Tab_15_-_Attachment_1_-_PWS_v_3.1_-_21_Dec_2016.pdf

PERFORMANCE WORK STATEMENT

FOR

MAGNETIC RESONANCE IMAGING (MRI) SERVICES

Table of Contents

Section Number and Title

Page Number

1.0 Description of Services 3

2.0 Performance Requirements Summary/Service Summary 3-4

3.0 Government Furnished Facilities and Services

5-7

4.0 Contractor-Furnished Property and Services 8-10

5.0 General Information 10-15

6.0 Definitions 15-16

7.0 Appendices 16-20

Appendix A, Work Load Estimates / Historical Data 17

Appendix B, Government Supplied Equipment/Materials 18

Appendix C, Security Information 19-20

1. Description of Services

1.1 General

1.1.1 The Contractor shall furnish a Mobile Magnetic Resonance Imaging (MRI) Unit with Technical Support Personnel required to provide outpatient and inpatient MRI studies for United States Government (hereinafter referred to as "Government") beneficiaries.

The Contractor shall provide care in Contractor supplied facilities at the 48th Medical Group, also referred to as the "Medical Treatment Facility" (MTF) herein. Contractor care includes furnishing all equipment, maintenance, property, supplies for operation of equipment (except as noted in Appendix B), all licenses necessary for the operation of the equipment, labor, transportation, reports, and technical assistance, except as provided in PWS Section 3. Contractor personnel performing MRI technical services under this contract (hereinafter referred to as "Contractor personnel") are expected to provide technical support to the 48 Medical Group Operation (MDG) Commander, Diagnostic Imaging Flight. The Contractor shall perform Magnetic Resonance Imaging procedures compatible with the Contractor's and medical facility's operating capacity and equipment. Studies shall be as comprehensive as Government requests and Contractor supplied facilities, equipment, and support services permit. Contractor care shall cover the range of MRI services typically provided in a civilian MTF or standalone facility of similar size. (See appendix A for procedure list and quantity estimates.) Performance shall be according to the requirements contained in this

Performance Work Statement (PWS.)

2. Performance Service Summary

Performance Objectives/Statements

PWS

Paragraph

Reference

Performance Thresholds/AQLs

a. Provide required 1.5

Tesla Magnet/Quadrature Coils, injector and personnel on a weekly basis.

Unit shall be ready to scan by 0800 hours.

4.1.1

5.1

a. AQL: No more than 3 incidents of canceling the scanning day or showing up late per year.

b. Contractor personnel must perform quality diagnostic procedures, that meet established standard of care as ordered and protocoled on the procedure request utilizing the most current version of the MRI protocols.

3.5 b. AQL: No more than, in frequency or severity, 1 non-major incident per year results from failure to maintain standards.

c. Ensure timely performance of exams.

4.1 c. AQL: 95% of the time.

d. Provide the MTF with a

CD of all studies IAW established PWS schedule.

4.1.2 d. AQL: 95% of studies turned in on time.

e. Documentation detailing the number of patients, the name of the patients, procedures, and sequences completed, number of images per patient, and materials consumed.

4.3.3 e. AQL: 98% of events logged upon occurring.

f. Administer intravenous paramagnetic contrast when required.

4.2.3 f. AQL: No more than 3 instances per year occur where intervention by a Government radiologist is necessary to administer the contrast.

g. All contract personnel must provide a copy of

CPR, IV access, and HCPC certifications as per PWS.

4.2.4

4.2.5 g. 100% compliance – Must be within the maximum time-allowance in the PWS.

h. The contract personnel must comply with all MTF infection control, safety procedures, practices, and standards.

3.5 h. AQL: No more than, in frequency or severity, 1 non-major incident per year results from failure to maintain standards.

i. Minimum 1 Driver and 2 technicians (one (1) senior and one (1) junior) tech with passes present IAW PWS.

4.2 i. 100% compliance

3. Government Furnished Facilities, Services, Equipment, Records, Technical Orders, Publications

3.1 General - Except as noted below, the Contractor shall provide everything to perform the services in this Performance Work Statement. The Contractor shall be responsible for safeguarding all Government equipment and facilities provided for Contractor use, and shall use them for performance of this contract only.

3.1.1 The MTF shall provide a pad for parking the MRI coach. It measures 98 feet and 3 inches in length by 36 feet and 3 inches in width.

3.1.2 The MTF shall provide a UK commercial line connection within 5 feet of the coach pad.

The Contractor shall, at no additional cost to the Government, use telephone equipment compatible with the coupling equipment available at the coach pad. If the Contractor is unable to use the telephonic connection, the Contractor shall provide a mobile phone.

3.1.3 The MTF shall be responsible for supplying a 3 phase, 450V, 125-amp electrical supply at the coach pad for powering the mobile MRI unit.

3.1.4 Contractor personnel will be authorized to use all common areas of the MTF available to active duty and civil service personnel. Contractor must coordinate with MRI clinic for use of the conference rooms. Contractor personnel will not be allowed access to restricted areas of the MTF.

3.2 Government Furnished Equipment

3.2.1 A SHARPS container for used needles, an emergency drug kit, and a kit containing various medical supplies. Refer to Appendix B.

3.2.2 All equipment will be inventoried upon check out and retured by the completion of each scan day.

3.3 Government Furnished Supplies/Materials

3.3.1 The Government will provide medical and non-medical supplies commonly used in the facility for the care and management of patients. This does not include repair parts or supplies used only for MRI equipment or studies. Refer to Appendix B.

3.4 Government Furnished Services

3.4.1 The MTF shall provide a radiologist to interpret Contractor generated studies per protocol and provide direction and limited oversight of Contractor personnel to accomplish required studies.

3.4.2 MTF personnel will arrange patient scheduling. Complete administrative control of the patient shall remain with the Chief of Radiology.

3.4.3 The Government will provide training on Government provided and/or required forms

IAW MRI Protocol listed in Table 3.5.3.

3.4.4 Government Furnished Records

3.4.4.1 All studies, films, records, files, documents, and work papers provided by the

Government remain Government property. The Contracting Officer Representative (COR) will provide guidance for the Contractor's personnel who shall maintain and dispose of these records, files, documents, and work papers. The COR will ensure the

MTF provides storage of all administrative materials and MRI exams.

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

Therefore, patient lists are subject to the Privacy Act of 1974, the Freedom of Information Act, and the Health Insurance Portability and Accountability Act. Policy is delineated in Department of Defense (DoD) Directive 6025.18-R, Health Information Privacy Regulation, Air Force Policy Directive (AFPD) 33-3, Information Management, Air Force Instruction (AFI) 33-332, Air Force Privacy Act Program, Air Force Manual (AFMAN) 33-363, Management of Records, and AFI 41-210, Patient Administration Functions. These acts, regulations, and instructions establish procedures designed to protect personal information from unauthorized use or release and prescribe use and disclosure of Protected Health Information. Maintain and dispose of records created as a result of prescribed processes in accordance with AFMAN 37-139, Records Disposition Schedule.

3.4.4.3 Contractor personnel shall only release medical information obtained during the course of this contract to MTF staff involved in the care and treatment of that individual patient.

3.5 Government Furnished Technical Orders, Publications, and Forms

3.5.1 General

The Government will provide the Contractor with the applicable Government Publications and forms used in the performance of services. Publications and forms applicable to the PWS are listed the Table is Section 3.5.3. The publications and forms have been coded as mandatory or advisory. The Contractor is obligated to follow those publications and use those forms coded as mandatory to the extent specified in other sections of this PWS. The Contractor shall be guided by those publications or use those forms coded advisory to the extent necessary to accomplish requirements in this PWS.

The Government will provide additional publications to the Contractor when relevant changes occur. Supplements or amendments to listed publications from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement the relevant changes upon notification from the Contracting Officer.

3.5.2 Department of Defense (DOD) Regulations/Manuals/Instructions/Directives

Note: knowledge of most regulatory instructions are the province of the Chief of Radiology. The Chief shall provide copies of relevant DOD, AF, and Medical Group

Instructions that directly relate to Contractor performance under this agreement, and can be found in Table 3.5.3 in the following section. Local publications are available upon request. Other publications can be found at: http://www.e-publishing.af.mil/

3.5.3 Table: Regulations/Manuals/Instructions/Directives

Publication Title Pub. Date Mandatory /Advisory

AFI 33-332 Air Force Privacy and Civil Liberties Program

Jan 15 M

AFMAN 33-

Management of Records Mar 08 M

AFI 41-209 Medical Logistics Support Oct 14 M

AFI 41-210 Patient Administration Functions (Sections on patient records, confidentiality, and release of information)

Jun 12 M

AFI 44-102 Medical Care Management (Chapter 7, Radiology and Radiologic Services; pages 59- 61)

Mar 15 M

AFI 44-108 Infection Prevention and Control Program

Dec 14 M

AFI 48-110 Immunizations and Chemoprophylaxis

Oct 13 M

MDGI 44-

Infection Prevention and Control Program

Sep 16 M

MDGI 44-

Diagnostic Imaging Services Apr 13 M

MDGI 44-

Plan For The Provision of Patient Care

Oct 16 M

AFPD 33-3 Information Management Sep 11 M

Local Pub. RAF Lakenheath MRI Protocol Nov 15 M

3.6 Other References: Comprehensive Accreditation Manual (CAMs) for Hospitals, current edition.

3.6.1 The forms listed below contain instructions, which Contractor personnel should be able to complete the form by following the instructions and/or prescribing regulations.

Proper disposition of the completed forms are the responsibility of the MTF medical technicians and medical administrative specialists.

3.6.1.1 SF 519A/B, Radiological Consultation Request/Report or CHCS equivalent.

3.6.1.2 Procedure-specific patient clinical-history questionnaires (cervical, ankle, knee, etc…)

4. Contractor-Furnished Property, Services, and Personnel

4.1 Services/Deliverables

4.1.1 MRI Unit - The Contractor shall provide a self-contained mobile 1.5 Tesla MRI unit to perform various MRI exams, with the latest software available, fitted with head, extremity (knee and ankle), flex extremity (small, medium, and large), phased array spine, c-spine, shoulder, and abdomen quadrature coils, auto injector and optical disc storage for permanent archiving of patient information. The unit will be used to perform the MRI services required by this MTF once per week, twice every other week, for 52 weeks. Unit shall be ready for use no later than 0800 on scan days. Scan days will routinely be Monday, Tuesday, or Wednesday. This schedule will be periodically evaluated by the Chief of Radiology and reported through the hospital’s

Executive Committee of the medical staff.

4.1.2 Imaging Export - The Contractor shall provide the MTF Diagnostic Imaging

Department digital copies of all studies accomplished in the performance of this contract on CD in DICOM imaging format. CDs will be turned in no fewer than two times per day. Scans completed between 0800L and 1400L will be turned in at 1400L.

Scans completed between 1401L and the end of the scan-day, will be turned in at the end of the scan day. For patients with multiple studies, each study shall be submitted on separate disks for proper import to the MTF’s digital imaging server. The images will be made available to the Contractor if required for future examinations of the same patient(s).

4.1.3 Equipment Maintenance Certification – The Contractor shall ensure maintenance on an

MRI unit/trailer under this contract is conducted per all manufacturer's recommendations. Documentation of completion must be provided within five (5) business days of initial request.

4.2 Contractor Personnel

4.2.1 Driver – Contractor personnel identified to drive the mobile MRI Unit must have the requisite licensing and training for the vehicle used in performance of the contract.

4.2.2 Junior Technologist – Will have the certifications/registrations in PWS Section 4.2.4

4.2.3 Senior Technologist – Senior Technologist will have the same certifications as the Junior Technologist, but will have additional contractual responsibilities. The Contractor shall appoint a Senior Technologist who shall be responsible for the performance of the work and consistently oversee the operation. The Senior Technologist shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The Senior Technologist shall have authority to make decisions during visits to the MTF. The Contractor shall designate these individuals, in writing, to the Contracting Officer before the contract start date. An alternate may be designated, but the Contractor shall identify those times when the alternate will be the primary point of contact.

4.2.4 Intravenous Injection Certified Technologist - The Contractor must provide, at minimum, one (1) intravenous injections (IV) certified technologist each scan day.

4.2.5 Certifications - The Contractor shall ensure that all personnel performing services under the requirements of this contract, particularly in operation of the MRI unit, are qualified and adequately trained. They shall hold and maintain certification/registration by:

- The Health and Care Professions Council (HCPC) as Diagnostic Radiographer

- Accredited Red Cross CPR Certification. (or demonstrable equivalent)

- Intravenous Injection Certification

4.2.6 The Contractor shall provide a copy of each individual’s certification to the

Contracting Office. New personnel that will be performing services after contract award shall submit their certifications to the Contracting Office no later than three

(3) business-days prior to performing services.

4.2.7 The Government will not be responsible for any damage or loss occurring to the

MRI mobile unit or any other Contractor equipment/supplies or Contractor personnel's personal items brought on to the Government installation while performing under this contract.

4.2.8 Contractor's personnel shall be able to read, understand, fluently speak, and legibly write English.

4.2.9 The Contractor shall have the responsibility and prerogative of selection, assignment, transfer, supervision, management, and control of Contractor personnel in performance of this PWS. However, the Contractor shall not employ persons for work on this contract if such persons are identified to the Contractor by the Contracting Officer as a potential threat to the health, safety, security, general well-being or operational mission of the installation and its population.

4.2.10 The Contractor shall not employ any person who is an employee of the Government if the employment of that person would create a conflict of interest nor shall the Contractor employ any person who is an employee of the Department of the Air

Force, either military or civilian, unless such person seeks and receives approval in accordance with DODD 5500-7. In addition, the Contractor shall not employ any person who is an employee of the Department of the Air Force if such employment would be contrary to the policies contained in AFI 64-106.

4.2.11 The MTF will provide emergency health care for Contractor representatives performing under this contract, for injuries occurring while on duty at the MTF. The Contractor will be responsible to reimburse the Government for emergency services provided.

4.2.12 Contractor personnel shall present a neat professional business appearance and be easily recognized as Contractor employees. The MTF will provide each Contractor employee with an identification badge that shall include the employee’s name, employee’s photograph, and Contractor’s name. Identification shall be available prior to performing under this contract and shall be worn or attached to the outer garment at all times. Contractor personnel shall also obtain and wear an MTF identification badge.

4.2.13 The Contractor's personnel shall ensure their areas are tidy and any decorations present a professional, modest appearance. No food or drink will be allowed in the patient care area.

4.3 Other Items Related to Services

4.3.1 Patient Escort - The Contractor's personnel shall be responsible for escorting outpatients from the waiting room within the MTF, to the MRI, prior to the start of the scan. When the scan is completed, the patient may leave without reporting back into the MTF. In-patients shall be transported to the MRI unit by the MTF staff.

4.3.2 Re-performance - If the MRI is unsatisfactory due to the Contractor’s ineffective performance, as determined by the MTF Radiologists, the MRI shall be re-accomplished at no additional cost to the Government. PWS 5.2.3 Quality Assurance addresses this in more detail.

4.3.3 Documentation - All documentation prepared by contract personnel shall meet the following criteria to include: timeliness, legibility, accuracy, content, and signature.

4.3.3.1 Event Log – The Contractor shall prepare a log sheet detailing the number of patients, the name of the patients, procedures, sequences completed, and number of scans per patient.

4.4 Contractor Personnel Training and Evaluations

4.4.1 The Contractor shall ensure that all personnel performing services under the requirements of this contract, particularly in operation of the MRI unit, are qualified and adequately trained. The Contractor's Senior Technologist shall have experience in providing MRI services as well as being able to make supervisory decisions on site.

4.4.2 Contractor's personnel shall not have any work or health restrictions which interfere with the performance of MRI services.

5. General Information

5.1 Hours of Operation

5.1.1 Scheduled services shall be provided on site between 0800L and 2000L hours each scan day. Contractor personnel shall be provided a 30 minute lunch break each scan day. Contractor shall ensure adequate staffing to allow for any applicable breaks, while still providing uninterrupted performance between 0800L and 2000L.

Scan days will routinely be Monday, Tuesday or Wednesday, unless a U.S. Holiday

(defined in PWS 5.1.1.1.) When a holiday occurs on a scan day, the scan day shall be made up on the next available business day not already allotted for scanning.

This schedule will be periodically evaluated by the Chief of Radiology and reported through the hospital’s Executive Committee of the medical staff.

5.1.1.1 U.S. Federal Holidays - Any additional holidays declared by the U.S Government shall likewise be considered an official holiday for purposes of this section. When a holiday falls on a Sunday, the following day is also a holiday, when a U.S. holiday falls on a

Saturday, the preceding day is also a holiday.

Table: U.S. Federal Holidays

New Year’s Day January 1st

Martin Luther King’s Birthday 3rd Monday in January

President’s Day 3rd Monday in February

Memorial Day Last Monday in May

Independence Day July 4th

Labor Day 1st Monday in September

Columbus Day 2nd Monday in October

Veterans Day November 11th

Thanksgiving Day 4th Thursday in November

Christmas Day December 25th

5.1.2 When studies are interrupted by electronic, mechanical, weather or other difficulties with the Contractor's equipment and/or personnel and the repair can be made on the same day, the Contractor shall stay late to finish scanning all patients on the appointment-schedule. If the repair cannot be made that day, the Contractor shall re-schedule the make-up day to occur on a regular non-holiday, within 5 business days, to finish scanning the patients on the same appointment-schedule of the day of equipment breakdown. If this cannot be done, thus requiring patients to be rescheduled onto a subsequent scheduled visit, the Government will not be liable for payment of the unused portion of the day of the breakdown.

5.2 Performance Management

5.2.1 Government Quality Assurance - The Government will rely on the Contractor’s quality control program to assess performance whenever possible. However, the

Government reserves the right to perform additional inspections as necessary, utilizing the Government’s Quality Assurance Surveillance Plan (QASP) and the inspection/acceptance provisions in the clause FAR 52.212-4 Contract Terms and Conditions – Commercial Items.

5.2.2 Quality Control Plan (QCP)- the Contractor shall develop, submit for Contracting

Officer’s acceptance, maintain and enforce a QCP to ensure compliance with the requirements of this performance-based contract; applicable maintenance standards established by commercial/industrial standard practices, manufacturers recommendations and local laws/requirements. The QCP shall assure services provided are consistent with reasonable standards of medical care. The Contracting Officer shall notify the Contractor of the acceptance or rejection of the plan prior to the contract start date. The Contractor shall make necessary changes to their QCP prior to contract start date.

5.2.2.1 The Contractor QCP shall include: a listing of employees who visit RAF Lakenheath and documentation to verify each individual is trained to perform MRI procedures, Basic Life Support and IV certification.

5.2.3 Quality Assurance - The Government will appoint CORs to assess Contractor’s performance to ensure services are received. The COR shall assess the Contractor’s performance through intermittent on-site inspections of the Contractor’s quality control system. The Government may inspect each task as completed or increase the number of quality assurance inspections if deemed appropriate. Repeated failures discovered during quality assurance inspections or repeated customer complaints will cause an increase in inspections. Likewise, the Government may decrease the number of quality control inspections if performance dictates. The Government will also receive and investigate complaints from customers.

5.2.3.1 Remedies for Non-Conformance - If inspections indicate unacceptable performance, the COR will notify the Contractor’s POC of the deficiencies for correction. If deficiencies are not corrected, the COR should notify the Contracting Officer for action. If the Contractor disagrees with the noted discrepancy and an agreement cannot be reached, the Contractor shall immediately notify the Contracting Officer for a final decision.

5.2.3.2 Performance Assessment Report (PAR) - PARs will be used to report ALL minor discrepancies and will be generated by the COR and sent to the contractor for corrective action.

5.2.3.3 Customer Complaint Form - The MTF must retain supporting evidence of complaint or feedback. After the COR validates feedback or complaint that demonstrates Contractor noncompliance, the COR provides a Performance Assessment Report

(PAR) or Corrective Action Report (CAR) to the CO. Upon receipt of a PAR or CAR, the CO will coordinate with the Contractor to address the apparent noncompliance.

5.2.3.4 Contract Performance Assessment Reporting System (CPARS) - CPARS will be initiated annually, documenting contractor performance for this specific contract.

More frequent updates may be made as required to document a significant improvement or degradation of the level of contract performance. CPARS is a web-based system and can be found at:

https://cpars.cpars.gov/cpars/app/home_input.action.

https://cpars.cpars.gov/cpars/app/home_input.action

5.2.4 Performance Evaluation Meetings - The Senior Technologist and the Contract Manager may be required to meet with the Contracting Officer, Contract

Administrator, COR, and other Government personnel at least quarterly, unless deemed necessary to hold the meeting more frequently. The Contractor may request a meeting with the Contracting Officer when the Contractor believes such a meeting is necessary. If the Contracting Officer or Contract Administrator deems necessary, written minutes of any such meetings shall be recorded in the contract file and signed by the Senior Technologist and the Contracting Officer or Contract Administrator. If the Contractor does not concur with any portion of the minutes, such non-concurrence shall be provided in writing to the Contracting Officer within ten (10) calendar days following receipt of the minutes.

5.3 Government-Furnished Training, Authorizations, and Additional Guidance and

Requirements

5.3.1 Bioenvironmental Engineering (BE)/Hazmat Requirements

5.3.1.1 Environmental, Health, and Safety - The Contractor shall ensure all employees receive the necessary environmental, health, and safety training to ensure compliance with all Occupational Safety and Health Acts (OSHA), federal and local laws. The contractor shall protect the health and safety of employees and the community, minimizing the risk of environmental pollution. The Contractor will be responsible for the cost and completion of this training of employees.

5.3.2 Pollution Prevention - "Pollution Prevention" and "Source Reduction" are defined in the Pollution Prevention Act of 1990, 42 U.S.C. §§ 13101-13109. Contractor's obligation under this section is limited to identifying pollution prevention opportunities and shall not be construed to require the Contractor to conduct activities not otherwise required by the program.

5.3.3 The Contractor shall comply with energy saving conservation practices as deemed necessary by the facility manager.

5.3.4 Ionizing and Non-Ionizing Radiation

5.3.4.1 Contractors must obtain authorization from BE prior to bringing on site ionizing or non-ionizing sources/equipment onto the installation. Contractors must provide list of items and description of how they will be used to Bioenvironmental Engineering at 01638528047 or 48amds.sgpb@us.af.mil at least 10 days prior to the date required to bring them on base.

5.3.4.2 Non-Ionizing Radiation: Electromagnetic Frequency (EMF) Radiation and LASERS:

Contact BE/Installation Laser Safety Officer (48amds.sgpb@us.af.mil) at least 10 days prior to bringing on site. (Example: LASER Classes: 1M, 2M, 3R, 3B, or 4;

Transmitting antennas, radars etc.) Reference: AFI 48-139, LASER and Optical Radiation Protection Program) mailto:48amds.sgpb@us.af.mil

5.3.4.3 Ionizing sources: Contact BE (48amds.sgpb@us.af.mil) at least 10 days prior to bringing on site ionizing sources/equipment. For regulated sources, provide copies of permits or sealed source certifications. (Example: Troxler density gauges, sealed sources in various gauges/devices). Reference: AFI 48 -148, Ionizing Radiation Protection.

5.3.5 Hazardous Materials/Chemical Management: Hazardous Materials/Chemical Management: All hazardous material use requires prior authorization before bringing the hazardous material on base. "Hazardous material" includes many materials for which there is a manufacturer SDS, such as cleaning supplies, paints, solvents, sealants, lead acid batteries, fuels, herbicides, etc.

5.3.5.1 The Contractor shall submit an inventory list of ALL chemical products to be used, along with copies of the Safety Data Sheet (SDS) for each chemical product, for review before bringing any potentially hazardous material onto RAF Lakenheath, RAF Feltwell or RAF Mildenhall using a “HazMat Authorization Request

Template” available from the MTF. The Contractor shall submit, at least 10 days prior to the date required to bring them on base, completed inventories and SDSs to:

1) The Contracting Officer

2) CE Environmental RAF Lakenheath (01638 523990) (nolan.swick@us.af.mil)

3) Bioenvironmental Engineering (01638 528047) (48amds.sgpb@us.af.mil)

5.3.5.2 Once approved, the Contractor shall maintain an inventory of all hazardous materials along with corresponding Safety Data Sheets (SDSs). The Contractor shall track and report actual hazardous material usage during the performance of the contract.

Hazardous material usage for any contract that is less than one month in duration shall be reported at the end of the contract period. Hazardous material usage for any contract over a month in duration shall be reported no less than monthly. Hazardous material usage shall be reported using a “HazMat Monthly Usage Log Template” available from the MTF.

5.3.5.3 The Contractor shall not leave any excess hazardous materials or empty containers on site following completion of the project. The Contractor is responsible for the removal of all unused hazardous materials and proper disposal of all hazardous waste generated. Reference: AFI-32-7086, Hazardous Materials Management

5.3.6 Controls of other hazards: Contractors must coordinate with Bioenvironmental

Engineering at 01638528047 or 48amds.sgpb@us.af.mil at least 10 days prior to start of project, regarding all contracts with potential health impact to personnel (Example: Noise above 85 dBA, activities with potential airborne contaminants or particulates). Hazardous work areas/perimeters shall be established to control exposures and limit access to nearby facilities and personnel. Work shall be mailto:48amds.sgpb@us.af.mil mailto:nolan.swick@us.af.mil performed IAW all applicable occupational health and safety regulations.

5.3.7 Contractors must coordinate with facility managers and receive a safety brief of hazards present within work areas.

5.4 eCMRA - Contractor Manpower Reporting Application

5.4.1 Section 2330a of title 10, United States Code (10 USC 2330a), requires the Secretary of Defense to submit to Congress an annual inventory of contracts for services performed during the prior fiscal year for or on behalf of the Department of Defense (DoD) by 31 Oct. The inventory must include the number of contractor employees using direct labor hours and associated cost data collected from contractors.

Information from the secure web site 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. Contractors for other than Army components can visit:

https://afcmra.hqda.pentagon.mil/Help/Full_User_Guide.pdf to review user manuals and gain an understanding about the data fields that will be included in the reporting structure that is hosted at http://www.ecmra.mil/ . When filling out the required information please utilize “FFBX70 - USAF IN EUROPE” as the UIC if you cannot locate the UIC for this contract among the provided options. Also, the FSC for this specific contract is Q522.

5.4.2 Applicability - The reporting requirement applies to all contracted services, provided the organization that is receiving or benefiting from the contracted services is a Department of Defense organization, including reimbursable appropriated funding sources from non-DoD executive agencies where the Defense Component requiring activity is the executive agent for the function performed. The reporting requirement does not apply to situations where a Defense Component is merely a contracting agent for another executive agency. In general, the only contracted services excluded from reporting are construction and utilities.

6. Definitions

Acronym/Abbreviation Definition

AFFARS Air Force Federal Acquisition Regulation

AFI Air Force Instruction AQL Acceptable Quality level

BE Bioenvironmental Engineering CFS Cleaning Frequency Schedule CO Contracting Officer

COR Contracting Officer Representative DBS Disclosure and Barring Service

DCII Defense Clearance and Investigation Index https://afcmra.hqda.pentagon.mil/Help/Full_User_Guide.pdf http://www.ecmra.mil/

EHS Extremely Hazardous Substances FAR Federal Acquisition Regulation

FOIA Freedom of Information Act FOUO For Official Use Only

HAC Host Agency Check HAF Headquarters Air Force HM Hazardous Material

IAW In Accordance With IP Installation Pass

LFC Local File Check MOD Ministry of Defense MTF Medical Treatment Facility

NAC National Agency Check ODS Ozone Depleting Substances

OSHA Occupational Safety and Health Administration PBT Persistent Bio accumulative and Toxic POC Point of Contact

POV Personally Owned Vehicle PRS Performance Requirement Summary/SS

PWS Performance Work Statement QCP Quality Control Plan SDS Safety Data Sheet

SF Security Forces SS Service Summary/PRS

TJC The Joint Commission UK United Kingdom US United States

7. Appendices

Appendix A, Work Load Estimates / Historical Data Appendix B, Government Supplied Equipment/Materials

Appendix C, Security Information

Appendix A

Quantity and Workload Estimates

1) Quantity Estimates Based on Historical Data

The following data is provided for information only:

Number of MRI studies for last four Fiscal Years (FYs).

FY 13 FY 14 FY 15 FY 16

1115 1268 1200 1400

2) Work Load Estimates

The following work load data represent the Government's best estimate of the annual volume of work shown for each item listed. This exhibit is not intended to cover all of the work load items, but lists the major categories of work. Payments will not be made for any variation in the estimated quantities listed.

PROCEDURES ESTIMATED QUANTITY

1. Brain, including brain stem 275

2. Orbit 10

3. Pituitary 35

4. Spinal Cord

a. Cervical 130

b. Thoracic 45

c. Lumbar 215

d. Screening spine 15

5. Neck 15

6. Chest 5

7. Pelvis and hips 45

8. Knees 150

9. Shoulders 95

10. Upper extremities 80

11. Abdomen/pelvis 40

12. Lower extremities 95

13. Imaging with paramagnetic substances 325

14. Other 0

Total 1250

NOTE: The total quantity is exclusive of item "13", which overlaps some of the other examinations.

Appendix B

Government Furnished Equipment / Materials

The supplies listed below can be provided to the Contractor by the MTF depending on consumables required to complete scheduled scans:

1. Bed linen

2. Patient gowns

3. Normal saline

4. Surgical lubricant

5. Povidine - iodine solution

6. Sterile water

7. Paramagnetic contrast

8. 4 x 4 Gauze bandages

9. Adhesive tape

10. IV Catheters and tubing

11. Heparin locks

12. IV Stopcocks

14. Patient exam gloves

15. Alcohol Pads

17. Hypodermic needles

18. Butterfly needles

19. Sharps Container

Appendix C

Security Requirements Overview

1. Local national contractor employees requiring access to United States Air Force-occupied

United Kingdom bases must comply with Third Air Force Instruction 31-501, and all local Security Forces requirements. This is an overview and does not contain all the specifics contained in the Instruction.

2. New contractor employees may be escorted onto the installation, only, to fill out paperwork.

The employee is not to start work until all required paperwork has been submitted to the appropriate office.

3. Prior to beginning employment on the installation, individuals must, at a minimum, have a completed Local Files Check (LFC). Individuals with LFCs, are required to be escorted by an authorized US citizen (reference Instruction 31-501 for US citizen clearance requirements) or a local national with a Security Check (SC) who has escort authority.

4. Unescorted access requires a Host Agency Check (HAC). There are two levels of background investigations that meet the standards that meet this requirement. The level of background check required, will depend on whether the position is considered sensitive or non-sensitive.

a. The Counter Terrorist Check (CTC). The CTC is a national-level security and police background investigation conducted by the DVA. This is the minimum check required for all contractor/subcontractor employees in non-sensitive positions requiring unescorted installation access. The CTC expires three years from the issue date.

b. The Security Check (SC). The SC includes all of the elements of the CTC but is a more comprehensive investigation and includes such actions as a credit check, interviewing relatives, determining and evaluating the individual’s involvement in various organizations, verifying any past military experience, etc. This is the minimum check required for employees and contractor personnel in sensitive positions. Most SCs expire five years from the issue date.

5. Individuals employed in sensitive positions may only be assigned to and or perform the non-sensitive portion of the position until the SC is positively completed or they must be provided with direct supervision by a U.S. citizen or an individual with a completed SC.

6. Investigation renewal. All employees renewing their background investigation will complete an MOD Form 1109, Security Questionnaire. On the front cover of the form, under General Details, the employee will mark the appropriate block indicating a security questionnaire has been completed before and will complete the form with current information. Renewal paperwork should be submitted 6 months prior to the current background expiration date to avoid a possible lapse in installation access.

7. Functional Contracting Officer Representative (COR) will be the point-of-contact for processing security clearances. They will provide necessary documents to contractor employees, compile completed forms, submit documents to Security Forces, and sign USAFE Form 79. The following must be accomplished ‘in-turn’ for all new contractor employees.

Contractor will provide the following to COR:

- Completed LCF (conducted by HAC Office)

- Completed MOD Form 1109, Security Questionnaire (required for CTC or SC;

completed by unit submitter)

- Completed USAFE Form 19, Residency Check for Employment with United States

Air Forces in Europe

- Completed AF Form 2583, Request for Personnel Security Action

- Completed USAFE Form 79, Application for Base Entry Identification (completed by unit submitter)

- Completed Basic Check Verification Record (BCVR)(verified and signed by unit submitter)

8. Upon receipt of a favourable HAC and all required documentation, the contractor employee will be issued a USAFE Form 77 which must be in the employee's possession at all times while on the installation. The expiration date of the Form 77 will be the contract expiration date or one year, whichever is shorter. The contractor is responsible for collecting and turning in to the COR, all Form 77s for employee who are no longer in their employment.