PWSfinalRevision14Aug13.doc

PERFORMANCE WORK STATEMENT

FOR

PARAMEDICS/AMBULANCE SERVICES

14 August, 2013

TINKER AFB, OKLAHOMA

1. DESCRIPTION OF SERVICES.

1.1. The contractor shall provide 24 hour on-base state certified paramedic level emergency response and patient transport services for all personnel on Tinker AFB. In addition the contractor will be responsible for the following off base facilities to include: Area “D” Hilltop Road off of SE 59th , buildings: 4000, 4045, 4002, 4019, 4004, 4005, 4006, 4008, 4044, 4077, 4078, 4023, 4012, 4058, 4079, 4069, 4001, 4068, 4028, 4029, 4032, 4048, 4049, 4057, and 4064, Buildings 4036 and 4031 (satellite compound near Area "D"), located on South Post Road off of SE 59th Street, Fuels Distribution Area: Bldgs 3905, 3902, 3907 and 53902, located on Douglas Blvd, The Twaddle Military Reserve Compound, located on Douglas Blvd. Buildings; 8400, 8430, 8431, 8432, 8433, 8435, 8436, 8437 and 8438, The Glennwood Area, located off of SE 29th Street, MROTC facility located at SW 59th and South Douglas Blvd. This shall include afterhours flight line response, participation in all readiness exercises, real world events, and stand-by response for special events (such as: change of command, air shows, athletic events, live fire training, etc.). Contractor shall furnish all labor, management, supervision, vehicles, supplies, equipment, transportation, and reports, except as provided in paragraph 3, government furnished property and services. Contractor care shall cover the range of paramedic and ambulance services provided in the local community. Performance shall be according to the requirements contained in this performance work statement (PWS), and professional standards of the Joint Commission on Accreditation of Healthcare Organization (JCAHO), AFI 44-119-Clinical Performance Improvement, the Department of Transportation (DOT) and the National Registry for Emergency Medical Technicians (NREMT). The contractor shall participate in flightline hazard or mishap response planning. The contractor shall reside on base and provide back-up ambulance support during responses/transports. These services will be paid for by the government with no-billing of the patients by the contractor. Emergency Reporting Fire Department telephone numbers are 911 for emergency and 734-7964/7965 for non-emergency calls.

NOTE: All Tinker AFB organizations that are located outside of Tinker AFB and are in need of Ambulance Services must request 911 emergency call be forwarded to the Tinker 911 Center for emergency response.

1.2. PERSONNEL.

1.2.1. ARRANGE FOR REPLACEMENT STAFF.

1.2.1.1. The contractor shall arrange for fully certified and qualified locum tenens coverage when paramedics will be unable to provide services for one (1) or more consecutive scheduled shifts.

1.2.2. WORK ROSTER.

1.2.2.1. The point of contact shall provide a list by date and time with individual paramedic’s names for those days the contractor shall be providing services. This list shall be provided to the Functional Requirements Evaluator Designee / Contracting Officer’s Representative (FRED/COR) by the 20th of each month of the preceding month.

1.3. CONTINUITY OF SERVICES.

1.3.1. The contractor shall ensure that qualified back-up paramedics are available to provide coverage during scheduled and unscheduled absences to primary paramedics. Absences without backup coverage provided will reduce the contractor’s invoice at an equivalent amount to the costs incurred by the government.

1.4. CONTRACTOR PERSONNEL.

1.4.1. Contractor Personnel: The Contractor shall provide the name of the Contract Manager (CM) and any alternate(s) who shall act for the Contractor when the manager is absent and they shall be designated in writing to the Contracting Officer (CO) and the FRED/COR within 2 days after contract award. The Contractor shall provide telephone numbers of the Contract Manager and alternate(s) where these persons may be contacted at any time. The Contract Manager or alternate shall have full authority to act for the Contractor on all matters relating to operation of this contract at Tinker AFB. The Contract Manager or alternate shall be available to meet on the installation with Government personnel designated by the Contacting Officer to discuss problem areas. The Contract shall provide a Contract Manager who can read, write, speak, and understand English fluently. The CM or alternate point of contact shall be available Monday through Friday, 0700 –1700 hours.

1.4.2. Listing of Contractor Employees: The contractor shall provide an initial listing of Contractor employees’ names and position titles to the CO and the FRED/COR prior to contract start date. The contractor shall also provide an updated listing of personnel to the CO and the FRED/COR when employees affecting the work of this contract, statuses change, or position changes within ten (10) work days.

1.4.3. The Contractor shall not employ persons on this contract if such employee is identified to the Contractor as a potential threat to the health, safety, security, and/or general well being or operational mission of the installation and its population. 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, 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 according to the DoD 5500.7-R Joint Ethics Regulations (JER). 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, Air Force Industrial Labor Relations Activities. The Contractor shall be prohibited from employing off-duty FRED/COR’s who are surveilling any contracts/subcontracts awarded to the Contractor. All contract employees depending on particular condition, occasion or place, or job assignment shall require professional, suitable attire. All contractor employees shall conduct themselves in a professional, courteous manner. The selection, assignment, reassignment, transfer, supervision, management, and control of Contractor employees in performance of this PWS shall be the responsibility and prerogative of the Contractor; however, the Contractor shall comply with the requirements set forth in this PWS and Tinker AFB regulations concerning conduct of employees as referenced herein. The Contractor shall employ and maintain a technically trained and experienced work force.

1.4.4. The contractor shall begin full performance of the contract requirements within 30 days after contract award. It is absolutely critical that certifications be granted to a sufficient number of contract paramedics to meet the contract requirements by start of period of performance.

1.4.5. Contractor employees shall identify themselves as contractor personnel by introducing themselves or being introduced as contractor personnel and displaying distinguishing badges or other visible identification for meetings with Government personnel. In addition, contracts shall require contractor personnel to appropriately identify themselves as contractor employees in telephone conversations and in formal and informal written correspondence.

1.4.6. Process Improvement Plan. The contractor shall submit a Process Improvement Plan quarterly to the FRED/COR identifying problem areas with corrective actions and follow ups as determined.

1.4.7. Denial/Termination of employee. The CO and the contractor shall be notified by the FRED/COR as soon as possible if performance problems are identified and verified. The FRED/COR will also provide the CO and the contractor with copies of documentation initiating termination of the employee if such actions become required due to poor performance.

1.4.8. Foreign National(s): The contractor shall notify the FRED/COR before sending a Foreign National representative to perform services. Special rules apply for foreign national(s) visiting a US Government facility.

1.5. INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE.

1.5.1. The contractor shall provide and maintain adequate liability insurance coverage consistent with the risks associated with the performance of all services required by this PWS. Refer to Federal Acquisition Regulation (FAR) Clause 52.237-7, “INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE”, in Section I of this contract.

1.6. Contractor Full-Time Equivalent Reporting.

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

1.6.2. 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 no later than 31 October* of each calendar year. Contractors may direct questions to the CMRA help desk.

1.7. PROCEDURE GUIDANCE.

1.7.1. The contractor shall perform 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. Pre-hospital protocols will be agreed upon by the MTF Director of Medical Services, the contractor’s emergency medical services (EMS) director, and the CO prior to the start date of the contract.

1.8. PROTOCOL.

1.8.1. The contractor shall submit pre-hospital protocol as part of the proposal. The Protocol will be incorporated into the PWS upon review and acceptance of the procedures. At anytime during the contract period, the government retains the right to incorporate additional procedures or remove ineffective procedures, the contractor shall make the changes at no additional cost to the government.

1.9. HOURS OF OPERATION.

1.9.1. The contractor shall provide ambulance response services to Tinker Air Force Base 24 hours per day, seven days per week, to include federal holidays and weekends. The contractor shall be required to provide flight line response coverage at the request of the MTF commander or his/her designee; in the event flight medicine services are not available.

1.10. AMBULANCE RESPONSE.

1.10.1. The contractor shall provide ambulance response to emergencies as requested within response time of 8 minutes and 59 seconds. This response time is required for primary or back-up response. Ambulance response shall include but not be limited to the following:

1.10.2. Transfer patients from Tinker AFB to the government designated healthcare organization ensuring that a paramedic is with the patient at all times.

1.10.3. Return any government equipment used while transporting the patient immediately following the transport.

1.10.4. The paramedics shall provide emergency response and transport at sites other than Tinker AFB as requested by MTF staff.

1.10.5. Notify Tinker Fire Department (TFD) when responding to any patient transport and provide run report/dispatch number.

1.10.6. Notify TFD when delays are encountered before or during a patient transport.

1.11. DOCUMENTATION.

1.11.1. Paramedics 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. The paramedic shall ensure complete patient identifying information is on all documentation to be provided to the MTF relating to the transport. Contractor shall be required to complete run sheets on each response and forward to the FRED . All documentation and records shall remain property of the Government. The contractor shall be required to complete the DD Form 2569 Third Party Collections (TPC) form for all civilian personnel transported.

1.11.2. Patient information shall be collected to include the following information:

Date of Transport

Patient’s Name

Call Location

Destination

Nature of Call

Response Time

Run Report/Dispatch #

Notes

Branch (Active Duty/Civilian/Dependent/Retired Military)

Sponsor’s Name

Sponsor’s Social Security #

Sponsor’s Phone Number#

1.12. RECORDS.

1.12.1. The contractor shall be responsible for creating, maintaining, and disposing of only those government required records which are specifically cited in this PWS or as may be required by the provisions of a mandatory directive listed in appendix B of this PWS. 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. All run report / dispatch numbers must be emailed to the TFD at the end of each shift.

1.13. PATIENT INFORMATION.

1.13.1. Patient information, no matter how developed shall be treated as privileged information under the privacy act and applicable release of information guidelines. Lists and/or names of patients shall not be disclosed to or revealed in any way for any use outside the MTF without prior written permission by the Chief of Medical Staff.

1.14. RESERVED.

1.15. RELEASE OF MEDICAL INFORMATION.

1.15.1. The paramedics 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.

1.16. PATIENT SENSITIVITY.

1.16.1. Contract paramedics shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. Paramedics receiving complaints validated by the FRED, COR 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. COMMUNICATION.

1.17.1. The contractor shall ensure contract paramedics maintain an open and professional communication with members of the MTF. Complaints validated by the FRED, COR 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. Vehicles must be equipped with communication equipment compatible with other base operations, including, but not limited to control tower, base and fire rescue units, command post, MTF and major civilian referral facilities with mutual aid frequency.

1.17.2. Contractor provided vehicles shall be equipped with communication including hand held radios that are compatible with other base operations, including, but not limited to control tower, base fire and rescue units, command post, MTF and major civilian referral facilities with mutual aid frequency. The Contractor shall be responsible for having radios programed to all Tinker AFB necessary frequencies on all ambulances that responding to base calls. Tinker AFB 911 calls will be routed through the Midwest City (MWC) Emergency Operations Center (EOC) via direct patch.

1.17.3. Quarterly meeting with contractor point of contact, TFD. and MFT personnel are required to address any concerns.

1.18. ORIENTATION PERIOD.

1.18.1. Contractor Phase In: To ensure a smooth changeover from a current contract to a new contractor, a thirty (30) calendar day phase in period is required. The current contractor shall be cooperative to ensure a smooth changeover is accomplished during the phase-in and phase-out periods. During the thirty (30) calendar day phase-in period, the new contractor shall hire a workforce to assure satisfactory performance beginning on the contract start date. The contractor, after coordination with FRED/COR, shall allow the successor to conduct on-site interviews with employees. The contractor shall obtain security clearance(s) for Common Access Card(s) (CAC) or contractor badge(s) for the newly hired employee(s). The contractor shall ensure that all training requirements for the newly hired employee(s) are completed before contract start date.

1.18.2. Contractor Phase-out Requirements: During the phase-out period, the incumbent contractor shall be fully responsible for all work performed under this Performance Work Statement (PWS). The incumbent contractor shall cooperate fully to permit an orderly changeover of workload. The incumbent contractor shall allow the new contractor and government personnel access on a non-interference basis, to observe the day-to-day operations and to become familiar with the work requirements and procedures.

1.18.3. The contractor shall begin the orientation as required by the MTF. During the orientation period, the contractor shall complete the following:

1.18.3.1. Ambulance service provider must have a license to provide ambulance services on and around Tinker AFB from the Oklahoma State Department of Health, EMS Division.

1.18.3.2. Access government facilities in order to familiarize supervisors, key personnel, and staff with equipment, reporting, work schedules and procedures. However, such access will not interfere with the production efforts of current work force. To preclude such interference, arrangements for access to government facilities will be made with the CO or COR.

1.18.3.3. A request for identification credential (AFMC 496) shall be completed for each employee of the contractor requiring access to Tinker AFB. The requests shall be submitted to pass and registration (Building 6611). The government will provide a completed “identification credential,” which shall be issued, displayed and surrendered as directed in TAFB installation security program. The contractor shall ensure that employees have the proper identification credentials prior to entering TAFB, OK.

1.18.3.4. In conjunction with the MFT, request an alternate staffing pattern from the Oklahoma State Department of Health, EMS division, which outlines the plan to use flight line ambulance support as backup, which does not alleviate the requirement for the contractor to provide secondary response.

1.18.3.5. Must maintain and have access to current government provided maps of Tinker AFB in every ambulance.

1.18.3.6. Provide EMT-Paramedic, State of Oklahoma license, etc. within 5 business days before period of performance begins.

1.19. CERTIFICATION REQUIREMENTS.

1.19.1. Contractor shall provide a copy of the following certification requirements:

1.19.1.1. Current Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification, and NREMT paramedic certification.

1.19.1.2. A copy of the proposed contract paramedic’s professional resume, accompanied by that individual’s sworn affidavit of the truthfulness of same, indicating experience, training, and technical expertise in the type of care to be rendered.

1.19.1.3. A list of all states in which contract provider currently holds or has held a license to practice related services.

1.19.1.4. Certification of current physical examination for each employee. The certification shall contain a signed statement by the examining physician stating that the employee is free of any contagious diseases. Physical examination must be current as of 12 months prior to application for privileges.

1.20. LICENSE/REGISTRATION.

1.20.1. The contract paramedic shall possess a valid unrestricted EMT-Paramedic license to provide paramedic services in Oklahoma.

1.21. EXPERIENCE.

1.21.1. The paramedic shall have provided services a minimum of six months within the past twelve months.

1.22. EDUCATION AND TRAINING REQUIREMENTS, FORMAL EDUCATION.

1.22.1. The contract paramedic must have completed all courses required to obtain and maintain certification as an EMT-paramedic. Additionally, continuing medical education (CME) (contractor provided) will be accomplished as required. Provide certifications as requested by FRED/COR.

1.23. Required Training.

1.23.1. The contractor shall be available to conduct or participate in training in conjunction with the Tinker Fire Department TFD as required by Tinker AFB. This will include flight line training and special training related to flight line response.

1.23.2. All flight line drivers must receive proper government provided flightline drivers training or be escorted by authorized government personnel.

1.24. HEALTH REQUIREMENTS.

1.24.1. Contract personnel providing services under this contract shall receive a pre-employment physical examination and TB skin testing and immunizations prior to commencement of work and annually thereafter which will not be provided by the MTF.

1.24.2. Not later than five (5) business days prior to commencement of work, certification shall be provided to the FRED/COR that paramedics have completed medical evaluation required above. This certification shall state the date on which the examination was completed, the doctor’s name that performed the examination, and a statement concerning the physical health of the individual. 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 Sexually-Transmitted Diseases.”

1.24.3. 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 any time and receive the Hepatitis B vaccine without penalty. Immunizations are the responsibility of the contractor.

1.24.4. The contractor shall report (to the appropriate MTF staff member) all information necessary to assure medical records can be maintained correctly, and therefore comply with the JCAHO, OSHA, Health Services Inspection (HSI) and CDC health records requirements within 5 business days of any MTF request.

1.25. SECURITY.

1.25.1. Security Requirements/Identification Badges. The contract manager or alternate shall complete a “request for identification credential” (AFMC Form 496) for each employee of the contractor requiring access to Tinker AFB. The request shall be submitted to pass and registration (Bldg. 6611). The government will provide a complete “identification credential (AFMC Form 387), which shall be issued, displayed and surrendered as directed in TAFBI 31-101, installation security program. The contractor shall ensure that all employees have the proper identification credentials prior to entering TAFB. The contract manager or alternate shall complete an “unescorted entry authorization certificate (AF 2586) for each employee requiring entry into controlled areas. The contractor shall request restricted area badges for employees according to TAFBI 31-101, installation security program. The contractor shall possess or obtain a facility clearance at the classification level of a National Agency Check (NAC). The clearance must be obtained prior to the start of the first operational performance period. The contractor shall ensure that sufficient personnel on duty have appropriate security clearance.

1.26. INFORMATION ASSURANCE (IA).

1.26.1. All contract personnel shall successfully complete IA training prior to obtaining access to network. IA training will be given to the contractor by the FRED/COR. All contract personnel shall comply with IA policies and revisions. The contractor shall ensure terminated employees network access is removed within 2 hours of termination notice. The 72nd Communications squadron reserves the right to terminate the contractor’s access to the Tinker network at any time to preserve the integrity of the local network.

1.26.2. All contract personnel shall successfully complete IA training prior to obtaining access to network. All contract personnel shall comply with IA policies and revisions. The contractor shall ensure terminated employees network access is removed within 2 hours of termination notice.

1.27. QUALITY CONTROL (QC).

1.27.1. The contractor shall develop, submit for contracting office acceptance, and maintain a quality control program to ensure the requirements of this contract are performed in accordance with established standards. The contractor shall develop and implement procedures to identify, prevent and ensure non-recurrence of defective services. As a minimum the contractor shall develop quality control procedures (QCP) addressing the areas identified in the service summary. The contractor shall make appropriate modifications (at no additional costs to the government) and obtain acceptance of the plan by the CO. The Air Force shall reserve the right to determine contractor QCPs unacceptable at any time during contract performance. If a QCP is found to be unacceptable, the contractor shall be notified and the CO will take action to enforce the inspection of services clause requiring an inspection system acceptable to the government.

1.28. QUALITY ASSURANCE.

1.28.1. According to the contract’s inspection clause, the government will evaluate the contractor’s performance under this contract. The FRED/COR is a representative of the CO and will participate in the administration of this contract. Any matter concerning a change to the scope, prices, terms, or conditions of this contract shall be referred to the CO. All services to be performed by the contractor during the period of this contract will be subject to review by the CO or FRED/COR.

1.28.1.1. Contractor Response Time: The contractor shall provide written response addressing the root cause, corrective action and preventive action(s). The contractor will be given up to 48 hours to answer a submitted Corrective Action Report (CAR), Performance Action Report (PAR) and Customer Complaint.

1.29. MISSION ESSENTIAL.

1.29.1. Continuation of Essential DoD Contractor services During Crisis. The following requirements have been determined to be essential in accordance with DODI 3020.37, E 2.1.1 and E 2.1.3. The contractor shall establish and provide a written plan to ensure continued support during a crisis IAW Defense Federal Acquisition Regulation Supplement (DFARS) Clause 252.237-7023 incorporated in full text in the contract. This plan shall be submitted with the contractor's proposal.

1.30. KEY CONTROL.

1.30.1. The Contractor shall establish and implement methods of ensuring that all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government will be duplicated. The Contractor shall develop procedures covering key control that shall be included in the QCP, if a QCP is required in the PWS. If a QCP is not required in the PWS the Contractor shall develop a written procedure for key control. The Contractor shall turn in the written procedures to the CO and the FRED/COR within 5 days of contract award. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report the occurrences of lost or duplicate keys to the CO and the FRED/COR. When the Government performs the replacement of locks or rekeying, the total cost of rekeying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, the Government will replace all locks and keys for that system and the total cost deducted from the monthly payment due the Contractor. The Contractor shall prohibit the use of Government issued keys by any persons other than the Contractor's employees. The Contractor shall ensure entrance into locked areas is by only contractor personnel performing work under the contract, or, personnel authorized by the CO.

1.31. ENVIRONMENTAL PROTECTION & SAFETY.

1.31.1. Environmental Protection & Safety: The contractor shall be knowledgeable of and comply with all applicable federal, state and local laws, regulations, instructions and requirements regarding environmental protection and occupational safety and health. The contractor shall comply with any laws, instructions or regulation changes during the term of this contract. The contractor shall follow manufacturer’s guidelines and professional recommendations for control of humidity, temperature, cleanliness and materials handling (including hazardous materials and hazardous waste).

1.31.2. Hazardous Material: Contractor occupying space on base: If the contractor occupies space (i.e. stores hazardous material) on Tinker AFB, the contractor shall obtain access to the Hazardous Material Management System (HMMS) or other base approved HAZMAT tracking system and manage material within the system. The contractor shall establish the inventory, print HMMS bar code labels and apply labels to containers of hazardous material and reconcile the inventory. Items used by contractors require HMMS labels and Occupational Safety and Health Administration (OSHA) compliant labels. The contractor shall be responsible for submitting AF Form 3952 through the HMMS system. The contractor shall not transport or use any chemical, material or substance on Tinker AFB before written approval is provided by 72 ABW/CEAN. Any discrepancies in the inventory shall be reported to t he FRED/COR who shall notify 576 MXSS/MXDEB.

1.31.3. The contractor shall keep a log of products used and when applicable record this information on a 76 MXW Form 133 & 135. The logs shall be completely and properly filled out. The contractor shall report chemical usage on a monthly basis by providing 76 MXW Form 133 & 135 to the FRED/COR no later than the third (3rd) day of the month following the reporting period. If the 3rd day of the month is a weekend or holiday, the logs are required by the last business day 'PRIOR' to the 3rd. The FRED/COR shall forward the product usage logs and, Material Safety Data Sheets (MSDS) for the initial chemical use, to the UEC immediately after receipt from the contactor. MSDS need not be submitted on a monthly basis unless the manufacturer re-formulates the product, at which time the contractor shall re-submit an updated MSDS to the FRED/COR shall forward the updated MSDS to the UEC. Contractor shall maintain copies of MSDSs for all chemicals. The MSDSs must correspond with the manufacturers of the chemicals on hand. Manufacturer, material, and MSDS must match. NOTE: MSDS refers to manufacturer MSDS.

1.31.4. Hazardous Waste: Contractor occupying space on base: Disposal of spent/processed chemical solutions and used rags shall be done in accordance with instructions provided in TI 32-7004. Initial Accumulation Point (IAP). The contractor shall be responsible for the IAP within the contractor assigned space. The IAP shall be under the direct control of the contractor who generates the waste and near enough to the generation point to be convenient. Before accumulation begins, the contractor shall ensure appropriate hazard labels are affixed to containers as specified in 49 CFR 172.400. Management procedures for IAPs include written weekly inspections and reporting. When the drum has been filled, the contractor shall seal the drum and move it to the Hazardous Waste Management Facility (HWMF) within three days (72 hours). The Contractor shall perform written weekly inspections using OC-ALC Form 487, Initial Accumulation Point Management Aid. Weekly denotes once per working week. At the end of the month, the contractor shall forward the OC-ALC Form 487 to the FRED/COR. The FRED/COR shall forward the forms to 576 MXSS/MXDEB NLT the 4th day of the following month or the first subsequent business day. Contractor shall maintain a signed copy of the form on site for one year.

1.31.5. Discharges: Any discharges into industrial waste treatment plant (IWTP) or sanitary sewer shall be done in accordance with Tinker Industrial Waste Water Discharge Permit as instructed by 72 ABW/CEAN. The contractor shall maintain records of written authorization issued by 72 ABW/CEAN for discharges into IWTP and sanitary sewer.

1.31.6. Spills: Upon occurrence of any spills that could enter the storm system or cause any harmful environment effects, the contractor shall immediately call 911 to report the incident. When possible, the contractor shall use a base telephone to receive help from Tinker AFB 911. If using a cell phone, request Tinker AFB 911. The contractor shall report all environmental violations to the FRED/COR. The contractor shall submit a typed or written report about the incident within four (4) clock hours. The contractor shall provide five (5) copies of the written report. The contractor shall provide one copy to the CO, two copies to the FRED/COR, a copy for Unit Environment Coordinator (UEC) and a copy for record. The format of the report shall be left up to the contractor, but the report shall contain the following information.

1.) Name and contact number of person reporting the spill

2.) Date and time of incident

3.) Location and source of spill

4.) Substance or pollutant spilled

5.) Amount spilled and rate of discharge

6.) Any damages or injuries involved

7.) Extent of area impacted

8.) Potential hazards

9.) Actions taken

10.) Organizations contacted

11.) Remarks Section - that addresses the cause of the spill (e.g. human error, equipment, etc.) and whether 911 was called and which agencies responded.

1.31.7. Environmental and Safety Training: The contractor personnel shall have Resource Conservation Recovery Act (RCRA) environmental and safety training required by the state and federal government. The training shall be IAW the following regulations: Resource Conservation Recovery Act (RCRA) 40 Code of Federal Regulation (CFR) 265.16 “Personal Training”, Occupational Safety and Health Administration (OSHA) Hazardous Waste Operations and Emergency Response Standard Title 29, CFR Part 1910.120 “Hazardous Waste Operations and Emergency Reponses” 40 CFR Part 63.741-40 CFR 63.753, Subpart GG- National Emission Standards for Aerospace Manufacturing and Rework Facilities, Oklahoma City Air Logistics Center Tinker Air Force Base Instruction (OC-ALC TAFB) 32-7004, Hazardous Waste Management Instruction, Section 13, and Air Force Instruction (AFI) 32-7042, “Solid and Hazardous Waste Compliance”, Section 2, 76 MXW OI 32-7 “Hazardous Material Management Program” (In its entirety), 76 MXW OI 32-101 “Air Quality Record Keeping Procedure” (In its entirety) & 76 MXW OI 32-7004 “Hazardous Waste Management Program” (In its entirety) . The contractor shall provide the environmental and safety training certificate for all employees to the CO and FRED/COR, within ten (10) calendar days after contract award date.

1.31.8. The contractor shall be knowledgeable of and comply with all applicable federal, state, and local laws, regulations and requirements regarding environmental protection. In the event environmental laws or regulations change during the term of this contract, the contractor shall comply as such laws come into effect.

1.32. VEHICLE EQUIPMENT.

1.32.1. Contractor shall be required to provide all emergency vehicles equipped with the required medical equipment to perform all medical equipment to provide health care services IAW this PWS.

1.32.2. Privately Owned Motor Vehicles (POV): Contractor personnel shall comply with the directives pertaining to operation of POVs on Tinker AFB OK per AFI 31-204 (in its entirety), Motor Vehicle Traffic supervision. The contractor shall comply with TAFBI 24-301 (in its entirety) for the operation of POVs within B3001.

1.32.3. Required Initial and Refresher Courses for On-Base Driver’s Training: The contractor and his/her employees shall take and pass the on-base Driver’s Training Course before driving on the Ramp areas. The contractor shall take the refresher training annually. The contractor shall submit each employee(s) on-base Driver’s Training Course certificates to the QAE/QAP upon completion of the course.

1.32.4. FOD Training for Vehicle Operations: Vehicle operators shall complete all FOD awareness/prevention training and testing requirements before driving any vehicle on the flight line (Reference TINKERAFBI13-202 Entirety).

1.33. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) OF 1996.

1.33.1. All individuals performing services at the MTF shall be required to complete HIPAA Act of 1996 Privacy Rule training and will be held accountable for complying with the MTF specific health information privacy policies and procedures.

1.33.2. PRIVACY AND SECURITY OF PROTECTED HEALTH INFORMATION (PHI): Introduction.

1.33.2.1. In Accordance With (IAW) DoD 6025.18R “Department of Defense Health Information Privacy Regulation” the contractor meets the definition of Business Associate. Therefore, a Business Associate Agreement is required to comply with both the HIPAA Privacy and Security regulations. This clause serves as that agreement whereby the contractor agrees to abide by all applicable HIPAA Privacy and Security requirements regarding health information as defined in this clause, and DoD 6025.18R, as amended. Additional requirements will be addressed when implemented.

1.33.3. DEFINITIONS.

1.33.3.1. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DoD 6025.18R.

1.33.3.2. Individual has the same meaning as the term “individual”' in 45 CFR 164.501 and 164.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).

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

1.33.3.4. PHI 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.

1.33.3.5. Electronic PHI has the same meaning as the term “electronic protected health information” in 45 CFR 160.103.

1.33.3.6. Required by Law has the same meaning as the term “required by law” in 45 CFR 164.501 and 164.103.

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

1.33.3.8. Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160, 162 and part 164, subpart C.

1.33.3.9. Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR 160.103, 164.501 and 164.304.

1.33.3.10. The contractor agrees to not use or further disclose PHI other than as permitted or required by the contract or as required by law.

1.33.3.11. The contractor agrees to use appropriate safeguards to prevent use or disclosure of the PHI other than as provided for by this contract.

1.33.3.12. The contractor agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic PHI that it creates, receives, maintains, or transmits in the execution of this Contract.

1.33.3.13. The contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the contractor of a use or disclosure of PHI by the contractor in violation of the requirements of this contract.

1.33.3.14. The contractor agrees to report to the government any security incident involving PHI of which it becomes aware.

1.33.3.15. The contractor agrees to report to the government any use or disclosure of the PHI not provided for by this contract of which the contractor becomes aware of.

1.33.3.16. The contractor agrees to ensure that any agent, including a subcontractor, to whom it provides PHI, 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.

1.33.3.17. The contractor agrees to ensure that any agent, including a subcontractor, to whom it provides electronic PHI, agrees to implement reasonable and appropriate safeguards to protect it.

1.33.3.18. The contractor agrees to provide access, at the request of the government, and in the time and manner designated by the government to PHI 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.

1.33.3.19. The contractor agrees to make any amendment(s) to PHI 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.

1.33.3.20. The contractor agrees to make internal practices, books, and records relating to the use and disclosure of PHI 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.

1.33.3.21. The contractor agrees to document such disclosures of PHI 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 PHI in accordance with 45 CFR 164.528.

1.33.3.22. 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 PHI in accordance with 45 CFR 164.528.

1.33.4. GENERAL USE AND DISCLOSURE PROVISIONS

1.33.4.1. Except as otherwise limited in this agreement, the contractor shall use or disclose PHI on behalf of, or to provide services to, the government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of PHI would not violate the privacy rule, the security rule or DOD 6025.18R if done by the government.

1.33.5. SPECIFIC USE AND DISCLOSURE PROVISIONS

1.33.5.1. Except as otherwise limited in this agreement, the contractor shall use PHI for the proper management and administration of the contractor or to carry out the legal responsibilities of the contractor.

1.33.5.2. Except as otherwise limited in this agreement, the contractor shall disclose PHI 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.

1.33.5.3. Except as otherwise limited in this agreement, the contractor shall use PHI to provide data aggregation services to the government as permitted by 45 CFR 164.504(e)(2)(i)(B).

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

1.33.6. OBLIGATIONS OF THE GOVERNMENT

1.33.6.1. Provisions for the government to inform the contractor of privacy practices and restrictions

1.33.6.2. Upon request the government will 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.

1.33.6.3. The government will provide the contractor with any changes in, or revocation of, permission by Individual to use or disclose PHI, if such changes affect the contractor's permitted or required uses and disclosures.

1.33.6.4. The government will notify the contractor of any restriction to the use or disclosure of PHI that the government has agreed to in accordance with 45 CFR 164.522.

1.33.7. PERMISSIBLE REQUESTS BY THE GOVERNMENT

1.33.7.1. The government will not request the contractor to use or disclose PHI 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.

1.33.8. TERMINATION

1.33.8.1. 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.

1.33.9. EFFECT OF TERMINATION.

1.33.9.1. 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 1.25.6. and 1.25.7. below.

1.33.9.2. If this contract does not have records management requirements, except as provided in paragraph 1.25.7. of this section, upon termination of this contract, for any reason, the contractor shall return or destroy all PHI received from the government, or created or received by the contractor on behalf of the government. This provision shall apply to PHI that is in the possession of subcontractors or agents of the contractor. The contractor shall retain no copies of the PHI.

1.33.9.3. If this contract does not have records management provisions and the contractor determines that returning or destroying the PHI 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 PHI is infeasible, the contractor shall extend the protections of this contract to such PHI and limit further uses and disclosures of such PHI to those purposes that make the return or destruction infeasible, for so long as the contractor maintains such PHI.

1.33.10. MISCELLANEOUS

1.33.11. REGULATORY REFERENCES.

1.33.11.1. A reference in this clause to a section in DoD 6025.18R, privacy rule or security rule means the section as in effect or as amended, and for which compliance is required.

1.33.12. SURVIVAL

1.33.12.1. The respective rights and obligations of business associate under the “Effect of Termination”' provision of this clause shall survive the termination of this contract.

1.33.13. INTERPRETATION

1.33.13.1. Any ambiguity in this clause shall be resolved in favor of a meaning that permits the Government to comply with DoD 6025.18R, privacy rule or security rule.

1.34. Green/Affirmative Procurement Determination: Green/Affirmative Procurement has been determined not to be applicable to this Performance Work Statement.

1.35. Emergency Procedures: Contractor employees shall follow the direction of Government employees in regards to emergency procedures, i.e. fire, tornado, active shooter, bomb threats. It is the responsibility of the contractor to provide guidance and establish procedures for responding to emergency for their employees. It is the contractors' responsibility to account for their employees following an emergency evacuation. Contractor Personnel shall participate with government personnel in all fire and tornado drills and no additional cost to the Government.

1.36. Health and Safety on Government Installations: In performing work under this contract on a Government installation, the contractor shall comply with the specific health and safety requirements established by this contract and Appendix C.

1.37. VOLUNTARY PROTECTION PLAN (VPP):

1.37.1. Tinker AFB is in the process of pursuing VPP recognition or has already been recognized under the Occupational Safety and Health Act (OSHA) Voluntary Protection Plan (VPP). VPP impacts all "applicable contractors" operating on Air Force Installations. (Applicable contractors are contractors that have completed 1000 hours or more at Tinker AFB within 3 months on the same contract.) It is the contractor's responsibility to ensure its employees and managers have a comprehensive understanding of VPP as well as full compliance with OSHA requirements. Contractor shall follow the safety and health rules of the installation, OSHA and this PWS/SOW. Detailed information on VPP is available on the OSHA website at http://www.osha.gov/dcsp/vpp/index.html.

1.37.2. The contractor shall provide their Total Case Incidence Rate (TCIR), their Days Away Restricted and/or Transfer Case Incident rate (DART) rates and their OSHA Form 300A and annually to the CO and the FRED/COR for consolidation and submission as part of the installation's annual VPP Safety and Health management report. TCIR and DART rates are due by the 15th of January of each year. However, if the contract expires before January 15th than the contractor shall submit their 300A log, TCIR and DART rates by the end of the contract period of performance.

1.37.3. The contractor shall be responsible for compliance with the OSHA (Public law 91-596). The contractor shall submit a Safety and Health Plan (SHP) and corresponding site safety checklist to the Contracting Officer and the FRED/COR 10 work days after contract award. The contractor's SHP shall include appropriate measures to ensure the contractor reacts promptly to investigate, correct and track alleged safety and health violations and uncontrolled hazards in the contractor work areas. The contractor shall comply with the contractor’s SHP.

1.37.4. The contractor shall identify in the SHP processes and procedures used to track compliance with the SHP, and the process and procedures that shall be used to…