FY27.SOW.HE.Stainer.docx

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SOURCES SOUGHT FOR HE REAGENTS SUPPLIES MARTIN ARMY COMMUNITY HOSPITAL
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W91YTZ26QA017
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This is a Statement of Work (SOW) for a one-year supply contract to lease an automated hematoxylin and eosin tissue staining system for Martin Army Community Hospital (MACH) at Fort Benning, Georgia, with a performance period of October 1, 2026 through September 30, 2027. The vendor must provide delivery, installation, reagents, supplies, preventive maintenance, staff training, and analyzer removal at contract end. The staining system requires multiple components including a command center, sample management center, barcode identification unit, reagent management unit, incubator, mixing units, reading unit, sample input/output units, cover slipper unit, UPS, onboard computer with printer, and software. The vendor is responsible for furnishing all materials for maintenance and repairs, with service calls requiring response within four hours of notification and deficiency correction within 24 hours. The system must interface with the hospital's Laboratory Information System (LIS), MHS Genesis, Cerner Pathnet, and Copath, with the vendor providing any necessary additional equipment such as monitors, processors, or printers at no additional cost to the government.

The vendor must provide 24-hour telephonic troubleshooting support, all software upgrades at no cost, and all scheduled preventive maintenance as specified in the manufacturer's manual. Invoicing is conducted through the Wide Area Workflow (WAWF) system with payment commencing only after the analyzer is fully operational and validated for patient testing. Stringent cybersecurity requirements apply, including completion of the Risk Management Framework (RMF) process with Authority to Operate (ATO) approval required before delivery and payment, which must be obtained within 12 months of contract award. The vendor must undergo vulnerability assessments, maintain continuous risk management with a duplicate test system, provide monthly security scans, and comply with all DoD cybersecurity regulations, NIST standards, and FIPS requirements. Personnel accessing the facility must obtain temporary vendor security badges and comply with installation security regulations, background checks, and personal identity verification requirements. Normal operating hours are 8:00 a.m. to 3:00 p.m. EST, Monday through Friday, with all shipments required between these hours, excluding federal holidays.

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STATEMENT OF WORK

1. General Description.

1.1. Provide Martin Army Community Hospital (MACH), United States Army Medical Activity, Fort Benning, Georgia laboratory with a supply contract to lease an automated hematoxylin and eosin tissue staining system for the period of performance 1 October 2026 through 30 September 2027, or date of award plus one option year. The vendor is responsible for providing delivery and installation of analyzers, reagents, supplies, service, preventive maintenance, staff training, and analyzer removal at the end of the contract. This analyzer will be in the histology section under the management of the Department of Pathology. Funding will be allocated annually and is subject to the availability of funds.

2. Physical Security.

2.1. Personnel or any representative of the contractor entering Fort Benning shall abide by all security regulations and shall be subject to security checks. Contractor and all associated sub-contractor’s employees shall comply with applicable installation/facility access and local security policies and procedures (provided by Government representative as needed). The contractor shall also provide all information required to meet installation access requirements if required, including background checks to be accomplished by installation Provost Marshall Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9 (Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in Contractor security matters or processes.

2.3. Ensure personnel report to the Equipment Management Suite located in room GC-122 on the ground floor to sign in and obtain a temporary vendor security badge PRIOR to commence all on-site visits, preventive maintenance service, support or repairs to equipment in the laboratory and any BMACH outlying site that has equipment installed under this contract.

2.4. Ensure that any requirement to remove, exchange, or add contractor’s equipment during the performance of this contract is coordinated through the Contract Officer’s Representative (COR) and must also include the site officer in charge/ noncommissioned officer in charge, chief equipment management branch, and the property book officer.

3. Hours of Operation.

3.1. Normal Hours. Normal hours of operation are 8:00am to 3:00pm EST, Monday through Friday.

3.2. Recognized Holidays. Facility observes all federal holidays. Federal Holidays are as follows:

1 JanNew Year’s Day
3rd Monday in JanMartin Luther King Jr. Birthday
3rd Monday in FebruaryPresident’s Day
Last Monday in MayMemorial Day
4th JulyIndependence Day
3rd ThursdayJuneteenth
1st Monday in SepLabor Day
2nd Monday in OctColumbus Day
11 NovVeteran’s Day
4th Thursday in NovThanksgiving Day
25 DecChristmas Day

NOTE: When any of the above holidays fall on a Saturday it will be observed on the preceding Friday; holidays that fall on a Sunday will be observed on the following Monday. Any holiday declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above.

4. Vendor Deliverables.

4.1. LIS Interface: The contractor shall furnish interface assistance to ensure that the system is interfaced with the LIS, MHS Genesis Cerner Pathnet and Copath, prior to departure. If purchase of additional equipment such as computer monitor, computer processing unit, and printer is required to maintain the LIS system interface, the vendor must provide them, upgrade them and maintain them throughout the contract period at no cost to the government. Replacements must be made as needed at no cost to the government. The system must have barcode capabilities and be fully interfaced to the Cerner and electronic health record MHS Genesis.

4.2. Furnish all materials required to perform maintenance, repairs, or service. Any costs associated with travel, lodging or meals to conduct services or preventive maintenance will be at the cost of the contractor.

4.3. Upon completion of services, a written service report will be provided to the Biomedical Maintenance / Clinical Engineering Manager. The service report shall be filled out, provide detailed information regarding the cause of equipment malfunction and corrective action taken, to include the time required to complete the work, price of labor (hourly rate), and a list of parts replaced with a price for each part. In the event all information is not available to contractor’s representative when services are performed, the initial service report shall include all information stated above except for price. Contractor shall provide the balance of the required information in writing to the Biomedical Maintenance Branch, Ms. Pamela Francis at pamela.t.francis.civ@health.mil, within ten days after the services are completed.

4.4. Provide new and/or refurbished parts that are certified and documented to meet Original Equipment Manufacturers (OEM) specifications on all manufacturers’ mandatory modifications and apply recalls by FDA.

4.5. Contractor will provide new or updated user manuals when changes are made at no additional cost.

4.6. Furnish all applicable SDS for reagents, equipment and supplies utilized under this contract at no additional cost.

4.7. Deliver an automated hematoxylin and eosin tissue staining system with the following Components:

Command Center Sample Management Center Barcode Sample Identification Unit Reagent Management Unit

Incubator Unit
Mixing Units
Reading Unit

Sample Input Unit Sample Output Unit Cover slipper unit

Power ware/ UPS
On Board Computer with Printer
Software
Operator ‘s Manual
Maintenance Manual

5. Specific Tasks.

5.1. Provide on-site technical support and all reagents and supplies required for installation, validation/correlation of analyzers to bring to a fully operational status is included.

5.2. Ensure that if system requires a water drain source throughout the period of performance to operate the analyzer is included at no additional charge.

5.3. Ensure proper packaging of reagents, supplies, and equipment and that they are shipped at proper refrigerated or frozen temperatures according to manufacturer specifications.

5.4. Ensure all shipments arrive Monday through Friday between the hours of 8:00am and 3:00pm EST, excluding holidays and weekends according to paragraph 3.2 above.

5.5. Respond to phone calls regarding shipment discrepancies the same day of notification and discrepancy will be corrected within 24 hours.

5.6. Provide customer notification of updates on any reagents in writing within 5 business days and ensure continuity of services and availability of reagents during reagent revision when required.

5.7. Ensure reagents meet quality control guidelines set forth by manufacturers.

5.8. Provide all software upgrades at no additional cost.

5.9. Notify the laboratory if there is a recall on any reagents or equipment within 24 hours.

5.10. Respond to service calls within four hours after notification. If it is after 5:00pm Monday through Friday respond on the next duty day. Deficiencies should be corrected within 24 hours after arrival on-site.

5.11. Perform all on-site scheduled service as specified by the manufacturers published maintenance manual as necessary to keep system in good condition including lubrications, cleaning (other than those performed at the operator’s level), calibrations, and diagnostics, during the lease period at no additional cost.

5.12. Provide 24-hour telephonic troubleshooting support.

5.13. Analyzer shall provide Hematoxylin and Eosin staining, Special stains, PAP staining and film cover slipping capabilities.

6. Payments.

6.1. Create a combo invoice document using the government’s Wide Area Workflow (WAWF) electronic internet-based System. The contractor shall submit, in arrears, itemized combo document invoices in accordance with DFARS 252.232-7003 & 252.232-7006, for services rendered under this contract. Invoices must be submitted no more than 30 days after the completion of the annual period of performance. Information regarding Wide Area Workflow is available on the Internet at https://piee.eb.mil.

6.2. When it is necessary to resubmit an invoice for payment, the same invoice number listed on the original document with a letter after the number is used and that a new invoice number will not be generated for a previous shipment. (Example: Invoice # 100473, 100473A, 100473B, etc.).

6.3. Contractor will submit invoices to WAWF within 7 days of shipping date but no later than 30 days of shipping date.

6.4. Contractor ensures payments start only after the analyzer is fully operational, validated/ correlated, and live for patient testing.

7. U.S. Army Cybersecurity and Risk Management Framework (RMF) Requirements.

7.1. System Security Requirements.

7.1.1. The vendor shall submit to the Government, included in the quote, the blue section of the Medical Device Cybersecurity Assessment (Questionnaire) provided by government and Nessus Scans. Nessus scanner is to be procured by the vendor, at their own cost, to comply with RMF requirements.

7.1.2. Vendor agrees to comply with security regulations and guidance and all Risk Management Framework (RMF) requirements listed in section 7.

7.1.3. Failure to meet the requirements may result in termination of the delivery order for cause, in accordance with FAR 52.212-4(m).

7.1.4. The vendor device or system shall pass pre-validation screening (Vulnerability scans utilizing Nessus and SCAP scans), administered within six (6) months of contract award that will be conducted by Government, and must meet criteria listed below:

(a). No unmitigated Very High or High Severity/ Category I (CAT I), vulnerabilities as described in the appropriate Defense Information System Agency (DISA) Security Technical Implementation Guides (STIGs) located on http://iase.disa.mil/stigs/Pages/index.aspx (b). No unmitigated Moderate Severity/Category II (CAT II), vulnerabilities as described in the appropriate Defense Information System Agency (DISA) Security Technical Implementation Guides (STIGs) located on http://iase.disa.mil/stigs/Pages/index.aspx (c). No unmitigated Very High or High Severity/ Category I (CAT I) vulnerabilities from Nessus vulnerability scans.

(d) No unmitigated Moderate Severity/ Category II (CAT II) vulnerabilities from Nessus vulnerability scans.

7.1.5. The vendor shall mitigate all Very High, High, and Moderate Severity/CAT I and CAT II vulnerabilities discovered during the Assessment and Authorization (A&A) process according to a schedule published by Government.

7.1.6. The vendor shall appoint a vendor point of contact responsible for the cybersecurity of the vendor device or system throughout the lifecycle of the system. The vendor shall provide Subject Matter Experts (SMEs) to support all assessments of contracted products and materials and meet required delivery timelines.

7.1.7. The vendor shall obtain a recommendation of Authority to Operate (ATO) as determined by a Government appointed third party validator within twelve (12) months of contract award.

7.1.8. The vendor shall not make any delivery and shall not receive payment for the system until the ATO is granted. Receiving the ATO document from the U.S. Army shall constitute permission to perform on the order and to proceed with delivery. All delivery dates shall be reset in accordance with contract and in days after the date the ATO is communicated in writing to the vendor. Delivery may take place prior to ATO only if written permission is provided by the DLA Contracting Officer.

7.1.9. Pursuant to subsequent warranty period and Service Maintenance Agreements (SMA), the vendor shall, after the award of an ATO, ensure that the vendor’s device or system maintains its ATO for as long as the equipment is operated by Government.

7.1.10. The vendor shall establish appropriate administrative and technical safeguards to ensure the confidentiality, integrity, and availability of Government data under their control.

7.1.11. The vendor shall notify the Information Owner and Contracting Officer POCs in writing with any inability to comply with DoD security requirements. Vendor will provide anticipated costs and timelines required to address vulnerabilities in question.

7.1.12. The vendor shall contact the IA/RMF Office Representative, no later than 5 days after delivery order selection or contract award, to start the process. Failure to do so would be considered a vendor caused delay.

7.2. RMF Timeframes.

The following table provides an overview of the entire Process to obtain approval under Army Cybersecurity requirements. Vendor actions must start as cited in the number of days after date of order column noted below and be completed in the number of days listed below in the Duration column.

ID
Step Name (Action or Deliverable)
Duration (Days)
Number of Days After Date of Award
Responsible Party
1
1. Categorization
22 Total Days
2
1.1 Vendor RMF Kickoff Meeting (Vendor must contact the RMF Office Rep)
1
5
GOVERNMENT
3
1.2 EDMS Paperwork and Account Creation
10
5
GOVERNMENT
4
1.3 EDMS Functionality Briefing
1
5
GOVERNMENT
5
1.4 Documentation Templates to Vendor
1
1
GOVERNMENT
6
1.5 Hardware/Software Document Production
5
5
VENDOR
7
1.6 STIG Review
2
10
GOVERNMENT
8
1.7 System Categorization
2
12
GOVERNMENT
9
1.8 Categorization Memo Approval
5
17
GOVERNMENT
10
1.9 Security Assessment Plan Creation
3
12
GOVERNMENT
11
1.10 SAP Sent to Vendor
0
15
GOVERNMENT
12
1.11 Contact 3rd Party IV & V
0
15
GOVERNMENT
13
2. Control Selection
6 Total Days
14
2.1 System eMASS Registration
1
12
GOVERNMENT
15
2.2 eMASS Control Selection
1
12
GOVERNMENT
16
2.3 Implementation Plan Completion
5
17
GOVERNMENT
17
3. Implementation
130 Total Days
18
3.1 Documentation Creation and Review

GOVERNMENT

19
3.1.1 Vendor Control and Artifact Documentation
90
5
VENDOR
20
3.1.2 PMO Control Documentation
55
40
GOVERNMENT
21
3.1.3 Documentation 100% Complete (Confirm iV and V)
0
95

GOVERNMENT

22
3.2 Scanning
120
16
VENDOR
23
3.2.1 Vendor Initial Scan
10
16
VENDOR
24
3.2.2 ICS Review of Scans and Vulnerability Report
2
26
GOVERNMENT
25
3.2.3 Vendor Technical Remediation
110
27
VENDOR
26
3.3 DHA Registration
60
77
GOVERNMENT
27
3.3.1 DHA A&A Request
1
77
GOVERNMENT
28
3.3.2 Submit Security Plan for Approval
10
77
GOVERNMENT
29
3.4 Submission to IV and V Team; Submit IV and V Request Through Portal
0
137
GOVERNMENT
30
4. Assess
65 Total Days
31
4.1 Packet Review by IV and V Team
29
138
GOVERNMENT
32
4.2 Coordination Meeting
0
165
GOVERNMENT
33
4.3 Onsite I&V
5
168
GOVERNMENT
34
4.4 SCA-V Packet Review
30
173
GOVERNMENT
35
4.5 SCA-V SAR Issuance
0
203
GOVERNMENT
36
5. Packet Authorization
60 Total Days
37
5.1 Vendor Remediation
30
173
VENDOR
38
5.1.1 SAR Review/ Concurrence
10
203
GOVERNMENT
39
5.2 Submit to SCAR
10
213
GOVERNMENT
40
5.3 Submit to SCA
5
223
GOVERNMENT
41
5.4 Submit to AO
5
228
GOVERNMENT
42
5.5 AO Signature
0
233
GOVERNMENT

7.3. Assessment and Authorization (A&A).

7.3.1. The vendor shall submit all RMF required documentation, as specified by Government Reps for review and approval, no later than four (4) months after request by the Government.

7.3.2. The vendor shall obtain approval from the Government, any vendor developed policies, plans, and procedures prior to implementation.

7.3.3. The vendor shall provide any additional documentation required by the Government for completion of the A&A process within thirty (30) business days of request by the Government.

7.3.4. The vendor shall provide technical scans within one (1) month of the A&A kickoff meeting.

7.3.5. The vendor shall provide updated technical scans monthly, on the 10th day of each month until an ATO is granted.

7.3.6. The vendor shall ensure that the vendor device or system can support the use of DISA approved intrusion detection and prevention, antivirus, and antimalware applications. The vendor shall provide technical specifications that clearly demonstrate whether the proposed solution can integrate and support either the full security suite or the individual components (e.g. DLP, IPS, Antivirus, etc.) without performance degradation of the medical system/device. In cases where the operation of security applications is not technically achievable, the vendor shall provide detailed justification and a Plan of Actions and Milestones (POA&M) describing steps towards compliance with this requirement.

7.3.7. The vendor shall ensure that the vendor device or system is configured in such a way that allows the updating of malware definition signatures on a scheduled basis. Scanning shall encompass the entire system (file system, operating system, real-time processes) by default. In cases where scanning of the entire system may negatively affect its operation, the vendor shall provide a detailed list of exclusions with justifications.

7.4. Privileged User Training and Certification Requirements. If a vendor requires B2B, access, etc. to government networks to maintain, analyze, etc. their products, they must adhere to the following requirements:

7.4.1. Information Assurance Contractor Training and Certification. Contractors requiring a privileged-level account for administrative/maintenance support of systems/applications on the Army network will meet Army requirements for a privileged-level account before being granted a network account. Requirements include:

7.4.2. Cyber (Information assurance (IA)/information technology (IT)) certification. Per DoD 8570.01-M, DFARS 252.239.7001 and AR 25-2, the contractor employees supporting Cyber (IA/IT) functions shall be appropriately certified upon contract award. Contractors will be defined at Information Assurance Technical Level I (IAT – II) and be required to meet minimum Professional Baseline certifications at the time of contract award. Contractors will be given six (6) months to meet Computer Environment (CE) and Cyber Security Fundamental training requirements. Not meeting the requirements in accordance with DoD 8570.01-M will result in the contractor account and access being ‘Disabled’ or ‘Deleted’ until such time as the conditions of this contract is met.

7.4.3. Background Investigation. NACI or above is required. Vendors should email: usarmy.jbsa.medcom.list.medcom-information-assurance@mail.mil to obtain guidance on the process.

7.4.4. Professional Baseline Certification. The minimum Professional Baseline certification for IAT-II is CompTIA Security+. Higher certifications (GSCL, CISM, CISSP, etc.) will satisfy this requirement.

7.4.5. Computer Environment (CE) Certification. Computer Environment (CE) certifications are determined by the role of the contractor and must be met within six months of delivery order issuance. Contractors working on servers are encouraged to have a Microsoft 2016 Server or 2022 Server certification. Contractors working on End-User devices are encouraged to have a professional certification that coincides with the technology inherent in the system (i.e. MCSE, CCNA, RHCSE, Microsoft Windows 10 and Windows 11 etc.). The CompTia Security + certification will also satisfy the CE certification requirement.

7.4.6. IA Training. DoD Cyber Awareness Challenge Training must be completed by all contractor employees and associated sub-contractor employees prior to issuance of network access and annually thereafter. DoD Cyber Awareness Challenge Training is available at the following website: https://ia.signal.army.mil/DoDIAA/ Contractors will meet minimum training requirements within six months of contract award.

7.4.7. Two-Factor Authentication. Contractors will authenticate using two-factor authentication. The preferred method for authenticating is the Common Access Card (CAC).

7.4.8. MACH Network Account Request Package (Authorized & Privileged). The contractor will submit a request package through either the ITC One-Stop Shop for contractors requiring on-site access or through the Information Assurance/Cyber Security Branch for contractors requiring remote access to BMACH network. Remote access must be through a Defense Health Agency (DHA) Business-To-Business (B2B) solution. Vendors should email: usarmy.jbsa.medcom.list.medcom-information-assurance@mail.mil to obtain remote access through DHA, for Army requirements. The package includes DD Form 2875 – System Authorization Access Request (SAAR). All contractors requiring a BMACH network account will complete the DD Form 2875 to include validation of a Security Background Investigation. Information Assurance Branch will be the sponsor for all contractors requiring elevated privileged-level access. The department chief will sign DD2875 as the contractor supervisor. Note: contractors requiring a ‘Privileged’ account will check ‘Box 14.’ on the form. The DD2875 SAAR Form is available at the following website: https://atc.us.army.mil/iastar/docs/DD_Form_2875_System_Access_Agreement_Request.pdf.

7.4.9. Acceptable Use Policy (AUP). All vendors/contractors will sign/acknowledge the Army Standard Acceptable Use Policy (AUP) prior to being granted a Army network account. The Army Standard AUP is available at the following website: https://atc.us.army.mil/iastar/docs/aup.pdf

7.5. Warranty and Post-Warranty Service Maintenance Agreement Cybersecurity Requirements.

7.5.1. Continuous Risk Management

(a). The vendor shall maintain a duplicate of the fielded device, system, or group of configurations falling under one authorization; for testing in a vendor supplied lab environment at vendor location for as long as the system is operated by the Government.

(b). The vendor shall maintain the duplicate system or device in operational condition with the latest security patches installed.

7.5.2. The vendor shall update all ATO required supporting documentation in the event of a system policy, procedural, logical or technical changes to the system.

7.5.3. The vendor shall maintain the authorized security configuration and notify the government within forty-eight (48) hours of any major changes for review. A major upgrade such as major software or hardware revision must be reassessed for ATO. Vendors should support reauthorizations due to major upgrades.

7.5.4. The vendor shall ensure the vendor’s device or system follows the Department of Defense (DoD) Information Assurance Vulnerability Management (IAVM) program upon each deployment.

7.5.5. The vendor shall ensure any new deployment (including rebuilds) deployment with a fully patched, accredited version maintained in a lab environment.

7.5.6. The vendor shall make the duplicate device or system available for periodic security reviews, within forty-five (45) business days of notification by government. The vendor shall perform monthly vulnerability scans using the most recent and updated version of approved DoD scan tools.

7.5.7. Vendor shall maintain system and update to comply with updated security technical implementation guides (STIGS) as made available by the government within three (3) months of notification by the government.

7.5.8. The vendor shall provide vulnerability scan and security content automation protocol (SCAP) scan results to Government monthly. Vendor should provide raw scan results and administrative reports no later than the 10th calendar day of each month.

7.5.9. The vendor shall close all discovered vulnerabilities within three (3) months of discovery.

7.5.10. The vendor shall submit to government detailed explanations for the inability to close discovered vulnerabilities.

7.5.11. The vendor shall submit to government for approval of any mitigation that addresses any open vulnerabilities.

7.5.12. The vendor shall review all required policies, plans, and procedures documentation on an annual basis and submit changes to government for approval.

7.5.13. The vendor shall use the Government approved method for remote access administration (DISA B2B) of system or device.

7.6. Cybersecurity Regulations and Guidance. The vendor shall use and comply with the most recently published versions as of the date of contractual agreement for the following references as well as all regulations or guidance referenced within those publications:

7.6.1. United States Law

i. “General Requirements Overview - Personally Identifiable Information (PII), Protected Health Information (PHI) and Federal Information Laws” (Revised 10/27/2020).

ii. The Federal Information Security Management Act (FISMA)

iii. The E-Government Act of 2002

7.6.2. Office of Management and Budget (OMB)

i. The following publications are located at https://www.whitehouse.gov/omb/agency/default

ii. Circular A-130

iii. Guidance M-05-24, Implementation of Homeland Security Presidential Directive (HSPD) 12-Policy for a Common Identification Standard for Federal Employees and Vendors

7.6.3. National Institute of Standards and Technology (NIST)

i. The following publications are located at http://www.nist.gov/publication-portal.cfm

ii. NIST Special Publication (SP) 800-37 – Guide for Applying the Risk Management Framework (RMF) to Federal Information Systems

iii. NIST SP 800-53 – Security and Privacy Controls for Federal Information Systems and Organizations

7.6.4. Federal Information Processing Standards (FIPS)

i. The following publications are located at http://www.nist.gov/itl/fipscurrent.cfm

ii. FIPS Publication (FIPS PUB) 140-2, Security Requirements for Cryptographic Modules

iii. FIPS PUB 199 – Standards for Security Categorization of Federal Information and Information Systems

iv. FIPS PUB 201-2, Personal Identity Verification of Federal Employees and Vendors

7.6.5. Department of Defense (DoD)

i. The following publications are located at http://www.dtic.mil/whs/directives/

ii. DoD Instruction 5200.2, DoD Personnel Security Program (PSP)

iii. DoD Instruction 8500.1, Cybersecurity

iv. DoD Instruction 8520.02, Public Key Infrastructure (PKI) and Public Key (PK) Enabling

v. DoD Instruction 8510.01, Risk Management Framework Process (RMF)

vi. DoD Instruction 8551.1, Ports, Protocols, and Services Management (PPSM)

vii. DoD Instruction 8580.02, Security of Individually Identifiable Health Information in DoD Health Care Programs

viii. DoD Instruction 6025.18, Privacy of Individually Identifiable Health Information in DoD Health Care Programs

ix. DoD Directive 5400.11, DoD Privacy Program

x. DoD Manual 5400.11-R, Department of Defense Privacy Program

7.7. SECURITY CLEARANCES.

7.7.1. Personnel to be assigned to an ADP/IT position must undergo a successful security screening before being provided with access to DoD information technology resources. Prior to an employee being granted interim access to DoD sensitive information, Martin Army Community Hospital must receive notification that the Office of Personnel Management (OPM) has scheduled the employee's investigation. This requirement must be met by contractors, subcontractors and others who have access to information systems containing information protected by the Privacy Act of 1974 and protected health information under HIPAA. Background checks are required for all ADP/IT personnel who receive, store, display, or transit sensitive information. Employees must have at a minimum an ADP Sensitivity Designation of Level II to access the DoD Network.

7.7.2. All contractors that use the DoD gateways to access government systems must submit a DISA Form 41 or equivalent in accordance with Contracting Officer guidance. In addition, Form 41s are required for each system administrator responsible for each host-to-host interface. Contractors shall complete and submit to Tricare Management Activity (TMA) one Form 41 for their organization, attached to which shall be a listing of those individuals for whom background checks have been completed, submitted to the Office of Personnel Management (OPM), and acknowledgements have been received from OPM that the applications are complete and are pending action by OPM. The request must clearly delineate the ports and protocols used for each IP address. The contractor shall complete the form and submit it to the government for final processing. All costs for the background investigations are the responsibility of the contractor.

8. BUSINESS to BUSINESS (B2B) REQUIREMENTS for CONTRACTOR.

8.1. General Security Requirements. The Contractor shall establish appropriate administrative, technical, and physical safeguards to protect all Government data, to ensure the confidentiality, integrity, and availability of government data. As a minimum, this shall include provisions for personnel security, electronic security and physical security as listed in the sections that follow.

8.2. Personnel Security.

8.2.1. The contractor shall comply with DoD Directive 8500.1, “Information Assurance (IA),” DoD Instruction 8500.2, “Information Assurance (IA) Implementation,” DoD Directive 5400.11, “DoD Privacy Program,” DoD 6025.18-R, “DoD Health Information Privacy Regulation,” DoD 5200.2-R, “Personnel Security Program Requirements.” AR25-1, “Army Knowledge Management and Information Technology”, AR 25-2 “Information Assurance.” And local regulations as deemed appropriate by the activity Information Assurance personnel.

8.2.2. Contractor’s responsibilities for ensuring personnel security include, but are not limited to, meeting the following requirements:

(a). Follow the Army guidelines for submittal of Automated Data Processor/Information Technology (ADP/IT) background investigations and ensure all contractor personnel are designated as ADP/IT-I, ADP/IT-II, or ADP/IT-III where their duties meet the criteria of the position sensitivity designations outlined in AR25-2.

(b). Initiate, maintain, and document personnel security investigations appropriate to the individual’s responsibilities and required access to Information Systems within the logical boundaries of the facility LAN.

(c). Immediately report to the Martin Army Community Hospital Personnel Security Manager Travis Butler at 762-408-0308 and deny access to any automated information system (AIS), network, or information if a contractor employee filling a sensitive position receives an unfavorable adjudication, if information that would result in an unfavorable adjudication becomes available, or if directed to do so by the appropriate government representative for any reason.

8.3. Electronic Security.

8.3.1. Disposing of Electronic Media. Vendors shall follow the DoD standards, procedures, and use approved products to dispose of unclassified hard drives and other electronic media, as appropriate, in accordance with DoD Memorandum "Disposition of Unclassified Computer Hard Drives," June 4, 2001. Vendors are required to also follow DoD guidance on sanitization of other internal and external media components in DODI 8500.2 "Information Assurance (IA) Implementation," 6 Feb 2003 (see PECS-1 in enclosure 4 Attachment 5) and DoD 5220.22-M "Industrial Security Program Operating Manual (NISPOM)," (Chapter 8).

8.3.2. Information Assurance Vulnerability Management (IAVM) The contractor shall implement an information assurance vulnerability management program for all AIS and corresponding subnets that are connected to or intermittently connected to Army networks. The program shall meet the scope and intent of AR25-2 and Martin Army Community Hospital IA policies to provide protection against known threats and vulnerabilities. Compliance with Army IAVM alerts and bulleting is required for these systems and shall be completed within the specified timeframe.

8.4. Information Systems (IS)/Networks Physical Security.

8.4.1. The contractor shall employ physical security safeguards for IS/Networks involved in processing or storage of Government Data to prevent unauthorized access, disclosure, modification, destruction, use, etc., and to otherwise protect the confidentiality ensure use conforms with DoD regulations. In addition, the contractor will support a Physical Security Audit performed by the Government of the contractor's internal information management infrastructure. The MHS Physical Security Audit Matrix is available at: http://www.tricare.osd.mil/tmis_new/Policy/PSA_Matrix_%20012304%200930%20clean%20version.xls. The contractor shall correct any deficiencies identified by the Government of the contractor's physical security posture.

8.4.2. Special Requirements for Protected Health Information. Whenever a contract is awarded that requires the vendor to collect, use, copy, access or store Protected Health Information (PHI) in commercial office space, the contractors must notify the Martin Army Community Hospital HIPAA Security Manager, Ms. Beverly Simmons at 762-408-0032.

8.4.3. Follow all DUA and DoD requirements for secure disposal, destruction, and/or sanitization of all equipment that contained PHI.

9. Anti-Terrorism and Operations Security Contract Requirements.

9.1. Access and general protection/security policy and procedures. This standard language is for contractor employees with an area of performance within Army controlled installation, facility, or area. Contractor and all associated sub-contractor’s employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

9.2. For contractors that do not require CAC but require access to a DoD facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

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