers, patients, or the public at risk.

3.2. MEDICAL EMPLOYEE IMMUNIZATION REQUIREMENTS. All incoming medical personnel must in-process through Public Health the first duty day and prior to the commencement of performance of health care services under this contract. The Contractor shall provide to the Public Health (Medical Employee Health) Flight/COR certification that such employees have completed the medical evaluation requirements identified below. This certification shall state the date on which the examination was completed, the doctor’s name that performed the examination and a statement concerning the physical health of the individual. If, in the opinion of the evaluating medical practitioner, the individual is found to be qualified for duty, the medical statement shall include the following wording: “(NAME OF EMPLOYEE) possesses the minimum physical abilities to perform the proposed duties of a (insert job title). He/she has documented proof of immunization against/immunity to rubeola, rubella, and hepatitis B and does not have an active infectious condition which might place others at risk.” If, in the opinion of the evaluating medical practitioner, the individual does not possess the minimum capabilities needed to perform the proposed job or does not meet the conditions of employment or will pose a risk to others, the medical statement shall contain the following wording: “For medical reasons, (NAME OF EMPLOYEE) is not qualified for employment as a (insert job title).” Certification shall be provided to the CO, who will forward to the MTF Employee Health Office. The certification shall also contain the following statement: "(name of contract employee) is suffering from no contagious diseases to include but not limited to Tuberculosis, Hepatitis, and Venereal Disease." Per Center for Disease Control (CDC) guidelines, HCWs should be current or have serologic immunity for the following vaccine: HepB, HepA, Influenza, Measles, Mumps, Reubella (MMR), Varicella and Tetanus, Diphtheria and Pertussis (Tdap). Specific immunizations explained further:

3.3. MMR (immunization or titer levels for Rubella and Rubeola, must have either laboratory evidence of immunity (mumps IgG in serum, equivocal results will be considered negative), or documented administration of 2 doses of live mumps virus-containing vaccine or laboratory confirmation of disease or born before 1957)

3.4. A history of chicken pox disease or positive titer (varicella vaccination must be accomplished if lack of immunity)

3.5. Baseline Tuberculosis (TB) skin test upon employment, unless documented as positive. New employees who have not been tested within the previous 12 months will complete a 2-step baseline screening completed off base and result provided to public health.

3.6. A 3-dose Hepatitis B vaccination/series is required for all personnel who work directly with patients and who have occupational risk of exposure; declinations are not acceptable, this is a condition of employment. All contract employees who work in direct patient care will require post-Hep B vaccination serologic testing to provide proof of immunity (see MDGI 48-22 section 4.2.1 – 4.2.4).

3.7. Influenza vaccine is required unless specifically exempted for religious purposes. Contract employees that have medical contraindications to any of the above mentioned vaccines must provide medical documentation.

3.8. PREVENTATIVE, PROPHYLACTIC, AND FOLLOW-UP PROCEDURES. The contractor shall ensure that his/her employees are in compliance with preventive, prophylactic and follow-up procedures, as well as infection control and employee health program procedures, as established by the MTF. This includes but is not limited to the annual flu vaccination. Required preventive, prophylactic and follow-up procedures will be provided at the Contractors expense, the Contractor shall provide written verification of treatment.

3.9. Also, as a condition of employment, OSHA/AFOSHA requires that all contract personnel who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine, or provide documented proof of immunity to Hepatitis B infection.

3.10. ENVIRONMENTAL

3.10.1. ENVIRONMENTAL MANAGEMENT. The contractor shall comply with all applicable and the most stringent latest federal, state, county and local environmental laws and regulations to include, but not limited to: Air Force Instructions (AFIs), policies, guidelines, environmental compliance documents, and environmental management plans. The contractor shall maintain an awareness of changing environmental regulatory requirements to avoid any environmental deficiencies.

3.10.2. HAZARDOUS AND BIOLOGICAL WASTE REQUIREMENTS. All hazardous and biological wastes generated or collected by the contractor shall be disposed of according to the 42 MDG policies and guidance.

3.10.3. SPILL AND RELEASE REQUIREMENTS. If applicable, the contractor shall comply with, but not limited to: 42 ABW Plans, Spill Prevention Control and Countermeasures Plan; Hazardous Waste Management Plan; Hazardous Material Management Plan; and Hazardous Materials (HAZMAT) Emergency Response Plan.

3.10.4. SPILL AND RELEASE NOTIFICATION. The contractor shall immediately notify the Maxwell AFB Fire department at 334-953-7449 and the COR of a spill or release.

3.10.5. AFFIRMATIVE PROCUREMENT PROGRAM. The Contractor’s affirmative procurement program shall use specified Comprehensive Procurement Guideline (CPG) materials with recycled and recovered content as the minimum standard. The Contractor shall also consider other green materials and products not listed, but commonly used by industry outside of the Government as a means of further reducing hazardous waste and solid waste. The Government's affirmative procurement programs are mandated to use recycled and recovered materials and products identified on the Environmental Protection Agency’s CPG product lists (http://www.epa.gov/cpg/products).

4.0. SERVICE SUMMARY (SS). The SS defines the standard of performance for each listed service and sets forth the maximum allowable deviation from standard performance for that service that may occur.

Performance Objectives PWS Para Performance Threshold

Specific Tasks 1.2.1.-1.9.10. No more than one Deviation

Contractor shall provide 24-hour 1.2.3. 95% of coverage shall be provided uninterrupted response coverage.

MAFB

the 42 ABW and the 42 MDG.

5.0. CONTRACT DATA REQUIREMENTS LIST (CDRL)

6.0. GOVERNMENT-PROVIDED EQUIPMENT AND SERVICES

6.1. GENERAL. The Government shall provide the facilities, materials, and/or services listed here.

6.1.1. EQUIPMENT/ROOMS. The Government will provide rooms in the MTF on MAFB for the contractor’s use. Office space and sleeping quarters provided at the 42 MDG, Maxwell Clinic, Rooms, 1D-25, 1D-28, and 1D-27.

6.2. SERVICES

6.2.1. UTILITIES. The Government shall furnish electricity, water, sewage, and heating.

6.2.2. REFUSE COLLECTION. The Government shall provide dumpsters for refuse. The Government shall provide containers for collection of recycling materials. The contractor may not dispose of medical waste in these containers. Furthermore, the contractor shall be responsible for the proper disposal of all Medical Waste and Hazardous Waste.

6.2.3. PROTECTION SERVICES. The Government shall provide Security Forces and Fire Protection.

6.2.4. COMMUNICATION EQUIPMENT. The government will provide all equipment (i.e. phones, radios, and computers) necessary to conduct operations IAW MAFB requirements.

6.2.5. The MTF will provide a badge

6.3. CONTRACTOR FURNISHED ITEMS AND SERVICES.

6.3.1. GENERAL. Except for those items or services specifically stated in para. 6.1 through 6.2.5 to be Government furnished, the Contractor is responsible for furnishing everything required to perform this contract IAW all of its terms. Items include: Ambulances, paramedics, drivers, emergency medical technicians, non-transport vehicles, equipment and road maps.

7.0. SECURITY REQUIREMENTS FOR UNCLASSIFIED SERVICES – CAC REQUIRED

Contractor Notification Responsibilities: The contractor shall notify the contracting office within 30 days before on-base performance of the service. The notification shall include:

7.1.1. Name, address, and telephone number of contractor representatives.

7.1.2. The contract number and contracting agency.

7.1.3. The reason for the service (i.e., work to be performed).

7.1.4. The location(s) of service performance and future performance, if known.

7.1.5. The date service performance begins.

7.1.6. Any change to information previously provided under this paragraph.

7.2. Obtaining and Retrieving Identification Media: As prescribed by the AFFARS 5352.242-9000, Contractor access to Air Force installations, AFFARS 5352.242-9001, Common Access Cards (CAC) for Contractor Personnel, and FAR 52.204-9, Personal Identity Verification of Contractor Personnel the contractor must comply with the requirements set forth in these guidance and AFI 31-218, Motor Vehicle Traffic Supervision and AFMAN 31-113, Installation Perimeter Access Control.

a. The contractor shall obtain base identification and vehicle passes, if required, for all contractor personnel who make frequent visits to or perform work on the Air Force installation(s) cited in the contract. Contractor personnel are required to wear or prominently display installation identification badges or contractor-furnished, contractor identification badges while visiting or performing work on the installation.

b. The contractor shall submit a written request on company letterhead to the contracting officer listing the following: contract number, location of work site, start and stop dates, and names of employees and subcontractor employees needing access to the base. The letter will also specify the individual(s) authorized to sign for a request for base identification credentials or vehicle passes. The contracting officer will endorse the request and forward it to the issuing base pass and registration office or Security Forces for processing. When reporting to the registration office, the authorized contractor individual(s) should provide a valid driver’s license, current vehicle registration, and valid vehicle insurance certificate to obtain a vehicle pass. Government ID card holders may not use their credentials to sponsor an individual on to the base to perform work that’s been contracted to an official contractor.

c. Common Access Cards (CACs). For contractors who require a CAC, contractors shall provide a listing of personnel who require a CAC to the contracting officer. The government will provide the contractor instruction on how to complete the Trusted Associate Sponsorship Systems (TASS) application and then notify the contractor when approved. Contractor personnel shall obtain a CAC from the nearest Real Time Automated Personnel Identification Documentation System (RAPIDS) Issuing Facility (typically the local Military Personnel Flight (MPF)). While visiting or performing work on installation(s)/location(s), contractor personnel shall wear or prominently display the CAC as required by the governing local policy.

d. During performance of the service, the contractor shall be responsible for obtaining required identification for newly assigned personnel and for prompt return of credentials for any employee who no longer requires access to the work site.

e. All commercial vehicles will be directed to Gate 3 (Kelly St) or Gate 4 (Congressman Dickenson for Gunter) for processing through the Commercial Vehicle Inspection (CVI) Area, when operational. During non-duty hours and holidays, commercial vehicle inspections will be conducted at Gate 1 (Maxwell Blvd) or Gate 4 only. Inspection members will conduct thorough inspections of the interior and exterior of the vehicle for items prohibited from the installation such as explosive devices, weapons and ammunition, drugs, and open or closed alcohol containers.

f. f. When work under this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with AFI 31-101, Integrated Defense, and AFI 31-501, Personnel Security Program Management.

g. Upon completion or termination of the contract or expiration of the identification passes, the prime contractor shall ensure that all base identification passes issued to employees and subcontractor employees are returned to the issuing office.

h. Failure to comply with these requirements may result in withholding of final payment.

7.3. Pass and Identification Items: The service shall ensure the one of the following pass and identification items required for service performance are obtained for employees:

a. DD Form 1172, Application for Uniformed Services Identification Card (AFI 36-3026, Identification Cards For Members of The Uniformed Services, Their Family Members, and Other Eligible Personnel.

b. DoD Common Access Card (CAC), (AFI 36-3026).

c. Defense Biometric Identification Systems (DBIDS) card/pass (AF Form 75 may be used only if DBIDS is inoperable).

7.4. Computer and Network Access Requirements: Contractor personnel that required access to unclassified government computers and operations systems (Automated Information Systems – AIS) will be designated as AIS-III - Nonsensitive Positions. Contractor personnel must submit a Tier 1, National Agency Check with Inquiries (NACI) and the Tier 1, NACI be favorability adjudicated before operating government furnished computer workstations or systems that have access to Air Force e-mail systems. These investigations shall be submitted by the government at no additional cost to the contractor. NOTE: Since the Tier 1 process can take up to 18 months, contractor personnel may be issued a CAC before the process is completed after a favorable fingerprint return (3-5 working days).The contractor shall comply with the DoD 5200.2-R, Personnel Security Program, and AFMAN 33-152, User Responsibilities and Guidance for Information Systems, requirements, AFMAN 33-282, Computer Security; AFSSI 7700, Emission Security (EMSEC) Program; and applicable AFKAGs, AFIs, and AFSSIs for Communications Security (COMSEC); and AFI 10-701, Operations Security (OPSEC) Instructions, and Homeland Security Presidential Directive-12 requirements.

7.5. Freedom of Information Act Program (FOIA): The contractor shall comply with DoD Regulation 5400.7-R/Air Force Supplement, DoD Freedom of Information Act Program, requirements. The regulation sets policy and procedures for the disclosure of records to the public and for marking, handling, transmitting, and safeguarding For Official Use Only (FOUO) material. The contractor shall comply with AFI 33-332, Air Force Privacy Civil Liberties Program, when collecting and maintaining information protected by the Privacy Act of 1974 authorized by Title 10, United States Code, section 8013. The contractor shall maintain records in accordance AFI 33-364, Records Disposition Procedures and Responsibilities; and disposed of in accordance with Air Force Records Information Management System (AFRIMS) Records Disposition Schedule (RDS) located at https://www.my.af.mil/gcss-af61a/afrims/afrims/.

7.6. Reporting Requirements: The contractor shall comply with AFI 71-101, Volume-1, Criminal Investigations, and Volume-2, Protective Service Matters, requirements. Contractor personnel shall report to 42d Security Forces Information Protection Office, any information or circumstances of which they are aware may pose a threat to the security of DoD personnel, contractor personnel, resources, and classified or unclassified defense information. Contractor employees shall be briefed by their immediate supervisor upon initial on-base assignment and as required thereafter.

7.7. Physical Security: Areas controlled by contractor employees shall comply with base operations plans/instructions for FPCON procedures, Random Antiterrorism Measures (RAMS) and local search/identification requirements. The contractor shall safeguard all government property, including controlled forms, provided for contractor use. At the close of each work period, government training equipment, ground aerospace vehicles, facilities, support equipment, and other valuable materials shall be secured.

7.8. Internal Operating Instructions: The contractor will adhere to the Air Force activity operating instructions (OI) for internal circulation control, protection of resources, and to regulate entry into Air Force controlled areas during normal, simulated, and actual emergency operations.

7.9. Key Control: The contractor will adhere to the Air Force activity operating instructions control procedures to ensure keys issued to the contractor by the government are properly safeguarded and not used by unauthorized personnel. The contractor shall not duplicate keys issued by the government. All government issued keys will be turned in at the end of employment or contract. Lost keys shall be reported immediately to the Air Force activity that issued the keys. The government replaces lost keys or performs re-keying. The total cost of lost keys, re-keying or lock replacement shall be deducted from the monthly payment due the contractor.

7.10. Government Authorization: The contractor shall ensure its employees do not allow government issued keys to be used by personnel other than current authorized contractor employees. Contractor employees shall not use keys to open work areas for personnel other than contractor employees engaged in performance of their duties, unless authorized by the government functional area chief.

7.11. Access Lock Combinations: Access lock combinations are “For Official Use Only” and will be protected from unauthorized personnel. The contractor will adhere to the Air Force activity operating instruction (OI) for ensuring lock combinations are not revealed to unauthorized persons and ensure the procedures are implemented. The contractor is not authorized to record lock combinations without written approval by the government functional director.

7.12. Traffic Laws: The contractor and their employees shall comply with base traffic regulations set forth in AFI 31-218, Motor Vehicle Traffic Supervision and AFMAN 31-113, Installation Perimeter Access Control. Personnel in violation may be issued a Central Violations Bureau Form 1805 traffic ticket.

7.13. Random Installation Entry/Exit Checks: Entry/exit vehicle checks are conducted by order of the 42 ABW Commander. These checks are conducted for the purpose of safeguarding the base and protecting government property by discovering and seizing stolen property, classified information and contraband. Refusal to submit to an installation (entry/exit) vehicle check may result in the loss of base driving privileges, revocation of base registration, or debarment action.

7.14. Cellular Phone Operation Policy: The use of cellular phones while operating a motorized vehicle is prohibited on Maxwell-Gunter. Although discouraged, drivers are authorized to use devices, i.e. ear bud or ear boom, which allows their cellular phone to be operated hands-free. The device must not cover both ears. This policy applies to everyone driving on Maxwell AFB and Gunter Annex. Personnel in violation may be issued a Central Violations Bureau Form 1805 traffic ticket.