AMENDED - Attachment 1 - Performance Work Statement.pdf

PERFORMANCE WORK STATEMENT

For

MEDICAL FACILITY

CUSTODIAL SERVICES

FA557021Q0001

501st Combat Support Wing RAF Alconbury and RAF Croughton

United Kingdom

28 January 2021

MEDICAL FACILITY CUSTODIAL PWS

TABLE OF CONTENTS

Contents

1. DESCRIPTION OF SERVICES

1.1. FACILITY CLEANING SERVICES

1.2. REGULATED HEALTHCARE WASTE DISPOSAL SERVICES

2. SERVICE SUMMARY (SS)

2.1 QUALITY CONTROL PLAN (QCP)

2.2. Quality Assurance

3. GOVERNMENT FURNISHED PROPERTY AND SERVICES

3.1. Government Furnished Property/Facilities

3.2. Equipment

3.3. Utilities

3.4. Telephone

3.5. Security and Fire Services

3.6 Refuse Collection

3.7. Insect and Rodent Control

3.8. Government Provided Training

3.9. Government Furnished Supplies

4. CONTRACTOR PROVIDED EQUIPMENT AND SUPPLIES

4.1 Contractor-Furnished Equipment/Vehicles

4.2. Contractor Furnished Supplies

5. GENERAL INFORMATION

5.1 Hours of Operation

5.2 HOLIDAYS

5.3. Base Closures

5.4. Mission Essential Services

5.5. CONTRACTOR PERSONNEL

5.6. CONTRACTOR PROVIDED CERTIFICATIONS AND TRAINING

5.7. Contractor Changeover and Continuity of Service

5.8. CONTRACTOR MANPOWER REPORTING

5.7. SECURITY REQUIREMENTS:

5.8. ENVIRONMENTAL CONTROLS:

6. APPENDICES

APPENDIX A: APPLICABLE PUBLICATIONS AND FORMS

APPENDIX B: TECHNICAL EXHIBITS

TECHNICAL EXHIBIT B1 – General Use/Administration Areas TECHNICAL EXHIBIT B2 -- Treatment Room/Examination Room/Restroom/Locker Room/Sterilization Room TECHNICAL EXHIBIT B3 - Periodicals

TECHNICAL EXHIBIT B4 - STOCK WORKLOAD ESTIMATE

1. DESCRIPTION OF SERVICES. The Contractor shall provide all management, tools, equipment, transportation and labor necessary to ensure that custodial services and healthcare waste disposal are performed at 501st Combat Support Wing’s Medical Facilities at RAF Alconbury and RAF Croughton, United Kingdom. The services to be performed in a manner that will maintain a satisfactory facility condition in a safe and sanitary environment and present a clean, neat and professional appearance. All work performed by the Contractor shall be performed in accordance with all applicable laws, regulations, Headquarters Air Force standards, instructions, and best commercial practices, and as set forth by United Kingdom law, regulation, and legislation. Supplies and equipment shall meet the required specification and comply with United States Public Health Service standards and or comparable compliance with United Kingdom standards to ensure that the services produce an acceptable quality of cleanliness.

Materials and cleaning techniques used when cleaning all floor surfaces shall be in accordance with the manufacturer’s recommendations or commercial/ industrial standards. In the event there are conflicting regulations or directives, the more stringent standard shall prevail.

1.1. FACILITY CLEANING SERVICES

1.1.1. General Use/Administration Areas. The Contractor shall clean and take care of the following items: flooring, walls, ceilings, air vents (ducts), stairs, furniture, shelves, window sills, chair rails, radiators, doors and door frames, boards, light fixtures, all interior glass surfaces to include stairwell and mezzanine safety barriers/walls. All General Use and Administration Areas are identified in Appendix B, Technical Exhibit B1.

1.1.1.1 Non-Carpeted Floors (Hard Floors: Vinyl Tile, Ceramic Tile, Wood, Concrete, Safety (non-slip) Floors, Sports Floors etc...) Hard floors shall be maintained free of grit, soil, dust, scuff and heel marks, stains, spills, debris, litter and other foreign matter by effective routine cleaning. Cleaning shall be accomplished by the most appropriate method for the specific floor type and in accordance with the manufacturer’s approved methods or other commercially accepted practices. After cleaning, floor surfaces to include grout or any other cavity where grit, soil, dust can build up, shall have a uniform, clean appearance without streaks, swirl marks, detergent residue, or any evidence of soil, stain, film, or standing liquid. Baseboards, corners, and wall/floor edges shall also be clean. Chairs, trash receptacles, and other easily moveable items (that require no more than two healthy people to move with reasonable effort) shall be moved to maintain floors underneath these items and returned to their original and proper position after cleaning. Area shall smell clean and fresh after service has been accomplished.

1.1.1.2 Carpeted Floors. Carpets shall be maintained free of soil, dirt, debris, litter and other foreign matter. Any spots and/or spills shall be removed by the carpet manufacturer’s approved methods or other commercially accepted practices as soon as noticed or as directed by the Contracting Officer’s Representative (COR). All tears, burns, and unraveling shall be brought to the attention of the COR. Area and throw rugs shall also receive this service. Chairs, trash receptacles, and other easily moveable items (that require no more than two healthy people to move with reasonable effort) shall be moved to maintain floors underneath these items and returned to their original and proper position after cleaning.

1.1.1.3 Stairways/Lifts. All floor surfaces shall be cleaned in accordance with paragraph 1.1.1.1 or 1.1.1.2, as appropriate. Stair guards, handrails, wall caps and baseboards shall be free from grease and grime. The Contractor shall remove all marks, dirt, smudges, scuffs, and other foreign matter from adjoining stairwell walls, to provide or maintain a clean, uniform appearance. The walls should be free of dust and debris from floor to ceiling. Window ledges in all stairwells should be free of dust and debris.

1.1.1.4 Clean Floor (Walk-Off) Mats. Clean interior and exterior floor mats. Mats shall be free of all visible lint, litter, debris, soil and other foreign matter. Soil and moisture underneath mats shall be removed and mats returned to their normal location.

1.1.2. Treatment Room/Examination Room/Restroom/Locker Room/Sterilization Room/Lactation Room Cleaning Services. All Treatment Room/Examination Room/Restroom/Locker Rooms are identified in Appendix B, Technical Exhibit B2. The government reserves the right to assign any room within the medical facility as a lactation room.

The lactation room will be considered a treatment room for the purposes of determining a cleaning schedule and services.

1.1.2.1 Clean and Disinfect. All surfaces of sinks, toilets, urinals, lavatories, showers, shower mats, dispensers, plumbing fixtures, partitions, dispensers, doors, walls, stalls, stall doors, entry doors (including handle, kick plates, ventilation grates, metal guards), walls, and other such surfaces shall be cleaned with germicidal detergent. Showers, toilets, and urinals shall be free of spots, water spots, scale buildup, soap scum, odors, mold, mildew and any other deposits.

Mirrors shall be clean and have no streaks or other removable matter. Partitions shall be smudge and stain free. All air vents shall be clean. Sinks, eye wash stations, countertops, and fixtures shall be free from water and scale deposits, soil, streaks, and other removable matter. Walls and grout shall be free of all film, spots, and detergent buildup. Area shall smell clean and fresh after service has been accomplished.

1.1.2.2. Floor Care. All floor surfaces shall be maintained in accordance with paragraph 1.1.1.1 by effective routine cleaning.

1.1.2.3. Stock Supplies. Contractor shall ensure Treatment Rooms, Restrooms, and Locker Rooms are stocked sufficiently with supplies including, but not limited to, toilet tissue, paper towels, foam soap, alcohol based hand sanitizer, hand conditioner, hygiene bags, plastic bags, medical waste bags, urinal deodorant cakes, and trash can liners. If supplies run out prior to the next service date, the Contractor shall refill within two (2) hours of notification. Overstocking shall not be allowed. Workload estimates for supplies can be found in Appendix B, Technical Exhibit B4.

1.1.2.4 Drinking Fountains. Contractor shall clean and disinfect all facility drinking fountains.

All porcelain and polished metal surfaces, including the orifices and drain, as well as exterior surfaces of fountains shall be cleaned and disinfected. Drinking fountains shall be free of streaks, stains, spots, smudges, scale, and other obvious soil.

1.1.2.5. Trash Removal. The Contractor is only responsible for provision or replacement of plastic trash bags for facilities detailed in Appendix B, Technical Ex. B2. The Contractor shall provide and replace any obviously soiled, worn or torn plastic trash can liners. Trash receptacles shall be left clean, free of foreign matter and free of odors.

1.1.3. Emergency/Spot Cleaning Services. Upon notification, the Contractor shall perform emergency cleaning as required. The COR will notify the Contractor as soon as an emergency cleaning requirement is known. Contractor shall begin emergency work, as determined by the COR, within thirty (30) minutes of notification, which may be verbal. This service includes spills, vomit and other bodily fluids. Performance of this work shall in no way relieve the Contractor of performing normal custodial work required under this contract. The Contractor shall be allowed a reasonable amount of time to complete all interrupted service.

1.1.4. Periodic Cleaning Services. The Contractor shall schedule all periodic services a minimum of two (2) weeks in advance with the COR. If it becomes necessary to reschedule a periodic cleaning service, the party needing to reschedule shall contract the other by email to arrange a new time as soon as the need to reschedule is known. The Government requires that some periodic cleanings be scheduled outside normal working hours. Sign-off sheets for each periodic service should be signed by the facility manager or COR at the time of performance.

Workload estimate for Periodic Cleaning can be found in Appendix B, Technical Exhibit B3.

1.1.4.1. Periodic Hard Floor Maintenance. Hard floors shall be cleaned, scrubbed, sealed, polished, waxed, and stripped as required for the appropriate surface to maintain, protect and ease normal routine floor cleanings. Chairs, trash receptacles, and similar items shall be moved in order to clean floors underneath and returned to their original location after cleaning is complete. After periodic maintenance, floor surfaces to include grout shall have a uniform, clean appearance without streaks, swirl marks, detergent residue, or any evidence of soil, stain, film, or standing water.

1.1.4.2. Periodic Carpet Restorative Cleaning. Carpets shall be deep cleaned outside of normal duty hours (unless otherwise directed by COR) in order to remove embedded soil from carpet fibers. Cleaning shall employ an effective method to address soil suspension, soil extraction and drying. Chairs, trash receptacles, and other items shall be moved (that require no more than two healthy people using reasonable effort) to clean carpets underneath and returned to their original location after the carpet has dried. After deep cleaning, the carpeted area shall show an improvement in visible appearance and shall have a clean, fresh smell. All cleaning solutions shall be removed from baseboards, furniture, trash receptacles, chairs, and other similar items.

1.1.4.3. Periodic Interior Window/Glass Cleaning. All windows and window seals, interior glass, and other interior glass, including glass in doors, partitions, walls, display cases, and directory boards shall be cleaned weekly to show no traces of film, dirt, smudges, water, or other foreign matter.

1.1.4.4. Periodic Exterior Window Cleaning. All exterior windows shall be cleaned semi-annually; after cleaning; glass shall be free of film, dirt, smudges, water, and other foreign matter.

1.1.5. Cleaning Frequency Schedule (CFS). The contractor shall establish a CFS to include all required tasks. The contractor shall provide the COR a copy of the CFS at contract start date, and whenever changes occur. Patient treatment areas may require after normal duty hours cleaning. Some sections such as the Pharmacy, Facility Management Office, Systems, Medical Records, and Dental Records may be cleaned during regular duty hours. Hours of Operation are identified in Paragraph 4.1.

1.1.6. Special Requirements for Handling/Cleaning of Facility Furniture and Equipment.

Contractor personnel shall not move, clean, or otherwise handle surgical instruments, dental instruments, cautery machine, and physiological monitoring equipment. Equipment that is plugged in for recharging is not to be unplugged, but may be cleaned while plugged in.

1.1.7. Infection Control Function (ICF) Requirements. Notwithstanding the cleaning requirements described above, the contractor shall perform cleaning and disinfecting when and as directed by the Contracting Officer or COR when an infectious outbreak or other condition warrants Infection Control Committee (ICC) control of the situation.

1.1.7.1. Terminal cleaning: Terminal cleaning is the thorough cleaning and disinfection of all near-patient surfaces, including floors and walls if applicable, either within the whole healthcare facility or within an individual department and/or location. This may be required in the following circumstances, but not limited to: following an outbreak or increased incidence of infection, following discharge, transfer or death of a patient who has had a known infection and/or following isolation of a patient involving any universal precaution (contact, droplet or airborne) of a patient. A terminal clean requirements will be advised following discussion and agreement between the Infection Control Committee (ICC) and the manager in charge of the facility. The terminal clean should not commence until the relevant room/area has been fully vacated and proper air exchanges have occurred after patient is dismissed. Terminal cleaning will be performed with using the EPA-registered disinfectant list provided by the COR.

1.2. REGULATED HEALTHCARE WASTE DISPOSAL SERVICES

1.2.1. MTF personnel shall place all healthcare waste into appropriate Government provided containers/bins. Contractor shall ensure that all sharps containers are properly labeled by medical staff prior to removal from the clinic. If the proper documentation is not available, notify the noncommissioned officer in charge of that section. Contractor shall immediately inform the Contracting Officer Representative (COR) located in the Facility Management Office of any situation that cannot be resolved satisfactorily.

1.2.2. The Contractor shall collect and remove healthcare in a transport cart separate from general refuse. Healthcare waste shall be delivered to a locked storage area designated in the room listing. Waste shall be stored in this area until destroyed, treated, or picked up by a licensed contractor. If the waste disposal contractor brings Government provided transport bins into the facility, those bins will be thoroughly cleaned and sanitized using an ICC-approved disinfectant prior to entering the facility. Contractor personnel must wear appropriate PPE during waste handling.

1.2.3. The contractor shall tag all bags and containers using a contractor provided plastic tag containing a unique tracking number. The tracking number shall be logged on a contractor developed, department log-sheet showing the date, time, producing department, the housekeeper’s initials, and the transport bin tag identifier. The log sheets shall be maintained for the life of the contract.

1.2.4. The contractor shall clean all healthcare waste bins/containers and holding areas after being emptied and at a minimum once daily. Cleaning of the healthcare waste storage area shall be accomplished using an ICC-approved disinfectant to ensure floors, walls and ceilings are clean. Cleaning of the area/room containing the healthcare waste treatment or destruction equipment shall also be accomplished on the same schedule. Waste holding areas shall be kept secure.

1.2.5. Healthcare waste shall be handled, treated, destroyed, packaged and labeled, and disposed of as specified in this PWS, USAFE 23-104. USAFE Command Dangerous Goods Program, The Final Governing Standards – UK (FGS-UK) and/or the Agreement Concerning the International Carriage of Dangerous Goods by Road (ADR), and applicable UK legislation. If there is a conflict between standards, the most stringent will be followed.

1.2.6. In accordance with (IAW) the FGS-UK, paragraph C8.3.8, all infectious healthcare waste shall be separated, stored and transported in bags or receptacles of 3 mils (75 microns). A test certificate for bags provided by the Contractor shall be provided to the COR prior to use.

1.2.7. Healthcare waste is to be disposed of off-site by the contractor. Contractor personnel shall package healthcare waste in containers that are rigid, leak-resistant, and impervious to moisture (containers to be supplied by the contractor). Containers shall be sealed to prevent leakage and handled in a manner that shall prevent bursting or tearing during transport. Sufficient absorbent material shall be placed in containers to further prevent leakage, as required. Sharps containers shall also be placed in similar containers. Liquid containers shall be placed in break-resistant and tightly sealed packages. All exterior containers used shall display the appropriate hazard symbol. All exterior containers shall be marked in accordance with UK and European guidelines.

1.2.8. The Contractor shall act as the packer and certifier IAW ADR, for all healthcare waste shipments. The contractors shall ensure safety obligations as consignor, consignee, carrier, loader, unloader, and driver are accomplished IAW Ch 1.4 ADR, and as implemented by the Statutory Instrument (SI) 1348/as amended by SI 1885. The MTF, either 423 MDS or 422 MDS, will be considered the “shipper.”

1.2.9. In the event the MTF Unit Dangerous Goods Advisor (UDGA) identifies non-compliance to safety obligations delegated to the contractor, the pickup of waste will be stopped at no cost to the government.

1.2.10. Healthcare Waste Incineration/Disposal Services

1.2.10.1. Waste will be collected at a minimum once weekly, and the day agreed upon by the COR. As such, there will be no requirement on the part of the Government or the contractor to submit an individual request for waste pickup, unless infectious waste is to be moved.

1.2.10.2. Contractor shall submit information required for the instruction in writing to the carrier by traceable means or electronically and ensure drivers moving HM/HW IAW Ch. 3.4 or Ch. 3.5 ADR receive a safety briefing based on the instructions in writing for this item. If the safety briefing was not provided by the carrier, ensure a copy of the safety briefing is filed with the movement documents. Waste Consignment notes will be signed by a properly trained and authorized contractor staff member. Original copies of the notes will be provided to the COR not later than close of business of the day received.

1.2.10.3. The waste disposal company will provide a “quarterly return to producer”, IAW Hazardous Waste Regulations listed in Appendix A, accompanied by detailed “burn reports” to the COR within 30 calendar days of the end of quarter.

2. SERVICE SUMMARY (SS). The following SS identifies the performance objectives and performance thresholds for critical tasks. The SS and the contractor’s Quality Control Plan (QCP) provide information on contract requirements and the expected level of contractor performance. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement.

Performance Objective PWS Para

Performance Threshold Remedy

SS-1

General Use/Administration Areas 1.1.1

No more than 2 defects per month per installation

Re-performance Within 2 hours of notification

SS-2

Treatment Room/Examination Room/ Restroom/Locker Room Cleaning Services

1.1.2.

No more than 1 defect per month per installation

Re-performance Within 2 hours of notification

SS-3

Emergency Spill/Spot Cleaning 1.1.3.

No more than 1 defect per month per installation

Re-performance Within 30 mins of notification

SS-4

Periodic Cleaning Services 1.1.4. No more than 1 defect per year per installation

Re-performance Mutually acceptable timeframe to the COR and customer.

SS-5

Healthcare Waste Disposal 1.2

No more than 1 defect per month per installation

Re-performance Within 2 hours of notification

SS-6

Quality Control Inspection procedures are followed and documented in accordance with Contractor’s QCP (incorporated into contract)

1.12.1.

No more than 1 defect per month per installation

Contractor shall provide a written Corrective Action Report.

2.1 QUALITY CONTROL PLAN (QCP). The Contractor shall submit a QCP as part of the proposal to this solicitation and maintain/update it thereafter. In all Government contracts, the Contractor is required to control the quality of service delivery and offer to the Government for acceptance only services that conform to contract requirements. The overall control of quality must meet the specified performance thresholds for each requirement in the Services Summary which can be reference in paragraph 2.

2.1.1. As part of the quality control plan the contractor shall maintain a documented inspection system covering the service requirements in the PWS. Documentation shall include specifics as to the areas to be inspected, frequency of inspections, and the title and organizational placement of the inspectors. The inspection items should include at a minimum all Services Summary items. A documented method of early detection and correction of assignable conditions adverse to the quality of service, to include analysis of corrective action records (including customer complaints) in order to determine causes of defects. This method shall include providing timely written explanation/documentation, to the COR, of the correction of deficiencies and correction of cause in response to government corrective action request on the Customer Complaint Form, Corrective Action Report (CAR) Form, or the Contract Discrepancy Report (CDR).

2.2. Quality Assurance. Work and documentation produced by the contract personnel will be regularly reviewed by the COR. Only the COR may accept or reject deliverables provided by the Contractor. The Government will perform inspections to validate the accuracy, timeliness, and truthfulness of the Contractor’s quality data. When the Contractor’s quality management system results in unsatisfactory performance, the Government will do a more detailed performance assessment. Each required service will be assessed against applicable performance objectives and thresholds using a combination of techniques including the use of customer complaints and on-site inspections.

2.2.1. Nonconforming Services. Should nonconforming service(s) be identified by the Government, the COR(s) will issue a defect. The Contractor shall be required to re-perform within the timeframes established in the SS Table above at no additional cost to the Government.

If reperformance does not take place, is not re-performed to the standard required per the PWS, or is not possible the CO may request an equitable price reduction.

3. GOVERNMENT FURNISHED PROPERTY AND SERVICES.

3.1. Government Furnished Property/Facilities. The Government shall furnish or make available the below facilities. Facilities have been inspected for compliance with the Occupational Safety and Health Act (OSHA). Compliance with the OSHA and other applicable laws and regulations for the protection of employees is exclusively the obligation of the Contractor, and the Government will assume no liability or responsibility for the Contractor's compliance or noncompliance with such requirements. The Contractor shall return the facilities to the Government in the same condition as received, fair wear and tear and approved modifications excepted. The facilities shall be used in performance of this contract only.

BLDG ROOM #(S) SIZE (Sq. Ft.) INTENDED USE

ALCONBURY

124 95 Storage Room 139 44 Housekeeping Closet 279 55 Housekeeping Closet

CROUGHTON

GF45 32.28 Storage Room FF36 38.20 Storage Room

3.1.1 Janitorial Closets. Where possible janitorial closets will be available for use by the Contractor, without cost, for the purpose of storing materials and equipment, excluding flammable materials. The Contractor shall be required to maintain odorless and clean closets.

Closets shall be free of clutter and debris. Cleaning supplies and tools shall be stored and organized in such a manner as to allow easy access and movement within the closet. The Contractor shall lock janitorial closets if locks are available. The Government will not be responsible for Contractor’s stored supplies or equipment kept in the building or janitor’s closets or for the Contractor’s employees’ personal belongings. All property of the Contractor should be clearly marked as property of the Contractor.

3.1.2. Facility Defects. If the contractor discovers facility defects during performance of the PWS, they shall be identified and reported, in writing, to the COR NLT the end of the Hours of Operation on the day of discovery. If the COR is not available, the report will be made to the Administrative Officer of the Day (AOD). Defects include, but not limited to, damaged surfaces/flooring material, damaged utility outlets, windows or doors in such condition that it cannot be secured.

3.2. Equipment. Two (2) Rubbermaid Janitorial Carts per installation are available for contractor use within the facilities.

3.3. Utilities. The Government will provide electricity, water, sewage, and heating and cooling.

The Contractor shall adhere to all base level utility conservation practices or requirements.

Contractor shall be responsible for operating under conditions that prevent waste of utilities.

3.4. Telephone. The Government will provide an on base telephone service For Official Use Only (FOUO).

3.5. Security and Fire Services. The Government will provide police and fire protection (dial 911 from any Base telephone).

3.6 Refuse Collection. Waste generated by the contractor in performance of the services within the Performance Work Statement shall be deposited in government dumpsters, excluding hazardous materials in which proper disposal instruction shall be complied with. The contractor shall make every attempt to recycle items IAW with local procedures.

3.7. Insect and Rodent Control. If evidence of rodent infestations is discovered, the contractor shall immediately notify the COR.

3.8. Government Provided Training. Contractor personnel may be required to undertake Government furnished training (routine training normally provided to all installation personnel) as listed below. Training required for a specific task above and beyond the normal training provided, will be at the contractor’s expense.

- Anti-Terrorism Training

- Operational Security (OPSEC) Training

- Security Awareness Training and Education (SATE)

- Medical Squadron Fire Evacuation Procedures.

- Annual Clinical Waste Management Program Training.

- Annual Infection Control Training.

3.9. Government Furnished Supplies. The Government will provide the Contractor Sanitary Disposal Units, Feminine Hygiene bags, and Medical Clinical Waste bags in support of paragraph 1.1.2.3.

4. CONTRACTOR PROVIDED EQUIPMENT AND SUPPLIES.

4.1 Contractor-Furnished Equipment/Vehicles. The Contractor shall provide and maintain all equipment and vehicles necessary to perform the requirements of this contract. The Contractor may perform cleaning, minor repair and other normal maintenance requirements of equipment on site. Maintenance and repair of Contractor vehicles or their privately owned vehicles shall not be accomplished on site. Contractor vehicles shall have the company name prominently displayed on both sides of the vehicle and be maintained to present a neat, professional appearance.

Contractor vehicles shall be used solely for the intended purpose of performing services in this performance work statement during normal hours of operation.

4.1.1 All equipment used in the performance of this contract shall be in good operable condition and conform to British Standards and have a CE Marking. Equipment found to be unsafe and unable to function as designed, shall not be used in performance of this contract. The CO or COR may inspect the Contractor’s equipment and vehicles at any time and direct the removal of any unsafe or unusable equipment or vehicle from the installation.

4.1.2 The Contractor shall provide adequate numbers of equipment items and vehicles to effectively fulfill the scope of this contract. In addition, the Contractor shall maintain or have backup capability to provide continued service in the event primary equipment or vehicles are down for extended maintenance or repairs. Equipment failure shall not alleviate the Contractor from performing any requirement contained in this contract.

4.2. Contractor Furnished Supplies. Supplies shall meet the required specification and comply with United States Public Health Service standards and or comparable compliance with United

Kingdom standards. Upon request, the contractor shall submit product literature on all equipment and supplies for review by the COR prior to use. Samples of Supplies may be requested for review.

5. GENERAL INFORMATION

5.1 Hours of Operation. The Contractor shall perform the required services during normal duty hours of 0800 - 1700, Monday through Friday unless otherwise stated in this PWS or coordinated with the COR.

5.2 HOLIDAYS: Services shall not be performed on U.S. Federal Holidays, USAFE Family Days, and/or Goal days that are awarded.

Annual U.S. Federal Holidays New Year’s Day 1 January Martin Luther King Day 3rd Mon. in Jan President’s Day 3rd Mon. in Feb Memorial Day Last Mon. in May Independence Day Jul 4th Labor Day 1st Mon. in Sept Columbus Day 2nd Mon. in Oct Veteran’s Day Nov 11th Thanksgiving 4th Thurs. in Nov Christmas Day Dec 25th Down Days / Goal Days TBD & Announced

5.2.1. When a holiday falls on a Saturday, the preceding day is also a holiday. When a holiday falls on a Sunday, the following day is also a holiday. . Work shall be performed on all British weekday holidays.

5.3. Base Closures. Work scheduled but not accomplished because of base closure due to weather, exercises, or actual alert, will be accomplished as soon as possible after reopening the base. A schedule of “catch up” work shall be provided to the COR before work commences.

Notification of elevated force protection levels will be provided to the Contractor’s management.

5.4. Mission Essential Services. Continuation of Essential Contractor Services. The entirety of this Performance Work Statement for Medical Facility Custodial Services is designated mission-essential and must be performed under all circumstances except for the following paragraphs EXCEPT for paragraphs: 1.1.4.1, 1.1.4.2, 1.1.4.3., and 1.1.4.4.

In accordance with DFARS 237.7602, the contractor shall be prepared to continue providing the services designated as Mission Essential Services, in accordance with the terms and conditions of their contracts, during periods of crisis to include adverse weather conditions. These services shall be provided according to their normal schedules in this PWS as required for the duration of the emergency unless otherwise instructed by the COR or the CO. Also in accordance with DFARS 237.7602(b) the contractor shall provide a written plan to be incorporated in the contract to ensure continuation of the services designated as Mission Essential Services.

5.5. CONTRACTOR PERSONNEL

5.5.1. Contractor Point of Contact (POC). Contractor shall identify a POC responsible for responding to requests for Emergency Clean and Non Performance issues as identified by the COR. The POC shall be accessible by cellular telephone and email. The Contractor shall report and provide in writing any changes/updates to the POC and/or POC information.

5.5.2. Personal Protective Equipment (PPE). Contractor personnel shall wear government provided PPE as directed, when exposure to bodily fluids or infectious diseases, is anticipated.

Such protective items shall remain the property of the Government and shall not be removed from the MTF. Items shall be used, turned in, or destroyed as directed by the COR.

5.5.3. Contractor Uniforms. All employees performing on US Government Installations shall wear contractor-provided standard uniforms or aprons that shall be clearly distinguishable from all US military uniforms. The uniforms shall be worn as designed by the manufacturer. Where required the contractor will furnish their employees with safety (steel toe) footwear. Uniforms shall be provided within five (5) days after date of employment.

5.5.4. Contractor Identification. All personnel shall display legible identification of the employee's and company's names on their uniforms. Badges are acceptable. All personnel shall also be required to wear (when on duty) any and all identification badges required and provided by the Government.

5.5.5. Personal Hygiene: Contractor personnel shall be free of body odor and wear a clean uniform/clothing each day. Fingernails shall be clean and free of dirt. Hair shall be clean and neatly combed. Jewelry must be kept to a minimum. No strong perfume or cologne may be worn.

5.5.6. Personnel Restrictions: The contractor shall not employ any person who is an employee of the United States Government (either civilian or military) if the employment of that person would create a conflict of interest unless such person seeks and receives approval in accordance with MTF directives and publications referenced in Appendix A.

5.5.7. Occupational Exposure. The Contractor shall be responsible for assuring all personnel who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall be vaccinated against Hepatitis B and have documented proof of immunity to Hepatitis B infection.

5.5.7.1 The MTF may take nose and throat cultures from contractor personnel when required by the Infection Control Officer (ICO) or medical staff.

5.5.7.2. In the event a contractor employee sustains a reportable occupational exposure to blood or other potentially infectious material, the Government will provide the necessary blood tests to determine whether or not they have contracted a disease as a result of that exposure. If the exposure is a high risk for Human Immunodeficiency Virus (HIV), the Government will provide the initial dose of prophylactic medication if the person desires to start such therapy. Any subsequent treatment will be the responsibility of the Contractor or the individual.

5.5.7.3. The MTF may designate that a contractor employee is medically unfit. When a contractor employee has been found medically unfit for working in the facility, he/she cannot return to work until the individual is re-examined and given permission to return by the appropriate MTF physician.

5.6. CONTRACTOR PROVIDED CERTIFICATIONS AND TRAINING.

5.6.1. Certifications. The contractor shall be responsible for obtaining any/all certifications, licenses, permits, and associated documentation to perform all services listed in the Performance Work Statement (PWS), before starting work.

5.6.2. Training. The contractor shall ensure any employee performing services contained within this PWS receive training to perform IAW any laws, regulations, manufacturer’s guidance and instructions. Records of all employees training shall be maintained by the Contractor and be made readily available to the COR and the Contracting Officer upon request.

5.7. Contractor Changeover and Continuity of Service. The government reserves the right to conduct site visits to all facilities in conjunction with the solicitation of offers for the follow-on contract. With regard to the successor contractor’s access to incumbent employees, a recruitment notice may be placed in each facility. Additionally, the follow-on contractor may observe performance beginning 30 days prior to the expiration date of the contract. This will be at no cost to the government.

5.8. CONTRACTOR MANPOWER REPORTING. The contractor shall report ALL contractor labor hours, including subcontractor 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. 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 NLT 31 October of each calendar year.

Contractors may direct questions to the CMRA help desk.

5.7. SECURITY REQUIREMENTS:

5.7.1. Identification and Base Entrance Requirements. The contractor shall obtain pass and identification items as required for all employees. The contractor shall comply with Department of Defense Manual (DoDM) 5220.22, Air Force Publishing Directive (AFPD) 31-6, and AFI 31- 601 as supplemented by Headquarters (HQ) United States Air Force in Europe (USAFE). A Long Term Visitor Groups (LTVG) Support Agreement shall be developed by the servicing security organization identifying the specific security requirements of the contractor and those of the installation commander providing oversight of contract security performance. Access to contracted locations shall be restricted to contractor personnel and personnel who are authorized by the CO.

http://www.ecmra.mil/

5.7.2. Physical Security Requirements. The contractor shall be responsible for safeguarding all government property. The contractor shall ensure that all employees receive government provided antiterrorism and force protection training at the beginning of employment and on an annual basis thereafter.

5.7.3. Key Control. The contractor shall establish and implement methods of ensuring that all keys issued to them by the Government are not lost or misplaced and are not used by unauthorized persons. The contractor shall prohibit the use of issued government keys by any person(s) other than the contractor's employees, unless they are hand receipted out to other base agencies, government employees, or sub-contractors that are authorized access into those areas.

The Contractor shall immediately report the occurrences of a lost or duplicated key to the COR.

No keys issued to the contractor shall be duplicated.

5.7.3.1. In the event keys are lost or duplicated, the Contractor may be required, upon written direction of the Contracting Officer, to rekey 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 rekeying and deduct the cost of such from the monthly payment due the Contractor.

In the event a master key is lost or duplicated, the Government shall replace all locks and keys for that system and the total cost deducted from the monthly payment due the Contractor.

5.8. ENVIRONMENTAL CONTROLS:

5.8.1. Hazardous Material Identification. The AF intent is to use environmentally safe non- Hazardous Waste products in performance of this contract. Safety Data Sheets (SDS) are required as specified in the latest version of Health and Safety Executive Control of Substances Hazardous to Health (COSHH) Regulations for all material designated by a government technical representative as potentially hazardous and requiring safety controls. SDSs must be submitted by the Contractor upon contract award to the COR. Failure to provide SDSs or the suitable substitute when requested could result in the Contractor being considered non-responsive and result in termination of the contract. If an SDS is not available a UK Safety Data Sheet/COSH Sheet is a suitable substitute.

5.8.2. HAZMART. Contractor shall comply with Air Force Regulations and U.K.

environmental laws to protect the health and safety of employees/residents and minimize or eliminate environmental pollution. The Contractor shall retain full responsibility for all hazardous materials used in conjunction with this contract. The government (HAZMART personnel) will inventory all chemicals that the Contractor brings on to RAF bases or any property under the control of RAF bases via COR through the SDS list. The inventory will be performed prior to commencement of work and will be maintained in EESOH-MIS, The Installation Chemical Material Tracking System by Base Environmental.

5.8.3 Spill Response. The Contractor will be briefed on spill response procedures at the pre-performance conference. The Contractor is responsible to report and promptly cleanup all spills in a manner consistent with current environmental regulations, in the event that it is necessary to utilize government material, equipment or personnel to clean up a Contractor caused spill, the Contractor shall be required to reimburse the government for all associated costs.

5.8.4. Hazardous Material/ Waste Management. The Contractor will be briefed on Hazardous Material / Waste Management Plan at the pre-performance conference. Criteria for identifying HazWaste are contained in the Final Governing Standards-UK, Section 6.2 - HazWaste.

5.8.5. Hazardous Material Handling. All transport, usage, storage and disposal will be in strict accordance with United Kingdom (UK) Health and Safety at Work Act of 1974, and the UK Environmental Protection Act of 1990. The Contractor shall have approval from the Base CES/CIE HMMP (Hazardous Material Management Program) prior to purchasing, handling, using, and storing any chemicals, solvents, lubricants, and other products that require SDSs. The Contractor shall provide one copy of the SDS/COSHs for each item to Base HMMP section for review prior to any chemicals being brought onto base facilities. The Contractor shall maintain one copy of the SDSs for each hazardous material line item used within the work center. The Contractor shall identify these materials and products and forward to COR for EESOH-MIS Process Report coordination; the Civil Engineer Squadron/CEV and COR have the right to disapprove the use of any hazardous material that shall pose an undue risk to personnel safety, health or cause damage to the environment. If an SDS is not available a UK Safety Data Sheet/COSH Sheet is a suitable substitute.

5.8.5.1. The Contractor shall not use products that are or contain Toxic 17 chemicals, Extremely Hazardous Substances (EHS), Ozone Depleting Substances (ODS), and/or Persistent Bio-accumulative and Toxic (PBT) chemicals. Any HAZMAT containing one of these banned substances will not be allowed on base. The Contractor shall not intentionally dispose of any HAZMAT or hazardous waste on the government installation by dumping, putting down drains or placing in trash receptacles. All cleaning compounds and hazardous substances shall have proper labeling. Upon completion of the contract, the Contractor shall provide the COR a list of HAZMAT that has been disposed of and/or that is leaving the base, for close out.

6. APPENDICES.

APPENDIX A: APPLICABLE PUBLICATIONS AND FORMS

The Government will make all publications, forms, references, and report formats listed available. Publications can be accessed on-line at http://www.e-publishing.af.mil/. Supplements or amendments to listed publication from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement those changes in publications, which result in a decrease, or no change in the contract price. Should a decrease in contract price result; the Contractor shall provide a proposal for a reduction in the contract price to the Contracting Officer. Prior to implementing any such revision, supplement, or amendment that will result in an increase in contract price, the Contractor shall submit to the CO a price proposal and obtain prior approval. Price proposals shall be submitted within 15 calendar days from the date the Contractor receives notice of the revision, supplement, or amendment giving rise to the increase in cost of performance. Failure of the Contractor to submit a price proposal within 15 calendar days from the date of receipt of any change, shall entitle the Government to performance in accordance with such change, at no increase in contract price.

PUBLICATION TITLE

AFI 33-201 Communications Security (COMSEC)

AFI 33-322 Records Management Program

AFI 32-2001 Fire and Emergency Service (F&ES) Program AFI 44-108 Infection Prevention and Control Program

AFMAN 91-301 Air Force Occupational Safety, Fire and Health Standards

AFMAN 41-209 Medical Logistics Support

AFI 91-202 The US Air Force Mishap Prevention Program

USAFEI 23-104 USAFE Command Dangerous Goods Program

The Joint Commission Handbook

Health Care Staffing Services Certification Handbook by the Joint Commission

SOP 48-120 423 MDS Blood borne Pathogen Exposure Control Plan

OTHER REGULATIONS/MANUALS/INSTRUCTIONS

Accord Européen relatif au Transport International des Marchandises dangereuses par Route (ADR) (European Agreement Concerning the International Carriage of Dangerous Goods by Road) 29 CFR Part 1910.1030 Blood borne Pathogens https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051 The Final Governing Standards – UK (FGS-UK) Guidance for US Forces Environmental Management, UK

29 CFR Part 1910.134 General Respiratory Protection Program http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_id=12716&p_table=standards 29 CFR Part 1910.1020 Access to Employee Exposure and Medical Records http://www.osha.gov/pls/oshaweb/owadisp.show_doument?p_table=STANDARDS&p_id=10027 The Joint Commission (TJC) Comprehensive Accreditation Manual for Hospitals (CAMH)

Association for Professionals in Infection Control and Epidemiology Inc. (APIC) Various Publications Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health Care Facilities http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5417a1.htm APIC Text of Infection Control and Epidemiology - Volume II, 101-1, Laundry, Patient Linens, Textiles and Unifor Not available on-line

Guidelines for Environmental Infection Control in Health-Care Facilities - Recommendations – Laundry and Bedding http://www.cdc.gov/MMWr/preview/mmwrhtml/rr5210a1.htm

APPENDIX B: TECHNICAL EXHIBITS

WORKLOAD ESTIMATES

Bldg. 623, RAF Alconbury, U Bldg. 56, RAF Croughton, UK Total Estimated Cleaned SF: 19,242 SF. Total Estimated Cleaned SF: 12,930 SF.

TECHNICAL EXHIBIT B1 – General Use/Administration Areas

RAF Alconbury Key: D = Daily, TW = Twice Weekly, BW = Bi-Weekly (Every Two Weeks)

Room type Room Number (s)

Frequency of Cleaning

Ablution Details

Carpet

SF

Hard Floor SF

Total Cleaned SF

Office

116, 117, 118, 120, 121, 123, 142A, 142B, 145, 146, 151, 152, 153, 155, 210, 211, 212, 213, 214, 215, 216, 229, 231, 232, 233, 236, 245, 247, 248, 249.

TW n/a 3,609 174 3,783

Office 218, 219, 221, 222, 223.

D n/a 913 0 913

Reception 108, 128, 208, 234. D n/a 928 0 928

Pharmacy 114 D Sink 1 n/a 351 351

Hallways

101, 113, 127, 168, 206, 230, 273, 274, 275, 276, 277, 278.

D n/a 424 3,404 3,828

Stairwells

STAIR 1,

STAIR 2,

STAIR 3.

BW n/a 55 1,045 1,100

Ground Floor to Second Floor

Supply Rooms

115, 122, 124, 139, 143, 144, 148, 154, 156, 170, 260, 264, 279, 281

TW n/a n/a 1,211 1,211

Break Room 258 TW Sink 1 n/a 166 166 Conference Room 223 D n/a 378 n/a 378

Waiting Area 102, 103, 204, 207, D n/a 725 1,008 1,733

Elevator 107 BW n/a n/a 35 35

Estimated Totals 7,032 7,394 13,826

RAF Croughton Key: D = Daily, TW = Twice Weekly

Room type Room Number (s)

Frequency of

Cleaning

(ex. Daily, bi-weekly, weekly, etc.)

Ablution Details (water closet, urinals, showers, sinks, etc.)

Carpet

SF

Hard Floor

SF

Total Cleaned

SF

Office

GF11,GF07,GF23,

GF24, GF25,

GF26, GF27,

GF28, GF29,

GF30, GF31,

GF32,

GF33, GF34,

GF35, FF04,

FF08, FF24,

FF25,FF26, FF27,

FF28,

FF29, FF30, FF31,

FF32, FF33, FF34,

TW Sink 3 3,605 837 4,442

FF38, FF50, FF51,

FF52, FF53

Reception GF05, FF03 D n/a 284 0 284

Pharmacy GF39 D Sink 1 0 248 248

Hallways GF51, FF54 D n/a 0 3.229 3,229

Waiting Areas GF04, FF02 D n/a 0 1.330 1,330

Stairwells 1,2,3 TW n/a 0 140 140

Elevator GF03 TW n/a 0 31 31

Estimated Totals 3,889 5,815 9,704

TECHNICAL EXHIBIT B2 -- Treatment Room/Examination Room/Restroom/Locker Room/Sterilization Room

RAF Alconbury Key: D = Daily, TW = Twice Weekly, BW = Bi-Weekly (Every Two Weeks)

Room type Room Number (s)

Frequenc y of Cleaning

Ablution Details

Carpet

SF

Hard Floor SF

Total Cleaned

SF

Treatment Room

134, 141, 239, 240, 241, 242, 243, 244, 265, 266, 267.

D Sinks 20 n/a 1,586 1,586

Examination Room

130, 131, 132, 137, 138, 157, 158, 159, 160, 161, 237.

D Sinks 11 n/a 1,348 1,348

Restroom

105, 106, 111, 112, 133, 135, 136, 205, 225, 226.

D

Sinks 12 Toilets 11 Urinals 1 n/a 680 680

Restroom

147, 150, 220, 252, 253, BW

Sinks 5 Toilets 5 Showers 2 n/a 407 407

255, 256.

Locker Room 251,

257. D n/a n/a 197 197

Sterilization Room 261, 262 D Sinks 5 n/a 300 300

X-Ray Room 237 D Sink 1 n/a 142 142 Immunization Room 157 D Sink 1 n/a 161 161

Laboratory Rooms

109, 110, 119, 238

D Sinks 4 n/a 895 895

Estimated Totals n/a 5,716 5,716

RAF Croughton Key: D = Daily, TW = Twice Weekly

Room type Room

Number (s)

Frequency of

Cleaning

(ex. Daily, bi-weekly, weekly, etc.)

Ablution Details (water closet, urinals, showers, sinks, etc.)

Carpet

SF

Hard Floor SF

Total Cleaned

SF

Treatment Room

GF15,

GF54,

GF55,

FF05,

FF06,

FF07,

FF13, FF14

D Sinks 8 0 1,262 1,262

Examination Room

GF08,

GF09,

GF10,

GF16,

GF17,

GF18

D Sinks 6 0 768 768

Restroom

GF13,

GF20,

GF21,

GF47,

GF48,

FF17,

FF19,

FF20,

D

Sinks 11 Toilets 12 Urinals 2 Showers 2

0 852 852

FF22,

FF23,

FF35, FF47

Locker Room FF18, FF21 TW n/a 0 212 212

X-Ray Room FF16 TW n/a 0 132 132

Estimated Totals n/a 3,226 3,226

TECHNICAL EXHIBIT B3 - Periodicals

Periodical Type Frequency of Cleaning

Total Amount RAF Alconbury

Total Amount RAF Croughton

Carpet Restorative Cleaning Twice Yearly 6,432 SF 3,889 SF

Hard floor Restorative clean Twice Yearly 13,110 SF 9,041 SF

Interior/Exterior Window Cleaning Twice Yearly 300 Windows 233 Windows

TECHNICAL EXHIBIT B4 - STOCK WORKLOAD ESTIMATE

MONTHLY USEAGE per facility Code DESCRIPTION…