Hearing Services PWS 6.5.2025 V2.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

Audiology Services

1.0 General:

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform audiology and diagnostic hearing Services, as defined in this PWS.

1.1.1 Objectives. The objective of this contract is to provide continuous year-round diagnostic audiology services to NYARNG service members in support of annual medical readiness requirements and soldier readiness processing (SRP) in support of mobilization operations.

1.2 Background: Individual medical preparedness is vital for force health protection and mobilization medical readiness. Hearing tests are required in order to ensure Soldiers are medically eligible to complete assigned duties in support of combatant commanders and State Active Duty. Hearing tests and related services are required by the DoD and NYARNG as outlined in relevant publications.

Relevant to this contract, the selected contractor shall provide all services necessary to meet standards outlined in DoD regulations including, but not limited to,

a. AR 40-501, Standards of Medical Fitness, 27 June 2019;

b. AR 40-502, Medical Readiness, 27 June 2019;

c. DA Pam 40-501, Army Hearing Program, 08 January 2015;

d. DODI 6055.12, Hearing Conservation Program, August 14, 2019;

e. All other relevant DoD regulations and any subsequent revisions or modifications.

1.3 Period of Performance (PoP): The Period of Performance shall be Five Years beginning 1

August.

1.4 General Information:

1.4.1 Place and Performance of audiology services. The contractor shall provide audiology services at designated locations throughout the State of New York. Services may be ordered at any of the NYARNG armory or military facility in the State of New York from Monday through Sunday between the hours of 0700 and 1900. The selected contractor will not be expected to provided audiology services on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. This timeframe does not include set-up and tear-down. Tear-down and set-up at each location shall be part of the contracted price and will not be billed as a separate service.

The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. The selected contractor must be capable of staffing two events simultaneously with both diagnostic DOEHRS-HC services and staff, and Comprehensive Audiology Examination (CAE) with maximum / mandatory throughput (200 personnel per 6-hour period).

1.4.2 Telework: The Government does not permit the contractor to telework in support of this requirement.

1.4.3 Unscheduled gate closures by Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.4 The contractor’s employees shall become familiar with and obey the regulations of the installation: including fire, traffic, safety, and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance. The Government reserves the right to direct the removal of an employee from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.5 Recognized Holidays: The following are recognized United States (US) holidays.

The contractor is not required to provide audiology services on the following days:

1.4.5.1 New Year’s Day: January 1st

1.4.5.2 Martin Luther King, Jr.’s Birthday

1.4.5.3 President’s Day

1.4.5.4 Memorial Day

1.4.5.5 Juneteenth National Independence Day: June 19th

1.4.5.6 Independence Day: July 4th

1.4.5.7 Labor Day

1.4.5.8 Columbus Day

1.4.5.9 Veteran’s Day: November 11th

1.4.5.10 Thanksgiving Day

1.4.5.11 Christmas Day: December 25th

1.4.6 Quality Control (QC): The contractor shall develop and maintain an effective QC

Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.7 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.8 Installation Access and Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor 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. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.9 For contractors that do not require a 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 (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a Government representative).

1.4.10 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level 1 training within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the KO within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website: https://jko.jten.mil/courses/atl1/launch.html.

1.4.11 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)).

This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each contractor employee and subcontractor employee to the KO within 15 calendar days after completion of training.

1.4.12 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.13 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy, and their actions affect the most vulnerable portion of the Army Enterprise Infostructure (AEI) or Air Force Infostructure.

Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system.

Contractor employees shall:

1.4.14 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.15 Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://atc.us.army.mil/iastar/docs/Training_BBP.pdf).

1.4.16 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.4.17 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.18 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.19 Army Training Certification Tracking System (ATCTS): All contractor employees with access to a Government information system shall be registered in ATCTS (https://atc.us.army.mil/iastar/index.php) at commencement of services, and shall successfully complete the DoD Information Assurance awareness training prior to access to the IS and then annually thereafter.

(https://iatraining.us.army.mil/).

1.4.20 Add only for contractor employees working on a Government site or requiring access to Government network) Advanced Distributed Learning Service (ADLS). All contractor employees and associated sub-contractor employees assigned to work on a Government site and/or requiring access to a DoD network will be required to register with ADLS at commencement of services in order to complete the necessary training required of them initially and annually for the duration of the contract (i.e., DoD IAA Cyber Awareness, Protecting Sensitive Information, Force Protection, etc.). ADLS website:

https://golearn.csd.disa.mil/kc/rso/login/ADLS_login.asp

1.4.21 Information Assurance (IA) Training. All contractor employees and associated subcontractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter.

1.4.22 Information Assurance (IA)/Information Technology (IT) certification. All contractor employees performing services involving IA/IT functions shall comply with DoD and Army workforce training requirements in DoDD 8140.01, DoD 8570.01-M and AR 25-2 within six months of the start of contract performance or appointment to IA/IT functions. In accordance with DoD 8570.01-M, DFARS 252.239.7001, and AR 25-2, contractor employees supporting or performing IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

1.4.23 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

https://atc.us.army.mil/iastar/docs/Training_BBP.pdf https://atc.us.army.mil/iastar/index.php

1.4.24 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the KO within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

1.4.25. Health Insurance Portability and Accountability Act (HIPAA) training. The contractor shall safeguard all healthcare information and maintain documentation of annual HIPAA training for all personnel providing or coordinating services under paragraph 5.0 of this contract.

1.4.26 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.27 Special Qualifications: The contractor shall ensure all employees possess all required licenses to provide audiology services in performance of this contract. The contractor shall ensure all personnel maintain the proper licenses necessary to perform the services outlined in section 5.0 including, but not limited to, any necessary business licenses and any licenses issued by regulatory agencies at the federal and state level required to provide healthcare services. This clause shall be interpreted broadly to require the contractor to understand and comply with all regulatory requirements. Contractor will provide documentation to show compliance with all applicable regulatory requirements as required and at the direction of the Contracting Officer (KO) or Contracting Officer’s Represesntative (COR).

1.4.28 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.29 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract and will be the primary point of contact for ordering, confirming, and scheduling audiology services. The CM will identify the primary and alternate point of contact, and a services request form in the contract solicitation.

The CM shall work through the KO to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.30 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-

Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.31 The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles passes) to the KO within 14 days of an employee’s departure.

1.4.32 Combating Trafficking in Persons: The United States Government has adopted a zero-tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.33 Data Rights: The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.4.34 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.5 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.9 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2 Acronyms:

AEI Army Enterprise Infostructure AR Army Regulation AT/OPSEC Antiterrorism/Operational Security BI Background Investigation CM Contract Manager COR Contracting Officer Representative DA Department of the Army DD254 Department of Defense Contract Security Classification Specification DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense DSCA Defense Counterintelligence and Security Agency FAR Federal Acquisition Regulation GFP/M/E/S Government Furnished Property/Material/Equipment/Services HQDA Headquarters, Department of the Army HSPD Homeland Security Presidential Directive IA Information Assurance IS Information System(s) KO Contracting Officer NGB National Guard Bureau OCI Organizational Conflict of Interest PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program SCR Service Contract Reporting SSN Social Security Number TE Technical Exhibit

USD(I) Under Secretary of Defense for Intelligence

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The Government will not furnish workspace for the contractor to perform services outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment. The selected contractor will provide mobile audiology facilities (trailers, etc.) in order to complete this requirement.

However, the government may, at its sole discretion based on operational requirements, provide the contractor with access to government audiology equipment in support of requirements annotated in paragraph 5.0 of this PWS. The Office of the State Surgeon projects completion of on-site audiology facilities at Camp Smith Training Site (CSTS) between October and December of 2025. Facilities will include three (3) eight-person hearing booths, one (1) one-person diagnostic booth, and working space for an audiologist. Depending on space and patient flow, the Office of the State Surgeon may require the contractor to use government provided audiology services at CSTS in lieu of mobile facilities.

In the event the government provides the contractor with access to audiology equipment, no equipment will be removed, modified, or otherwise displaced by the contractor unless directed to do so by the government.

The Office of the State Surgeon will document the control, reporting, inventory, maintenance, repair, disposition, or loss of incidental property under the control of the contractor. The contractor shall not be responsible for maintenance and repair costs to any incidental property unless the contractor is solely responsible for the damage or destruction of the property. There is no inventory or requirement or property management requirement for this contract.

3.2 Materials and Supplies: The government will not provide materials or supplies in furtherance of this contract outside those listed in paragraph 3.1.

3.3 Equipment: The government may provide computers in order to facilitate the execution of this requirement on an as-needed basis. If the contractor requires government computers to support this requirement, the contractor will identify the need and provide the COR with a written request for equipment and identify why the contractor cannot meet contractual requirements without the provision of computer equipment. The government may provide access to printing capabilities if it is in the best interest of the government.

3.4 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E): Mobile Hearing Booths (1) per site, printing, and all other equipment necessary to perform hearing and audiology services as directed under the contract.

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

5.0 Services – Auditory Testing & Records Management:

5.0.1: Testing shall be performed by an Audiologist licensed and in good standing in the State of New York. The contractor may use non-licensed technicians to assist with administrative testing requirements, equipment maintenance, baseline audiogram administration, and medical record management, however, all non-licensed technicians must be supervised on-site by a licensed audiologist licensed to practice in the State of New York. Non-licensed personnel may be used for baseline audiogram administration, however, non-licensed personnel must be supervised by an on-site Audiologist.

5.1 Check the SM has baseline Audiogram DD Form 2215

(http://www.dtic.mil/why/directives/forms/eforms/DD215.pdf) recorded in the medical information system (DOERS-HC) and medical record.

5.2 If no DD Form 2215 is in the medical record:

5.3 For NYARNG Soldiers, perform DOEHRS-HC approved audiograms if indicated per DoD guidance and requested by the NYARNG point of contact. All Soldiers attending medical readiness events will complete baseline testing at each event.

5.4 Audiometric equipment used shall meet or exceed DODI 6055.12 standards and be calibrated to those standards within the last 12 months. Audiometric equipment shall undergo a functional operational check before each day’s use for specifications per DODI 6055.12. Use of audiometric equipment compatible with DOEHRS-HC is mandatory.

5.5 When using DOEHRS-HC compatible equipment, Contractor personnel shall obtain pertinent DoD training at the contractor’s expense.

5.6 The contractor shall provide auditory testing in accordance with Army-specific hearing testing policy, including lighted ear inspection. This includes conformance with Army Public Health Standards.

5.7 In accordance with applicable DoD guidance, the contractor shall provide all necessary information in order to issue e-Profiles for service members if their results fall within the MEDPROS H-2 or H-3 hearing classification category through an evaluation completed by a DO, MD, Audiologist or other qualified professional. The initial profile information shall be entered into and routed through the NYARNG Case Management point of contact.

5.8 The primary point of contact for this requirement is Jaquanna D. Preville at jaquanna.d.preville.ctr@army.mil or (518) 270-1514 or her delegated representative.

5.9 The contractor shall upload all results into the Data Repository (DOEHRS-HC DR) in real time and verify upload. The contractor shall provide OSS / MRD staff with backup hard copies of all results.

5.10 The contractor shall be responsible for providing all necessary printing capabilities in support of all requirements listed in this performance work statement.

5.11 The contractor shall enter a record of the encounter and services provided into the DoD Service Treatment Record (STR).

http://www.dtic.mil/why/directives/forms/eforms/DD215.pdf

5.12 Comprehensive Audio Evaluation (CAE) Testing:

5.13 All tests must be performed unaided and with equipment calibrated per the most current and applicable DODI 6055.12 standards within the last 12 months and within a test environment conforming to the DODI requirements.

5.14 Testing shall be performed by a licensed Audiologist or technician.

5.15 The contractor shall perform baseline DOEHRS-HC audiograms, CAE testing and diagnostic audio testing, including, Pure Tone Air and Pure Tone Bone Tests, SPRINT testing, and the Approved Military Operational Hearing Test (MOHT) battery as indicated by initial screening results and after appropriate unit authorization is obtained. These CAE services may include immittance testing, tympanometry, acoustic reflex, speech reception thresholds, word recognition testing, and otoacoustic emissions.

5.16 The contractor shall upload all pure tone audio test results into DOEHRS-HC database at time of service and verify upload.

5.17 Contractor and professionals employed by the contractor shall be licensed by the State of New York to provide the specific services required.

5.18 Contractor will provide monthly invoices for services rendered to NYARNG Office of the State Surgeon prior to payment being made. The Contractor will be paid on the basis of the invoice, which must state (a) date of service rendered, type of services ordered and performed, and cost of tests performed,

(b) or in other formats agreed to by the contractor and contracting office. The contractor shall bill services in the following format:

5.19 Contractor shall perform baseline DOEHRS-HC audiograms, documentation in the medical record, and all other administrative requirements necessary to complete basic DOEHRS-HC requirements.

If needed, the contractor will conduct a comprehensive auditory examination (CAE) which shall be included as part of the price of the service and shall not be in addition to or separate from the DOEHRS-HC audiogram. This shall include the SPRINT exam or Military Occupational Hearing Test (MOHT) if required or comparable replacement.

5.20 Service Ordering and Staffing. Contractor agrees to staff all requirements with 7 days’ notice for routine medical readiness requirements, and less than 48 hours’ notice for emergency / contingency operations which will be determined and defined by the Office of the State Surgeon. Contractor agrees to staff all services requests, to the best of their ability, with less than 7 days’ notice. All other supplies will be provided by the contractor, at the contractor’s expense. Contractor agrees to identify one primary, and one alternate CM as required under paragraph 1.4.28 and will provide the government with a standardize services ordering form or services request portal.

5.21 Contractor will be required to support all events in the State of New York and shall be responsible for transportation, setup, and tear-down of equipment for each event.

5.22 Update relevant medical records, DD 2215s, DD 2216s, and other required forms shall be updated in real time but no later than 24 hours following completion of each medical readiness event.

5.23 The contractor shall establish standardized processes and forms and/or electronic systems for requesting contracted services. This can include a standardized form or virtual portal.

5.24 The contractor shall be required to complete standardized reporting requirements following each event. Reports will include trend analysis and other metrics necessary to ensure the health and welfare of NYARNG members. Reports will be completed NLT 72 hours following each event.

6.0 Applicable Publications: Publications applicable to this PWS are listed below:

Publication (Chapter/Page)

Date of Publication

Mandatory or

Advisory

Website

Federal Acquisition Regulation https://www.acquisition.gov/?q=browsefar Defense Federal Acquisition

Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/current/i ndex.html or https://www.acquisition.gov/dfars Joint Travel Regulation (JTR) https://www.defensetravel.dod.mil/site/travelreg.cf m DoDM 1000.13-M-V1

DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b)

01/23/2014 (Change 1:

07/28/2020) http://www.esd.whs.mil/Directives/issuances/dodm

Federal Information Processing Standards (FIPS) Publication 201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors

(paragraph 9)

August 2013 http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.20 1-2.pdf

DoDM 5200.2 Procedures for the DoD Personnel Security Program

(PSP)

04/03/2017 https://www.esd.whs.mil/Directives/issuances/dodm

DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common

Access Card (CAC)

09/09/14 (Change 1:

05/04/2018) https://www.esd.whs.mil/Directives/issuances/dodi/

Homeland Security Presidential Directive (HSPD)-12

Policy for a Common Identification Standard for Federal Employees and

Contractors

08/27/2004 https://www.dhs.gov/homeland-security-presidential-directive-12

DoDI 5400.11 Department of Defense Privacy and

Civil Liberties Programs

01/29/2019 https://www.esd.whs.mil/Directives/issuances/dodi/

DoD 5400.11-R Department of Defense Privacy

Program

05/14/2007 https://www.esd.whs.mil/Directives/issuances/dodm

DoDD 8140.01

Cyberspace Workforce Management

10/05/2020 https://www.esd.whs.mil/Directives/issuances/dodd/

DoD 8570.01-M

Information Assurance Workforce Improvement Program

12/19/2005 (Change 4:

11/10/2015) https://www.esd.whs.mil/Directives/issuances/dodm

DoD 5220.22-M 02/28/2006 https://www.esd.whs.mil/Directives/issuances/dodm https://www.acquisition.gov/?q=browsefar http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html https://www.acquisition.gov/dfars http://www.esd.whs.mil/Directives/issuances/dodm http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodm/

National Industrial Security Program Operating Manual (NISPOM)

(Change 2:

05/18/2016)

AR 25-2

Information Assurance

04/04/2019 http://armypubs.army.mil/ProductMaps/PubForm/A R.aspx

AR 530-1

Operations Security

09/26/2014 http://armypubs.army.mil/ProductMaps/PubForm/A R.aspx

AR 525-13

Antiterrorism

12/09/2019 http://armypubs.army.mil/ProductMaps/PubForm/A R.aspx

AR 381-12

Threat Awareness and Reporting

Program (TARP) (Section II, ¶ 2-4.b)

06/01/2016 http://armypubs.army.mil/ProductMaps/PubForm/A R.aspx

AR 40-501, Standards of Medical Fitness

6/27/2019 Mandatory http://armypubs.army.mil/ProductMaps/PubForm/A

AR 40-502, Medical Readiness 6/27/2019 Mandatory http://armypubs.army.mil/ProductMaps/PubForm/A

DA Pam 40-501, Army Hearing Program

1/08/2015 Mandatory http://armypubs.army.mil/ProductMaps/PubForm/A

DODI 6055.12, Hearing Conservation

Program 8/14/2019 Mandatory https://www.esd.why.mil/Directives/issuances/dodi/

OTSG/MEDCOM Policy memo 22-

12/15/2023 Mandatory

6.1 Applicable Forms: Forms applicable to the PWS are listed below:

Form Date Website I-9

Employment Eligibility Verification 10/21/2019 https://www.uscis.gov/sites/default/files/files/form/i-9.pdf

DD 441

Department of Defense Security Agreement

Feb 2020 http://www.dtic.mil/whs/directives/forms/dd/ddforms0001- 0499.htm

DD 250

Material Inspection and Receiving

Report

Aug 2000 https://www.esd.whs.mil/Directives/forms/dd0001_0499/ http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx https://www.uscis.gov/sites/default/files/files/form/i-9.pdf http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm https://www.esd.whs.mil/Directives/forms/dd0001_0499/

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

This PRS includes performance objectives the Government will use to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

Performance Objective

Performance Standard Acceptable Quality Levels (AQL)

Surveillance Method / By Whom

1.4.26 and 5.14 Licensing

Contractor shall be licensed by the State of New York to provide the specific services required.

License must be valid for length of contract

Initial Yearly Inspection /

COR

4.0 Contractor Furnished Property, Materials & Equipment (CFP/M/E)

Contractor will provide all CFP/M/E necessary to perform services listed in

5.0 except as described in paragraph 3.0 (see TE 3 for estimates).

100% delivery on dates requested. No deviation permitted.

Monthly / COR

5.0 Services

Contractor will provide all services listed in paragraph 5.0.

No more than 2% retest rate

Monthly / COR

5.18 Invoices

Contractor will provide monthly invoices for services rendered to NYARNG Medical Command.

Receive Invoice no later than 30 days after end of month services.

Monthly / COR

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference / Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

5.9 Results

Monthly 1 Direct upload, Electronic, Mail if requested

NYARNG Medical Command

1.4.5.3 AT Level 1

Awareness Training

Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.5.4 iWATCH Training

Certificates For ARNG contracts only.

Remove if not applicable.

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.19 Army

Training

Certification Tracking System

(ATCTS)

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.21 Information

Assurance (IA)

Training

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.14 Command's

Acceptable Use Policy (AUP)

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.24 OPSEC

Training

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.25. Health

Insurance Portability and

Accountability Act (HIPAA) training

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

TECHNICAL EXHIBIT 3

Estimated Workload Data

This information is provided for historical background only. It is not a guarantee of workload quantities.

ITEM NAME ANNUAL ESTIMATED QUANTITY

1 DOEHRS-HC Audiology Testing 8,542 2 Comprehensive Auditory Evaluation 2,136 (25%)

Estimated throughput across 16 events per year. Event throughput and exact dates are subject to change.

DRAFT Schedule – TY ‘26

EVENT TYPE DATES LOCATION

PAX/QTY

(Baseline

Audiogram)

MOHT

(Est. 15%)

MRW 17-19 OCT 2025 CAMP SMITH 602 90

RHRP 14-16 NOV 2025 LATHAM, NY 435 65

RHRP 14-16 NOV 2025 CAMP SMITH 377 57

MRW 04-07 DEC 2025 CAMP SMITH 731 109

MRW 09-11 JAN 2026 CAMP SMITH 593 89

RHRP 23-25 JAN 2026 CAMP SMITH 634 95

MRW 06-08 FEB 2026 CAMP SMITH 838 126

RHRP 20-22 FEB 2026 CAMP SMITH 521 78

MRW 06-08 MAR 2026 CAMP SMITH 214 32

RHRP 20-22 MAR 2026 AUBURN, NY 644 97

RHRP 27-29 MAR 2026 AUBURN 305 47

MRW 10-12 APR 2026 CAMP SMITH 373 56

RHRP 16-19 APR 2026 NIAGARA

FALLS, NY 922 138

MRW 15-17 MAY 2026 CAM PSMITH 440 66

RHRP 06-07 JUN 2026 FT DRUM, NY 474 71

MRW 07-09 AUG 2026 CAMP SMITH 422 63

MRW 11-13 SEP 2026 CAMP SMITH 491 74

Total (Base Period) 8542/Estimated 1,353/Estimated