SOWChiroTech.DOC

PERFORMANCE WORK STATEMENT

CHIROPRACTOR TECHNICINAN

72 MEDICAL GROUP,

TINKER AFB, OKLAHOMA

Non-Personal Services

1.1. DESCRIPTION OF SERVICES. The Contractor shall provide 1 FTE Chiropractor Technician services required for Government beneficiaries. The Contractor shall provide care at the 72 Medical Group, Tinker AFB, Oklahoma, also referred to as the “medical treatment facility” (MTF) herein. Contractor care shall cover the range of services provided in a civilian medical treatment facility. Performance shall be according to the requirements contained in this Statement of Work (SOW), and professional standards of the Joint Commission on Accreditation of Healthcare Organization (JCAHO).

1.2. PERSONNEL.

1.2.1. POINT OF CONTACT. The Contractor shall provide a point of contact who shall be responsible for the performance of the work. The point of contact shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The point of contact may be a healthcare worker providing care in accordance with this SOW. The Contractor shall designate this individual, in writing, to the Contracting Officer (CO) before the contract start date.

1.2.5. CONTINUITY OF SERVICES. If routine services are disrupted for more than three (3) consecutive scheduled shifts, the Government reserves the right to procure such services from another source, until routine healthcare worker services are restored by the Contractor. When the Government exercises its right to procure these services from another source, the Government will reduce the Contractor’s invoice at an equivalent amount to that incurred. A copy of the other source’s service ticket will be used as the basis for this reduction. The Government shall furnish the Contractor a copy of this ticket upon the Contractor’s request.

1.2.6. ORIENTATION.

1.2.6.1. Prior to working, contract HCWs shall be provided a Government paid orientation to familiarize contract HCWs with the policies and procedures of the MTF. Orientation attendance shall be required of all contract HCWs and shall be scheduled by the Contracting Officer’s Representative (COR) during normal duty hours.

1.2.6.2. The contractor shall ensure that contract HCWs are knowledgeable of the policies and procedures of their specific place of duty and of the medical activity. The contractor shall ensure contract HCWs receive any staff training required by the MTF as a precondition/condition to performance. Such training may include instruction on automation processing, quality assurance policies and local in-service and safety briefings. This training shall be conducted during the scheduled shift of the contract HCW.

1.4. EDUCATION AND TRAINING REQUIREMENTS.

1.4.1. FORMAL EDUCATION. The HCW shall have attended and received an

Associate’s Degree from an accredited college or university.

1.4.2. RESERVED.

1.4.3. BOARD CERTIFICATION. No requirement

1.4.4. EXPERIENCE. The HCW shall have provided current competence as evidenced by at least two years of documented clinical practice within the last four years. The HCW must provide documentation of experience as a medical chiropractic technician. In addition must have experience in an out-patient clinic to have included experience in the application of physiotherapy, electrical stimulation and ultrasound.

1.4.5. HOURS AND LOCATION OF OPERATION. Monday through Friday, 0700 hours through 1600 hours with one hour for lunch. Hours could vary slightly depending on patient needs.

1.4.7. FEDERAL HOLIDAYS. There is no requirement for the HCW to work on Federal Holidays.

1.4.8. PERSONNEL APPEARANCE. Contract personnel shall present a neat appearance. Contract personnel’s clothing shall fit correctly to provide professional, modest appearance in keeping with the normally accepted community standards of dress for the work being performed. Contractor shall maintain a professional appearance as deemed appropriate by supervisor and IAW Medical Group Infection Control Standards. Clothing must be free from visible dirt and stains. Uniforms will be obtained at the expense of the contractor.

1.5. ENGLISH LANGUAGE REQUIREMENT. Personnel shall read, understand, speak, and write English well enough to effectively communicate with patients and other HCWs.

1.6. HEALTH REQUIREMENTS:

1.6.1. Contract personnel providing services under this contract shall receive a pre-employment physical examination prior to commencement of work and annually thereafter. Health care workers shall report to the Medical Treatment physician to receive a pre-employment examination and immunizations/shots prescribed by the MTF.

1.6.2. Not later than five (5) working days prior to commencement of work, certification shall be provided to the contracting officer’s representative that health care workers have completed medical evaluation required above. This certification shall state the date on which the examination was completed, the doctor’s name who performed the examination, and a statement concerning the physical health of the individual. The certification shall also contain the following statement: “(name of contract employee) is suffering from no contagious diseases to include but not limited to Tuberculosis, Hepatitis, and Venereal Disease.”

1.6.3. Also, as a condition of employment, OSHA requires that all contract personnel who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity to Hepatitis B infection. Personnel who sign declinations may change their minds at anytime and receive the Hepatitis B vaccine without penalty.

1.6.4. It is the contractor’s responsibility to report (to the appropriate MTF staff member) all information necessary to assure hospital records can be maintained correctly, and therefore comply with the JCAHO, OSHA, and CDC health records requirement.

1.6.5. PREGNANT EMPLOYEES. Contract employees should report their pregnancy to the contractor. It is the responsibility of the contractor to notify the QAM of the pregnancy. MTF Employee Health Office will provide information concerning any work hazards in that area. The contractor is to notify their pregnant employee of any work hazards. It will be the employee and the contractors joint decision whether the contracted employee works in the environment.

1.3. SPECIFIC TASKS AND PROCEDURES FOR WHICH THE CHIROPRACTOR TECHNICIAN SHALL BE RESPONSIBLE.

1.3.1. Duties shall include, but not necessarily limited to, the following:

1.3.2. The contract employee shall work under the general supervision of a Doctor of Chiropractic and shall provide physiotherapy treatments and procedures in the clinic in a safe and medically accepted manner as directed by the Doctor of Chiropractor.

1.3.3. The contractor employee shall comply with all mandatory training IAW Medical Treatment Facility policies.

1.3.4. The contract employee shall provide physiotherapy treatments and procedures to include ultrasound, electrical stimulation vibratory massage, heat, cold, diathermy, transverse friction massage, trigger point therapy and PNF stretches.

1.3.5. Provide instructions to the patient regarding nutrition, ergonomics, proper posture, stretches, exercises and locations of further testing and procedures.

1.3.6. The contract employee shall ensure that an adequate supply of hot packs, ice packs, towel, ultrasound gel, proper levels of water in hydro collator, table paper, brochures and other necessary supply equipment in maintained in treatment rooms and sufficient quantities are reserved in the stockroom. Contract employee shall be responsible for ordering supplies as necessary to maintain prescribed quantities.

1.3.7. The contract employee shall attend clinic or MTF in services and required training and meetings.

Administrative duties shall include, but are not limited to the following:

1.3.8. The contract employee shall coordinate and communicate with other clinical staff (medical physicians, nurses, physical therapist, technicians and commander) to ensure patients receive excellent care in a timely manner.

1.3.9. Contract employee shall be required to plan clinical duties and personnel breaks with other co-workers to ensure that the reception area is manned accordinly.

1.3.10. Contract employee shall escort patients to the treatment rooms and coordinate patient flow to ensure that patients are not left unattended waiting for instructions or arranging future appointments.

1.3.11. Contract employee shall manage clinic appointment schedule for the chiropractor.

1.3.12. Contract employee shall answer the telephone professionally and IAW the MTF standards and direct patient inquiries appropriately.

1.3.13. Request medical records, x-rays, and test results from appropriate clinics and hospital departments. Retrieve above information as needed.

1.3.14. Maintain documentation regarding records request, records releases and supplies order and new patients scheduled.

1.3.15. Initiate intake of new patients into clinic by taking and recording vital signs, assembling a new patient record with all appropriate forms and assist patients in completion of questionnaires and other documentation as required by treating chiropractor.

1.3.16. Document physiotherapy treatments in patient record and initial. Report any unusual reaction to treatment immediately to the Chiropractor and the commander.

1.3.17. Provide updated patient progress and any changes in patient health status to the Chiropractor.

1.3.18. Maintain and clean equipment ensuring that equipment performance is meeting manufacture specifications. Report any equipment malfunctions to the Chiropractor and commander. Contract employee shall generate work orders for all malfunction equipment as required by the MTF.

1.3.19. Contract employee shall exchange linen on a daily basis and store clean folded linen IAW MTF standards.

1.3.20. Performs direct medical technician services IAW medical and chiropractic standards of practice.

1.3.21. Operates necessary elements of computer and data processing equipment. Manages provider template for scheduling. Applies basic operational techniques of computers, printers, copiers and fax equipment.

1.3.22. Participate in required clinic quality improvement/evaluation programs.

1.3.23. Knowledge and competency of aseptic/sterile techniques and universal precautions.

1.3.24. Complete additional forms and reports as necessary.

1.4. PROCEDURE GUIDANCE. The Contractor shall furnish procedures compatible with the medical facility's operating capacity and equipment. New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the medical treatment facility (MTF) Commander or authorized representative.

1.5. RECORDS. The Contractor shall be responsible for creating, maintaining, and disposing of only those Government required records which are specifically cited in this SOW or as may be required by the provisions of a mandatory directive listed within this SOW. If requested by the Government, the Contractor shall provide the original record, or a reproducible copy of any such records within five working days of receipt of the request.

1.6. DOCUMENTATION. All contract personnel shall prepare all documentation to meet or exceed established standards of the MTF to include but not limited to: timeliness, legibility, accuracy, content and signature. Only MTF and Air Force approved abbreviations may be used of documentation of care in the health care record. Contract personnel shall ensure complete patient identifying information is on all documentation that is to become part of a health care record.

1.7. COMMUNICATION. The Contractor shall ensure contract healthcare workers under his/her supervision maintain open and professional communication with members of the MTF. Complaints validated by the QAM and Chief of the Medical Staff, shall be reported in writing to the contract administrator and the Contractor for action. Failure of the Contractor to correct validated complaints raised by the MTF staff and the CO will be considered a failure to perform.

1.8. PERFORMANCE EVALUATION MEETINGS. The CO shall require the Contractor or his representative to meet with the CO, contract administrator, QAM, and other government personnel at least quarterly, and as often as deemed necessary. The Contractor may request a meeting with the CO when he deems such necessary. Meetings will be documented in the contract file with written minutes signed by the contract manager and the CO, or contract administrator. Should the Contractor not concur with the minutes, such non-concurrence shall be provided in writing to the CO within ten (10) calendar days of receipt of the minutes.

1.9. CRIMINAL BACKGROUND CHECK REQUIREMENT. (MANDATORY)

1.9.1. The Government will conduct criminal background checks on individuals providing child care services under this contract, using the procedures set forth in Department of Defense Instruction 1402.5 dated 19 January 1993. Background checks will be based on fingerprints of individuals obtained by a Government law enforcement officer and inquiries conducted through the Federal Bureau of Investigation (FBI) and state criminal history repositories.

1.9.2. With the consent of the Contracting Officer, contract providers may provide contract services prior to completion of background checks. However, at all times while children are in the care of that individual, the contract healthcare worker shall be within sight and continuous supervision of a staff person, whose background check has been completed, a chaperone, or parent/guardian.

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

1.9.4. Individuals who have previously received a background check shall provide to the QAM proof of the check or obtain a new one.

1.10. CONFLICT OF INTEREST. The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not 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 DoD Directive 5500.7 and Air Force policy.

1.11. PREVENTATIVE, PROPHYLACTIC, AND FOLLOW-UP PROCEDURES. The contractor shall ensure that his/her employees are in compliance with preventive, prophylactic and follow-up procedures, as well as infection control and employee health program procedures, as established by the MTF. Required preventive, prophylactic and follow-up procedures will be provided by the Government to contract employees in the military MTF. The Contractor shall reimburse payment for these services. If care is received elsewhere, the Contractor shall provide written verification of treatment.

1.12. MEDICAL QUALITY ASSURANCE/RISK MANAGEMENT (QA/RM).

1.12.1. Health care providers shall participate in QA/RM activities to the extent required by AFI 44-119 and the individual MTF QA/RM plan or regulation.

1.12.2. The Government will evaluate the provider’s professional, as differentiated from administrative, performance under this contract using quality assurance standards specified in AFI 44-119. Nothing in this paragraph precludes the Government from also conducting inspections under the Inspection of Services clause.

1.13. ANNUAL TRAINING REQUIREMENTS: All contract employees must complete annual training required IAW HIPAA, JCAHO, AF Computer Security Policy, and AF Safety Policy.

1.14. SECURITY REQUIREMENTS:

1.14.1. The Contractor Manager or alternate shall complete a Request for Identification Credential (AFMC Form 496) for each employee of the contractor requiring access to MACROBUTTON AcceptAllChangesShown "Specify which Air Force Base" . The request shall be submitted to Pass and Registration (Building 590). The Government shall provide a completed Identification Credential (AFMC Form 3876), which shall be issued, displayed and surrendered as directed in AFI 31-209, The Air Force Resource Protection Program.

1.14.2. Each employee shall wear appropriate identification badges on the outer clothing on the front of the body between the neck and waist so that the badge is visible at all times.

1.14.3. COMPUTER SECURITY. A National Agency Check must occur for clearance for appropriate security of privacy act information. Contractor is responsible for completing SF85P Worksheet and providing fingerprint cards for each employee immediately with the hiring process, complying with regulations, DoD 5200.2-R, appendix K, and AFSSSI 5027.

1.15. PRIVACY AND CONFIDENTIALITY

1.15.1. PATIENT LISTS. Patient lists, no matter how developed shall be treated as privileged information. Lists and/or names of patients shall not be disclosed to or revealed in anyway for any use outside the MTF without prior written permission by the Chief of Clinical Services.

1.16. PATIENT SENSITIVITY. Contract providers shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. The contractor shall comply with all the Health Insurance Portability and Accountability Act Standards (HIPAA). Providers receiving complaints validated by the QAP and Chief of the Medical Staff, shall be subject to counseling and, depending on the nature and severity of the complaint, separation from performing services under this contract.

1.17. RELEASE OF MEDICAL INFORMATION. The healthcare worker shall only release medical information obtained during the course of this contract to other MTF staff involved in the care and treatment of that individual patient.

1.18. PRIVACY OF PROTECTED HEALTH INFORMATION

(a) Definitions. As used in this clause:

Individual has the same meaning as the term ``individual'' in 45 CFR 164.501 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).

Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.

Protected Health Information has the same meaning as the term ``protected health information'' in 45 CFR 164.501, limited to the information created or received by The Contractor from or on behalf of The Government.

Required by Law has the same meaning as the term ``required by law'' in 45 CFR 164.501.

Secretary means the Secretary of the Department of Health and Human Services or his/her designee.

Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR 160.103 and 164.501.

(b) The Contractor agrees to not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law.

(c) The Contractor agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract.

(d) The Contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the Contractor of a use or disclosure of Protected Health Information by the Contractor in violation of the requirements of this Contract.

(e) The Contractor agrees to report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract.

(f) The Contractor agrees to ensure that any agent, including a subcontractor, to whom it provides Protected Health Information received from, or created or received by the Contractor on behalf of the Government agrees to the same restrictions and conditions that apply through this Contract to the Contractor with respect to such information.

(g) The Contractor agrees to provide access, at the request of the Government, and in the time and manner designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524.

(h) The Contractor agrees to make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government or an Individual, and in the time and manner designated by the Government.

(i) The Contractor agrees to make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the Contractor on behalf of, the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner designated by the Government or the Secretary, for purposes of the Secretary determining the Government’s compliance with the Privacy Rule.

(j) The Contractor agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

(k) The Contractor agrees to provide to the Government or an Individual, in time and manner designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

General Use and Disclosure Provisions: Except as otherwise limited in this Agreement, the Contractor may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for the following purposes, if such use or disclosure of Protected Health Information would not violate the Privacy Rule or the Department of Defense Health Information Privacy Regulation if done by the Government: [List

Purposes].

Specific Use and Disclosure Provisions:

(a) Except as otherwise limited in this Agreement, the Contractor may use Protected Health Information for the proper management and administration of the Contractor or to carry out the legal responsibilities of the Contractor.

(b) Except as otherwise limited in this Agreement, the Contractor may disclose Protected Health Information for the proper management and administration of the Contractor, provided that disclosures are required by law, or the Contractor obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the Contractor of any instances of which it is aware in which the confidentiality of the information has been breached.

(c) Except as otherwise limited in this Agreement, the Contractor may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B).

(d) Contractor may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j)(1).

Obligations of the Government. Provisions for the Government to Inform the Contractor of Privacy Practices and Restrictions:

(a) Upon request the Government shall provide the Contractor with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520, as well as any changes to such notice.

(b) The Government shall provide the Contractor with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the Contractor's permitted or required uses and disclosures.

(c) The Government shall notify the Contractor of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522.

Permissible Requests by the Government: The Government shall not request the Contractor to use or disclose Protected Health Information in any manner that would not be permissible under the Privacy Rule if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the Contractor as otherwise permitted by this clause.

Termination:

(a) Termination. A breach by the Contractor of this clause, may subject the Contractor to termination under any applicable default or termination provision of this Contract.

(b) Effect of Termination.

(1) If this contract has records management requirements, the records subject to the Clause should be handled in accordance with the records management requirements. If this contract does not have records management requirements, the records should be handled in accordance with paragraphs (2) and (3) below

(2) If this contract does not have records management requirements, except as provided in paragraph (3) of this section, upon termination of this Contract, for any reason, the Contractor shall return or destroy all Protected Health Information received from the Government, or created or received by the Contractor on behalf of the Government. This provision shall apply to Protected Health Information that is in the possession of subcontractors or agents of the Contractor. The Contractor shall retain no copies of the Protected Health Information.

(3) If this contract does not have records management provisions and the Contractor determines that returning or destroying the Protected Health Information is infeasible, the Contractor shall provide to the Government notification of the conditions that make return or destruction infeasible. Upon mutual agreement of the Government and the Contractor that return or destruction of Protected Health Information is infeasible, the Contractor shall extend the protections of this Contract to such Protected Health Information and limit further uses and disclosures of such Protected Health Information to those purposes that make the return or destruction infeasible, for so long as the Contractor maintains such Protected Health Information.

Miscellaneous:

(a) Regulatory References. A reference in this Clause to a section in the Privacy Rule means the section as in effect or as amended, and for which compliance is required.

(b) Survival. The respective rights and obligations of Business Associate under the ``Effect of Termination'' provision of this Clause shall survive the termination of this Contract.

(c) Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with the Privacy Rule.

2. SERVICE DELIVERY SUMMARY

SDS #1

Contractor is responsible for providing qualified personnel to fill position needed for a chiropractor technician.

QAM shall monitor contract employee is qualified to ensure compliance

SDS #2

Hours of Operation Contract employee shall be on site Monday – Friday, 0700 – 1600 hours to perform duties listed within this Performance Work Statement.

QAM shall monitor contractor performance to ensure employee is present for duty.

SDS #3

Contract employee shall work under the supervision of a Doctor of Chiropractic and shall provide physiotherapy treatments and procedures in the clinic in a safe and medically accepted manner as directed by the Doctor of Chiropractor.

QAM shall monitor contractor performance to ensure that contract employee shall perform within acceptable standards.

SDS #4

Contractor employee shall comply with all mandatory training IAW Medical Treatment Facility policies.

QAM shall monitor contractor performance to ensure compliance with MTF policies.

SDS #5

Contract employee shall answer the telephone to MTF standards and direct patients appropriately.

QAM shall monitor and observe contractor performance to ensure that duties are within operational standards.

3. GOVERNMENT FURNISHED PROPERTY AND SERVICES

3.1. Government Furnished Property (GFP). GFP is not applicable to the performance of this contract.

3.2. Shared Property of the Government. Shared Property of the Government shall remain at all times Property of the Government. In accordance with Government procedures, the Contractor is authorized to share Property of the Government, without cost, with Government personnel in Government facilities at the Tinker AFB, OK for the duration of this contract and only as needed to the performance of this contract.

3.2.1. The Government maintains accountability for this Shared Property of the Government.

This Shared Property of the Government is not considered Government Furnished Property (GFP) requiring property administration IAW FAR Parts 45 and 52.245 plus supplements. The Government Organization that is accountable for this Shared Property of the Government is also responsible for its Disposition.

3.3. Contract personnel shall be authorized to use all of the MTF available to active duty and civilian personnel of like position. This will include but not be limited to conference rooms and break rooms. The same restrictions apply to the contract personnel as to any other Government personnel as to use of these areas.

3.4 EQUIPMENT: Contract personnel shall have joint use of all equipment and furniture necessary for performing services required by this contract. The Government will maintain, repair and replace Government owned equipment in compliance with procedures established in AFM 67-1, vol. 5. The MTF will provide furnished office space sufficient in space to provide a working environment conducive to effective performance of the tasks required under this contract.

3.5 SUPPLIES: The MTF will provide Government forms, medical and non-medical supplies commonly used in the MTF for the care and management of patients.. All supplies, records, files, documents and work papers provided by the Government remain Government property. The Quality Assurance Monitor shall provide guidance for contract personnel who shall maintain files, documents and work papers IAW Records Disposition Procedures and Responsibilities (AFI 37-138, table 44, rule 1).

3.6 ADMINISTRATIVE SUPPORT: Contract personnel will be authorized to use all administrative support available to government employees. This will include, but not be limited to, personal computers, copying machines, telefax machines, installation distribution, class –A telephone lines and defense switching network (DSN) lines as well as Government computer systems and office space. These support items shall be used for Government Official Business.

3.7. OFFICE/WORK/AREA: Those areas (office, exam room, etc.,) provided for the use of the contract personnel will present an orderly appearance. Contract personnel shall ensure these areas are tidy and any decorative items present a professional, modest appearance in keeping with accepted community standards. Office space will be shared with other members of the medical team. The Government will not be responsible for loss or damage of personal items brought into the MTF.

3.8. PERSONAL PROTECTIVE EQUIPMENT (PPE). The Government will furnish the HCW with appropriate Personal Protective Equipment (PPE). The Government will be responsible for any repair, cleaning and inventory required for the PPE. This does not include any type of uniform or laboratory coat.

3.9. INSTALLATION SERVICES. The MTF shall provide telephone, utilities, installation distribution and housekeeping services.

3.10. EMERGENCY HEALTH CARE. The MTF will provide emergency health care for contract personnel for injuries occurring while on duty in the MTF. These services will be billed to the Contractor at the current full reimbursement rate.

3.11. CENTRAL STERILE SUPPLY (CSS). The MTF will supply CSS services. Sterile equipment trays, instrumentation, instrument packs, and supplies commonly used for the care and management of patients will be provided. After use, contract personnel shall follow local procedures and policies to have instruments government cleaned and re-sterilize supplies.

3.12 Security Forces. The Government will provide general on-base security forces’ service. The security forces’ telephone numbers are 911 for emergencies, 734-2000 for crime in progress, and 734-3737 for non-emergency calls.

3.13 Fire & Emergency Services. The Government will provide general on-base fire protection services. The Contractor shall comply with fire prevention rules and regulations enforced by the Tinker AFB Fire Prevention Branch. Call 911 for emergencies. For routine fire prevention matters call 734-3981. For routine calls to dispatch call 734-7964.

3.14 Emergency Medical Service. The Government will provide 24 hour on-base state certified paramedic level emergency response and patient transport services for Contractor personnel who are injured or become seriously ill while on Tinker Air Force Base. The telephone number is 911 for emergencies. Note: Calling 911 from a cell phone will be received by off-base emergency 911 system, causing a delay in response time by emergency personnel. When possible use a base telephone to receive on-base help.

3.15 Utilities. The Government will furnish utility services. These utilities include natural gas, electricity, water, and sewer for the sole purpose of accomplishing this contract. If the contractor requires additional utility services, it shall be the contractor’s responsibility to provide. Contractor shall use due care and diligence in efforts to conserve utilities to reduce utility costs.

3.16 Postal. The Government will provide on-base mail distribution and USPS and UPS services only for official Government mail required under terms of this contract.

3.17 Telephone. The Government will provide telephone service consisting of Class 3 (formerly referred to as Class C) and Class 1 (formerly referred to as class A) service (to include DSN service). The Contractor shall ensure that the Government provided telephone usage is limited to only official Government business related to the performance of this contract. The Contractor shall furnish their own telephone service provided by local commercial carrier for their use in matters other than official Government business pertaining to this contract. *

*A class “A” line, or correctly called a Class 1 line, places no restrictions on the calls you make. In other words, you can make long distance calls and call off base.

A Class “B” line, or correctly called a Class 2 line, allows you to call off base but not make long distance calls.

A Class “C” line, or correctly called a Class 3 line, allows you to only make calls within Tinker Air Force Base.

3.18 Custodial Services. The Government will provide custodial services limited to the extent provided in the Base Custodial Contract(s) for the Government provided facilities.

3.19 Refuse Collection. The Government will provide refuse collection services limited to the extent provided in the Base Refuse Collection Contract(s) for the Government provided facilities. Refuse shall be taken to the nearest authorized refuse dumpster if custodial services are not available for trash collection. The Government will provide for refuse (dumpster) collection. Do not include any construction debris generated by the Contractor.

3.20 Insect and Rodent Control. The Base Civil Engineering Entomology will provide service for Government provided facilities.

3.21 Grounds Maintenance. The Government will provide grounds maintenance services limited to the extent provided in the Base Grounds Maintenance Contract(s) for the Government provided facilities.

3.22 Real Property Maintenance. The Government will provide maintenance and repair of real property. The Contractor shall establish and maintain a procedure for identifying and reporting real property repair and maintenance requirements to the Government QAP. Contractor shall submit all requests for Real Property repairs and maintenance to the Facility Manager.

3.23 On-Base Transportation. The Government will provide on-base shuttle bus service accessible by Contractor personnel subject to the installation’s established schedules, routes, and policies.

NOTE: This mode of transportation is not suitable for transporting anything other than personnel.

3.24 Local Area Network (LAN). The Government will provide LAN access and support. Contractor shall comply with all security requirements pertaining to LAN usage and shall ensure that these services are utilized only for official contract matters pertaining to this contract.

3.25 Computer Connectivity. The Government will provide connectivity to the base systems for Government official business based on the number of connections the Government determines required to perform services for this contract. The Contractor shall ensure that terminated employees network access is removed within 24 hours of termination.

APPENDIX 2 - APPLICABLE PUBLICATIONS AND FORMS

Publications and forms applicable to the performance work statement (PWS) are listed below. The Contractor is obligated to follow those publications. These publications are available in the MTF and maintained by the Government. Supplements or amendments to listed publications from any organizational level may be issued during the life of the contract.

PUBLICATION NO.

MANDATORY SECTION/PARA/LINE TITLE DATE ADVISORY (M/A)

DEPARTMENT OF DEFENSE (DoD) REGULATIONS/MANUALS

INSTRUCTIONS/DIRECTIVES

DoD Instruction 1402.5, Criminal History Jan 93 M

Background Checks on Individuals in Child Care Services

DoD Directive 5500.7, Standards of Conduct Mar 87 M

AIR FORCE REGULATIONS/MANUALS/INSTRUCTIONS

AFI 44-119, Medical Service Quality Improvement and Risk

Management Oct 95 M

AFI 41-117, Program Education for Medical Service Officers Jun 94 A