Atch 1 PWS 14Nov 11.doc

FA4801-11-R-0002

Advance Life Support (ALS) Service

Performance Work Statement (PWS) for

ADVANCE LIFE SUPPORT (ALS)

'Ambulance' SERVICE at

Holloman AFB, NM __________________________________________ Date: _____________________

Contracting Officer Representative KELLY M. MILLER, TSgt, USAF Superintendent, 49th Medical Operations Squadron

__________________________________________ Date: _____________________

Functional Commander JENNIFER M. AGULTO, LtCol, USAF, NC Commander, 49th Medical Operations Squadron __________________________________________ Date: _____________________

Quality Assurance Program Coordinator

PATTI J. REN, Civ, DAF Quality Assurance Program Coordinator, 49th Contracting Squadron

__________________________________________ Date: _____________________

Contracting Officer

SALLY D. ROBERTS, Civ, DAF Contracting Officer, 49th Contracting Squadron 14 Nov 2011 Table of Contents

Description Page

1.0 SCOPE OF WORK

1.1. Description Of Services

1.2. Transition

1.3. Specific Areas Of Responsibility

1.4. Emergency Paramedic Response And Patient Transport

1.5. Response To 911 Emergencies

1.6. Response To In-Flight Emergencies

2.0. SERVICES SUMMARY (SS)

3.0 GOVERNMENT- FURNISHED PROPERTY/SERVICES

3.1. General

3.2. Contractor Space And Equipment

3.3. Government Furnished Property (GFP)

3.4. Forms

3.5. Maps

3.6. Utilities

3.7. Communications

3.8. Specialized Training

4.0. GENERAL INFORMATION

4.1. Quality Control

4.2. Quality Assurance

4.3. Language Requirements

4.4. Contractor Personnel

4.5. Identification Of Contractor Personnel

4.6. Certification Requirements

4.7. License/Registration

4.8. Documentation

4.9. Required Training

4.10. Information Assurance Awareness Training And Education

4.11. Health Requirements

4.12. Environmental Protection & Safety

4.13. Records

4.14. Patient Information

4.15. Security Requirements

5.0. APPENDICES

5.1. Workload Estimate

5.2. Local Map

5.3. Government Furnished Property

5.4. Memorandum of Understanding, for Emergency Medical Services between the 49th Medical Group and 49th Civil Engineering Squadron, Fire Emergency Services Flight, dated December 2008

5.5. DD 2569, Third Party Collection Program

5.6. AFSC Form 1924, Daily Events Log

5.7. MDG Form O-78, 49th Medical Group Pre-Hospital Care Report

5.8. MDG Form O-16, Waiver of Ambulance Service and Government Liability

5.9. Health Services Inspection Guide, Area IG.2.5 Clinical Services, Element IG 2.5.1

5.10. Medical Group Instruction 44-12, Ambulance Operations, Patient Transfers, and Patient Notifications, entire document

5.11. Medical Group Instruction, 41-18, Ambulance Driver Training/Inventory/Inspection

5.12. Forms and Acronyms

1.0. SCOPE OF WORK. The Contractor shall, except as specified in this Performance Work Statement (PWS) as Government-furnished property or services, provide all personnel, supervision, and any items/services necessary to provide emergency patient response/transport services at Holloman AFB (HAFB), New Mexico which includes all associated housing areas and limited surrounding area as defined in this PWS. The Contractor shall perform the requirements in this PWS and conform to the professional standards outlined in the Health Services Inspection Guide (Appendix 5.9), and shall follow all applicable instructions and directives as identified by this PWS. NOTE: HAFB does not have an Emergency Room.

1.1. Description of Services. The Contractor shall provide personnel for each shift to perform emergency transport services. Shifts must consist of two (2) Emergency Medical Technicians (EMTs), one (1) of which must be an Emergency Medical Technician - Paramedic (EMT-P). HAFB shall provide a primary and secondary ambulance (the primary ambulance will be equipped to meet the Advanced Cardiac Life Support (ACLS) standards for patient transport services. The Contractor shall provide 24-hour coverage, 7 days a week, 365 days a year with no exceptions. The Contractor shall also provide ambulance response to emergencies as requested by dispatch. The response time is not to exceed seven (7) minutes with 90 percent compliance. Service shall include, but not be limited to:

1.1.1. The transfer and stabilization of patients from HAFB to the Government designated health care organization which is Gerald Champion Regional Medical Center (GCRMC), located 12 miles from HAFB, ensuring the patient receives the appropriate level of care at all times.

1.1.2. The return of any Government equipment used while transporting the patient immediately following the transport.

1.1.3. The restocking of used/expiring supplies. The Contractor will work through the Medical Group (MDG)-appointed person to order/obtain needed supplies through the Government medical supply system Defense Medical Logistics Standard Support (DMLSS). Used supplies will be replaced within 1 hour following the transport.

1.1.4. Contractor will be required to provide ambulance transport of patients using Government furnished vehicles to GCRMC (12 miles from HAFB).

1.1.5. The Contractor will use the Government gas pumps only. Each ambulance has its own electronic gas key that is used at the Government gas pumps.

1.1.6. The Contractor will conduct equipment/vehicle function checks at the beginning of each shift to ensure operability. The forms to be used for documentation of these checks are currently available in draft format at the 49 MDG.

1.2. Transition. The Contractor will undergo a transition period not to exceed 45 days from the first manned day. This transition period shall include time for training and orientation in which an Ambulance Response Element (ARE) team will work with the contractor. During this transition period, the Contractor will be required to have all personnel employed by this contract here for 5 duty days of 8 hour shifts to complete orientation. After orientation is completed, personnel employed by this contract will begin staggered shifts for the remainder of the transition period. Upon completion of the transition period, the Contractor will take over complete ambulance response duties.

1.3. Specific Areas Of Responsibility. The Contractor is responsible for specific areas:

1.3.1. Emergency EMT-P and EMT-Basic response and patient transport. (PWS 1.4)

1.3.2. Response to 911 Emergencies. (PWS 1.5)

1.3.3. In-Flight Emergency (IFE) response. The Contractor will contact the on-call Flight Surgeon for all situations listed in the Medical Group Instruction (MDGI) 44-12 (Appendix 5.10). (PWS 1.6)

1.3.4. Participation in HAFB and 49 MDG exercises, as directed by the 49 MDG. Exercises are viewed as training opportunities and will enhance teamwork.

1.3.4.1. HAFB and the 49 MDG have historically had approximately 6-9 exercises per year. These exercises can range from 1 hour to 1 week long and will require ambulance response/support during a portion of these times.

1.3.4.2. The Contractor will respond/support these exercises by providing appropriate simulated medical care based on the scenario input.

1.3.4.3. The Contractor shall cease exercise involvement in the event of a real world 911 call requiring a medical response.

1.3.5. Ensure completion of third party collection program forms (Department of Defense (DD) Form 2569) (Appendix 5.5).

1.3.5.1. The Contractor shall provide each patient involved in the response a DD 2569 for the patient(s) to fill out.

1.3.5.2. The Contractor shall collect the completed DD 2596 from the patient(s).

1.3.5.3. The Contractor shall turn completed DD 2569s in to the 49 MDG Resource Management Office no later than (NLT) the next Government duty day. The Government is responsible for appropriate billing.

1.3.6. Any other events requiring on-site ambulance support, if needed. These events include, but are not limited to: Change of Command ceremonies, on-base sports events, and other activities deemed appropriate by the 49 MDG.

1.4. Emergency Paramedic Response And Patient Transport.

1.4.1. The Contractor shall provide ambulance response to emergencies as requested by HAFB 911 dispatchers or by the HAFB Emergency Control Center (ECC) in accordance with (IAW) MDGI 44-12 (Appendix 5.10).

1.4.2. Patients will be transferred to GCRMC in Alamogordo. Historical data shows that HAFB transports approximately seventeen (17) patients to GCRMC per month. (Appendix 5.1)

1.5. Response To 911 Emergencies.

1.5.1. The Contractor shall travel to response sites in a Government-provided medical response vehicle per directions received primarily from the E-911 dispatcher, HAFB Fire/Rescue, or 49th Security Forces Squadron (49 SFS)/ECC.

1.5.2. If transport is needed to a location outside of Otero County, transportation will be arranged by the 49 MDG staff.

1.5.3. Off-base response is limited to 2 miles east of the base and 7 miles west of the base (Appendix 5.2) until the arrival of the county ambulance service. This includes White Sands National Monument, if requested by the Department of Public Safety or Alamogordo West Volunteer Fire Department. All other off-base responses require approval of the 49 MDG Commander (CC) or Chief, Medical Staff.

1.5.4. In the event the Contractor is unavailable to respond to a 911 call due to another call, HAFB Fire/Rescue will be first responders and American Medical Response (AMR) will be dispatched via 911.

1.5.5. The Contractor shall coordinate in-field care IAW the established Medical Director located at GCRMC.

1.5.6. The Contractor shall coordinate patient transport with GCRMC.

1.5.7. The Contractor shall transport patients to GCRMC from HAFB.

1.5.8. The Contractor shall ensure a paramedic remains with the patient(s) until a qualified member of the receiving hospital properly accepts the patient(s).

1.5.9. The Contractor shall provide on-scene ambulance coverage for special ceremonies/events during duty hours. Special ceremonies include, but are not limited to, the Air Force Anniversary Banquet and large formations of personnel for Commander’s Calls.

1.5.10. The Contractor shall furnish patient care reports (MDG Form O-78 (Appendix 5-7), MDG Form O-16 (Appendix 5-8), etc.) to the Contracting Officer's Representative (COR), as required. Requests for additional reports shall be furnished upon availability.

1.6. Response To In-Flight Emergencies.

1.6.1. The Contractor is responsible for serving as the primary medical response to all flight line emergencies and in-flight emergencies on HAFB, 24 hours a day, 7 days a week. During the normal duty day, the 49 MDG will provide back-up in-flight emergency coverage in the event that the Contractor is already engaged in another emergency call/transfer. On weekends and after hours, AMR will provide back-up ambulance response and AMR will be contacted by the Command Post or the Fire Department Dispatch Center (Appendix 5.10, para 2).

1.6.2. The Contractor will be notified of the need to respond by the base fire department or the 911 Emergency Medical Systems/ECC.

1.6.3. The Contractor shall maintain radio contact with the Fire Chief at all times while in-transit. HAFB will provide an ambulance that is equipped with a radio that has the Fire Chief frequency.

1.6.4. The Contractor shall contact the on-call Flight Surgeon to provide medical advice and guidance to the air traffic controllers for relay to endangered inbound aircraft.

1.6.5. The Contractor shall fall under the authority of the Fire Chief or On-Scene CC and obey all directions provided by the Fire Chief or On-Scene CC.

1.6.6. The Contractor shall provide full paramedic care and treatment to patients and provide supplies, services and equipment necessary to maintain the patient’s medical status.

1.6.7. The Contractor shall coordinate IFE care IAW the on-call Flight Surgeon.

1.6.8. The Contractor shall coordinate IFE patient transport with GCRMC as directed by the on-call Flight Surgeon.

1.6.8.1 In the event the IFE patient needs transport to an additional location as directed by the on-call Flight Surgeon, the Contractor shall coordinate the transfer with the on-call transport team.

1.6.9. The Contractor shall provide on-scene ambulance coverage for 49th Civil Engineer Squadron (CES) live pit fire training to include weekends and non-duty hours. Live fire pit training is a location on base where the Fire Department trains personnel, using mock buildings/aircraft that are set ablaze. This provides the Fire Department staff with training on actual fires.

1.6.10. The Contractor shall maintain a valid ID on file for all personnel assigned to HAFB.

2.0. SERVICES SUMMARY (SS)

Performance Objective

PWS

Para Performance Threshold

SS-1 Basic Service Provide 24-hour certified EMT-P and EMT-B personnel for patient stabilization and transport services.

compliance

SS-2 Ambulance Response

Provide response time to emergencies not to exceed seven (7) minutes during duty hours (0730–1630 Mon-Fri) and provide equivalent community standards for on-base response for non-duty hours, weekends and federal holidays.

compliance

SS-3 Documentation

Preparation of all required documents as listed in appendices to meet standards of the medical treatment facility (MTF) IAW MDGI 44-12 (Appendix 5.10) including, but not limited to timeliness, legibility, accuracy, content and signature.

compliance

SS-4 Certification Requirements/License

Maintain current BLS, ACLS, and National Registry of Emergency Medical Technicians (NREMT) Paramedic and EMT certification(s) on file for contract personnel.

compliance

SS-5 Health Requirements/Hepatitis

Ensure physical examinations and required immunizations are current and remain on file for contract personnel.

compliance

SS-6 Defense Medical Human Relations System – internet (DMHRSi)

DMHRSi timesheet shall be completed every 2 weeks in compliance with 49 MDG requirements.

compliance

3.0 GOVERNMENT- FURNISHED PROPERTY/SERVICES.

3.1. General. The Government shall provide the following equipment, supplies and services listed below:

3.2. Contractor Space And Equipment. During normal duty hours, the Contractor will be housed in the 49 MDG, building 15. The Contractor will utilize room 912 (116 square feet) that has two desks, two Government furnished computers and telephone availability. The Government shall provide the Contractor with a community communication room (250 square feet) and private sleeping quarters (100 square feet per room) located at Fire Station #1, after hours, weekends, and holidays. Accommodation specifics IAW 49 MDG Memorandum of Understanding (MOU) (Appendix 5.4) includes a community gym, kitchen, showers and recreation room facilities. The Fire Station facility is approximately 37,555 square feet in size. Note: The Government reserves the right to change room utilization if necessary.

3.2.1. The Contractor will abide by guidelines set forth in said MOU.

3.3. Government Furnished Property (GFP). The Contractor is responsible for GFP as listed in Appendix 5.3.

3.4. Forms. The MTF will provide any required Government forms (i.e. DD 2569) used in the performance of services. The MDGF O-78 will be used to document all responses and patient transports. The forms used by the Contractor will meet the State of New Mexico standards for ambulatory services.

3.5. Maps. The MTF shall provide base maps to the Contractor. The Contractor shall limit the copying and/or distribution of these maps due to security purposes.

3.6. Utilities. The Government will provide all potable water, sewer, electricity, heating, ventilation, and air conditioning requirements at the 49 MDG and the fire station.

3.7. Communications. Two "Class C" telephones are available for calling local telephone numbers from the 49 MDG and 3 "Class C" telephones are available for calling local telephone numbers from the fire station. Shared work space with access to Government computers will be provided at both the 49 MDG and the fire station. The Government shall provide Common Access Cards to allow use of Government computers.

3.8. Specialized Training. The 49 MDG will provide initial and quarterly refresher training in the use of the 100 percent oxygen system via Aviator's mask for treatment of Decompression Sickness (DCS). The 49 MDG will provide at least one (1) in-house training exercise annually on the use of this system.

4.0. GENERAL INFORMATION.

4.1. Quality Control. The Contractor shall develop and maintain a quality control program to ensure ambulatory services are performed IAW the requirements of this PWS. Quality control checks will be performed and documented at each shift change. The Contractor shall develop a Quality Control Plan (QCP) and implement procedures to identify, prevent, and eliminate recurrence of defective services. As a minimum, the Contractor shall develop quality control procedures addressing the areas identified in Section 2, Services Summary. The plan shall specifically address the Contractor’s strategy to provide quality service, continual process improvement and correction of deficiencies. The plan shall be submitted to the Contracting Officer for review and acceptance, no later than (NLT) the pre-performance conference.

4.2. Quality Assurance. The Government shall inspect and evaluate the Contractor’s performance to ensure services are received IAW requirements set forth in this PWS. The COR will periodically inspect by watching actual task performance, physically checking an attribute of the completed task, checking a management information report, investigating customer complaints, or otherwise inspecting the task or its result to determine whether or not the performance meets the standards contained in this PWS. The COR will document the results of the surveillance and this documentation will become the official Air Force (AF) record of the Contractor’s performance. The COR shall conduct, document, track, and analyze Contractor performance via monthly scheduled surveillances. The surveillance results shall be maintained as past performance information and utilized to submit information into the Contractor Performance Assessment Report System (CPARS). Surveillance results, along with the contractor’s submittals and DMHRSi, will be used to develop metrics to track contractor’s overall compliance with contract terms and conditions.

4.3. Language Requirements. Contractor personnel must be able to read, write, understand, and fluently speak English. All documentation will be completed in English.

4.4. Contractor Personnel. The Contractor shall provide a point of contact and any alternate(s) who shall act for the Contractor when not available. The Contractor’s point of contact shall be designated in writing to the Contracting Officer within 2 days of contract award. The Contractor shall provide telephone numbers and email address of the Contract Manager and alternate(s) as these individuals may be contacted at any time during the term of the contract. The Contract Manager and alternate(s) shall have full authority to act for the Contractor on all matters relating to operation of this contract at HAFB. The Contract Manager and alternate(s) shall be available to meet on the installation with Government personnel designated by the Contractor Officer to discuss any problem areas. A point of contact shall be available Mon-Fri 0600-1800.

4.5. Identification Of Contractor Personnel. Contractor personnel shall present a neat appearance and be easily recognized. This shall be accomplished by wearing clothing bearing the name or logo of the company or by wearing appropriate badges, which contains the company name as well as the employee’s name. The Contractor will determine if any specific uniform requirements must be worn at Contractor’s cost. The Contractor must present themselves in appropriate professional attire (i.e. EMT pants, polo shirt with Contractor logo if desired). If a uniform is worn by the Contractor personnel, it must be a wash and wear type of fabric and not dry-cleaned.

4.6. Certification Requirements. Contractor shall provide copies of all certification requirements (initially, annually, and upon any changes) to the Contracting Office and 49 MDG Credentialing Office. The following is needed:

4.6.1. Current Basic Life Support (BLS) certification is required of all paramedics and EMTs. ACLS is required for all paramedics.

4.6.2. For EMT-P, a valid current unrestricted State of New Mexico paramedic certification. For EMT-Bs, a valid current unrestricted State of New Mexico EMT-B certification.

4.6.3. Appropriate continuing medical education, driver education certification and training files for each paramedic and EMT.

4.6.4. Contractor personnel must have current certification with the Health Insurance

Portability Accountability Act involving handling of patient information.

4.7. License/Registration. Contractor personnel shall possess a valid unrestricted EMT or EMT-P license to provide paramedic services in New Mexico.

4.7.1. Contractor personnel shall posses a valid New Mexico driver’s license with an E endorsement.

4.8. Documentation. The Contractor shall prepare all documentation to meet or exceed established standards of the MTF to include, but not be limited to, timeliness, legibility, accuracy, content and signature.

4.8.1. The Contractor shall ensure complete patient identifying information is on all documentation to be provided to the MTF relating to the transport, including but not limited to third party billing information (DD 2569).

4.8.2. The Contractor shall be required to complete a MDGF O-78 on each response and forward to the COR by the next normal duty day. All records, files, documents, and related work papers provided by the Government remain Government property.

4.8.3. The Contractor shall complete and submit DMHRSi timesheets every two (2) weeks IAW established 49 MDG requirements.

4.9. Required Training. Training will be completed during normal work hours. Contractor is responsible to ensure required training is accomplished.

4.9.1. The Contractor shall be available to conduct or participate in training in conjunction with the Fire Department as required by HAFB. This will include flight line training and special training related to flight line response MDGI 41-18. (Appendix 5.11).

4.9.1.1. All training must be successfully completed. EMTs must have a Common Access Card (CAC) for issuance of a Government license, which is mandatory for driving the ambulance and accessing the base LAN to accomplish required reporting.

4.9.2. Newly assigned personnel will begin flight line training, provided by the Government, within 30 days of date of hire.

4.9.2.1 All newly assigned personnel should be complete with flight line training within 90 days of hire.

4.9.3. Certification of current Hazardous Material (HAZAMAT) First Responder Awareness Training is required for all ambulance response personnel.

4.9.4. Personnel must complete First Responder Awareness Level and DCS Training. The Contractor is subject to provide proof of training within five (5) duty days upon request.

4.9.5. The Contractor shall complete all MTF-specified orientation program(s), initial and annual training requirements, and comply with all MTF policies, procedures, productivity standards and instructions as provided by the MTF. Specific orientation programs include, but are not limited to, MDG newcomer’s orientation, flight line orientation and unit specific orientation.

4.9.6. The Contractor shall adhere to any new training requirements as they become known.

4.10. Information Assurance Awareness Training And Education.

4.10.1. The Contractor will complete initial Information Assurance training before gaining access to any Government Information System (network access).

4.10.2. The Contractor will also complete annual Information Assurance refresher training to ensure functional competency related to threats and system vulnerabilities, and protective measures taken to counter such disruptions.

4.10.3. The Government will arrange access to the training, which will be completed at the place of performance during the first two (2) weeks of the transition period and annually thereafter.

4.11. Health Requirements.

4.11.1. Contractor personnel providing services under this contract must receive a pre-employment physical examination, tuberculosis (TB) skin testing and immunizations prior to commencement of work, and annually thereafter. These exams, tests and immunizations will not be provided by the Government.

4.11.2. The Contractor shall submit proof of the completed TB test, immunizations and exams within 10 days of commencement of employment.

4.12. Environmental Protection & Safety. The Contractor shall be knowledgeable of, and comply with, all applicable federal, state, and local laws, regulations and requirements regarding environmental protection. In the event environmental laws or regulations change during the term of this contract, the Contractor is required to comply as such laws come into effect.

4.13. Records. The Contractor shall be responsible for maintaining and distributing all Government required records which are specifically cited in this PWS. The Government has rights to review any Contractor generated documentation that the Contractor maintains. The documentation will be provided to the Government within five (5) days upon request.

4.14. Patient Information.

4.14.1. Patient information, no matter how developed, shall be treated as privileged information.

4.14.2. Contractor personnel must comply with guidelines set forth in the Privacy Act of 1974 and the Health Insurance Portability Accountability Act.

4.14.3. Lists and/or names of patient(s) shall not be disclosed to or revealed in any manner for any use outside the MTF without prior written permission by the Chief of Medical Staff and the Contracting Office.

4.15. Security Requirements.

4.15.1. Illegal Aliens. The Contractor shall not hire an illegal alien to work or perform any service on HAFB. Employees who are not U.S. citizens must possess a current resident alien immigrant status (green card) or if a non-resident immigrant must possess a current Employment Authorization Document. While on HAFB, non-U.S. citizen employees must be able to produce for inspection, the appropriate credentials: either a green card or Employment Authorization Document. Any illegal alien found on the installation shall be immediately detained by the base security forces and barred from the installation.

4.15.2. Foreign National Visitor Approval. The contractor must obtain visitor approval for all employees requiring access to HAFB who are not U.S. citizens. The 49th Mission Support Group (MSG)/CC is the approval authority; the 49 MSG/CC may delegate approval authority to the 49 SFS/CC.

4.15.2.1. The contractor must submit visit approval requests for all foreign national employees through the Contracting Officer to the 49 MSG/CC or 49 SFS/CC (if delegated) using the HAFB Foreign Visit Request Form (available at the HAFB Welcome Center).

4.15.2.2. Once coordination through the Contracting Officer has been completed, the HAFB Foreign Visit Request Form shall be forwarded to 49 SFS/S5AV for coordination. 49 SFS/S5AV will submit the completed form to the 49 MSG/CC or 49 SFS/CC (if delegated) for approval. The Contracting Officer listed on the Foreign Visit Request Form will be contacted when a final decision has been made.

4.15.2.3. The Foreign Visit Request Form will be maintained by 49 SFS/S5AV and the Air Force Office of Special Investigation until the visit end date.

4.15.2.4. Employees who are not U.S. citizens will not be allowed to enter the installation until properly approved via the procedures outlined above.

4.15.3. Listing Of Employees. The Contractor shall maintain a current listing of employees that require access to HAFB. The list shall include the employee's name, Social Security Number and type of investigation if contract work involves unescorted entry to AF restricted areas or other sensitive areas designated by the Installation CC. The list shall be provided to the Contracting Officer, who in turn will supply to the 49 MDG security manager. An updated listing shall be provided when an employee's status or information changes: i.e., terminated for cause, reassignment, retirement, etc., or when a new employee is added.

4.15.4. Security Training. The Contractor ensures all employees receive initial and recurring security education training from the 49 MDG security manager. Training must be conducted IAW Department Of Defense (DOD) 5200.1-R, Information Security Program, and AFI 31-401, Information Security Program Management. Contractor personnel who work in AF controlled/restricted areas must be trained IAW AFI 31-101, Integrated Defense.

4.15.5. Pass And Identification Items. The Contractor shall ensure the pass and identification items required for contract performance are obtained for employees. Upon initial assignment to HAFB, all new contractor employees shall be identified on a HAFB Visit Access Request (VAR). The contractor shall submit a fully completed VAR through

49th Contracting Squadron (CONS)/LGCA to 49 Wing (WG)/IP NLT 7 duty/business days, and for foreign nationals, 14 duty/business days prior to requiring access to HAFB.

4.15.6. Retrieving Identification Media. The Contractor shall return all identification media and/or visitor passes from employees who depart for any reason before the contract expires; i.e., terminated for cause, reassignment, retirement, etc. The contractor will immediately notify the Government (Contracting Officer and Security Forces) (within 24 hours) when unable to retrieve identification media from contract employees.

4.15.7. Security Investigation Requirement. Each potential Contractor employee shall be submitted for a National Agency Check with Inquiries (NACI) background investigation prior to the start of performance. Potential employees will process, through the

49 MDG security manager, a Standard Form (SF) 85, Security Questionnaire for Positions of Trust upon notification of employment. The 49 MDG security manager will assist the employee in completing the SF 85 and will process all required security documentation pertaining to the investigation request. Upon completion of the SF 85 and required security documentation, the 49 WG/IP Personnel Security Office will schedule an appointment, through the 49 MDG security manager, to submit the investigation request. No employee shall be allowed to work on HAFB without a "favorable" decision from the Air Force Central Adjudication Facility or "favorable" employment suitability determination by the unit CC. The Contractor may temporarily assign a potential employee pending a “favorable” NACI adjudication or a “favorable” employment suitability determination by the unit CC if the potential employee has submitted all required information to the Government and there is no known disqualifying information.

4.15.8. Traffic Laws. The Contractor and its employees shall comply with base traffic regulations. Traffic regulations include, but are not limited to:

4.15.8.1. Employees shall wear a seatbelt when operating or riding in any vehicle (Government, Contractor, or private owned) while on the installation.

4.15.8.2. Speed limits on HAFB are 30 MPH unless otherwise posted. Be aware of reduced speed limits and exercise caution when driving in base housing and school zones.

4.15.8.3. All vehicle operators on the installation shall not use cell phones unless the vehicle is safely parked or unless they are using a hands-free device. The wearing of any other portable headphones, earphones or other listening devices (except for hand-free cellular phones) while operating a motor vehicle is prohibited.

4.15.9. Weapons, Firearms, And Ammunition. Employees are prohibited from possessing weapons, firearms, or ammunition on themselves or within Government, Contractor-owned or privately-owned vehicles while on HAFB.

4.15.10. For Official Use Only (FOUO). The contractor shall comply with DOD 5400.7-R, Chapter 4, DOD Freedom of Information Act (FOIA) Program, requirements. This regulation sets policy and procedures for the disclosure of records to the public and for marking, handling, transmitting, and safeguarding FOUO material.

4.15.11. Reporting Requirements. Contractor personnel shall report to an appropriate authority 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. Employees shall be briefed by their immediate supervisor upon initial on-base assignment.

4.15.12. Physical Security. The Contractor shall be responsible for safeguarding all Government property and controlled forms provided for Contractor use. At the end of each work period, all Government facilities, equipment, and materials shall be secured.

4.15.13. Controlled/Restricted Areas. The Contractor shall implement local base procedures for entry to AF controlled/restricted areas where Contractor personnel will work. An AF Form 2586, Unescorted Entry Authorization Certificate, must be completed and signed by the 49 MDG security manager before a restricted area badge will be issued. Employees must have a completed and favorable NACI investigation before receiving a restricted area badge. The Government will provide interim access IAW AFI 31-501, Personnel Security Program Management.

4.15.14. Key Control. The Contractor shall establish and implement methods of making sure all keys/combinations issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. The Contractor shall not duplicate any keys issued by the Government.

4.15.14.1. The Contractor shall immediately report to the COR or Contract Manager any occurrences of lost/duplicated keys, compromised lock combinations, or use by unauthorized persons.

4.15.14.2. In the event keys, other than master keys, are lost or duplicated, the Contractor may be required, upon written direction of the contracting officer, to re-key or replace the affected lock or locks without cost to the Government. The Government may, however, at its option, replace the affected lock or locks or perform re-keying and deduct the cost of such from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

4.15.14.3. The Contractor shall prohibit the use of keys or combinations, issued by the Government, by any person other than the contractor’s employees and the opening of locked areas by contractor employees to permit entrance of persons other than contractor employees engaged in performance of contract work requirements in those areas.

4.15.15. Unclassified Network Access (NIPRNet). When required for contract performance, the Government will provide access to AF owned, leased, or controlled unclassified information systems or networks. Contractor employees will be held strictly accountable for actions they initiate on the network and will conduct business IAW USAF, Air Combat Command (ACC), and HAFB instructions and policies. The 49 MDG will ensure contractor employees receive Information Assurance training prior to network access. Contractor employees must have a completed and favorable NACI investigation prior to access being granted. Interim access may be granted IAW AFI 31-501, Personnel Security Program Management.

5.0. APPENDICES.

5.1. Workload Estimate

5.2. Local Map

5.3. Government Furnished Property

5.4. Memorandum of Understanding, for Emergency Medical Services between the 49th Medical Group and 49th Civil Engineering Squadron, Fire Emergency Services Flight, dated December 2008.

5.5. DD 2569, Third Party Collection Program

5.6. AFSC Form 1924, Daily Events Log

5.7. MDG Form O-78, 49th Medical Group Pre-Hospital Care Report

5.8. MDG Form O-16, Waiver of Ambulance Service and Government Liability

5.9. Health Services Inspection Guide, Area IG.2.5 Clinical Services, Element IG 2.5.1

5.10. Medical Group Instruction 44-12, Ambulance Operations, Patient Transfers, and Patient Notifications, entire document

5.11. Medical Group Instruction, 41-18, Ambulance Driver Training/Inventory/Inspection

5.12. Forms and Acronyms

End PWS

14 Nov 2011 Attachment 1