HT0011-15-C-0014_OLW.pdf

SEE ADDENDUM

(No Collect Calls)b. TELEPHONE NUMBER 8. OFFER DUE DATE/LOCAL TIME

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.703-377-4075

HT00119. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

HT0011-15-C-0014 09-Jul-2015

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

HT000351891254

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

Robert LeBlanc / Contract Officer

See Schedule $516,919.76

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE 17038 17038FACILITY

OFFEROR CODE

DEFENSE HEALTH AGENCY-COD FC

7700 ARLINGTON BLVD

FALLS CHURCH VA 22042

BOOZ ALLEN HAMILTON INC.

THOMAS ROBERTSON

8283 GREENSBORO DR

MCLEAN VA 22102-3830

DFAS IN VP DAI TMA

8899 EAST 56TH STREET

INDIANAPOLIS IN 46249-1505

18a. PAYMENT WILL BE MADE BY CODE HQ0649

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE

SEE ITEM 9

15. DELIVER TO CODE HT0003 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFP

DEFENSE HEALTH AGENCY - OCMO

CAPT KIMBERLY ELENBERG

7700 ARLINGTON BLVD

FALLS CHRUCH VA 22042

FAX:

TEL: 703-681-1143 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

541712

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL: Robert.LeBlanc@dha.mil

TEL:

31c. DATE SIGNED

08-Jul-2015

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF24

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

HT0011-15-C-0014

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 4 Months $127,314.72 $509,258.88 Labor

FFP

In accordance with PWS Section 5 FOB: Destination

NET AMT $509,258.88

PSC Code AN75

PSC Code R&D- MEDICAL: SPECIALIZED MEDICAL SERVICES (OPERATIONAL SYSTEMS

DEVELOPMENT)

000101 Months $0.00 Labor

FFP

PURCHASE REQUEST NUMBER: HT000351891254

NET AMT $0.00

ACRN AA

CIN: HT0003518912540001

$509,258.88

0002 7 Each $7,660.88 Travel / ODC

COST

ESTIMATED COST $7,660.88

PSC Code AN75

PSC Code R&D- MEDICAL: SPECIALIZED MEDICAL SERVICES (OPERATIONAL SYSTEMS

DEVELOPMENT)

000201 Each $0.00 Funding for CLIN 0002

COST

Funding for CLIN 0002

PURCHASE REQUEST NUMBER: HT000351891254

ESTIMATED COST $0.00

ACRN AA

CIN: HT0003518912540002

$7,660.88

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 000101 N/A N/A N/A Government 0002 Destination Government Destination Government 000201 N/A N/A N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 POP 09-JUL-2015 TO

02-NOV-2015

N/A DEFENSE HEALTH AGENCY - OCMO

CAPT KIMBERLY ELENBERG

7700 ARLINGTON BLVD

FALLS CHRUCH VA 22042

703-681-6219

HT0003

000101 N/A N/A N/A N/A

0002 POP 09-JUL-2015 TO

02-NOV-2015

N/A DEFENSE HEALTH AGENCY - OCMO

CAPT KIMBERLY ELENBERG

7700 ARLINGTON BLVD

FALLS CHRUCH VA 22042

703-681-6219

HT0003

000201 N/A N/A N/A N/A

ACCOUNTING AND APPROPRIATION DATA

AA: 970130.1515D-1884 0101010300807714 251.10 044226 HT0003511254

AMOUNT: $516,919.76

CIN HT0003518912540001: $509,258.88

CIN HT0003518912540002: $7,660.88

CLAUSES INCORPORATED BY REFERENCE

52.212-3 Offeror Representations and Certification--Commercial Items MAR 2015 52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015 52.212-5 (Dev) Contract Terms and Conditions Required to Implement

Statutes or Executive Orders--Commercial Items (Deviation 2013-O0019)

MAY 2015

252.203-7000 Requirements Relating to Compensation of Former DoD Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7012 Safeguarding of Unclassified Controlled Technical

Information

NOV 2013

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

JUN 2012

CLAUSES INCORPORATED BY FULL TEXT

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 DAYS of the end of the performance period

(End of clause)

(a) Definitions. As used in this clause--

Department of Defense Activity Address Code (DoDAAC) is a six position code that uniquely identifies a unit, activity, or organization.

Document type means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

Local processing office (LPO) is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall--

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

WAWF 2-in-1 format (for services)

(Contracting Officer: Insert applicable document type(s). Note: If a “Combo” document type is identified but not supportable by the Contractor's business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

- Not Applicable

(Contracting Officer: Insert inspection and acceptance locations or “Not applicable”.)

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC HQ0649 Issue By DoDAAC HT0011 Admin DoDAAC HT0011 Inspect By DoDAAC NA Ship To Code HT0003 Ship From Code NA Mark For Code NA Service Approver (DoDAAC) HT0003-FTMPSD Service Acceptor (DoDAAC) HT0003-FTMPSD Accept at Other DoDAAC NA LPO DoDAAC HT0003‐FTMPSD DCAA Auditor DoDAAC NA Other DoDAAC(s) NA

(*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

- kimberly.j.elenberg2.mil@mail.mil

(g) WAWF point of contact. (1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

alexis.jackson6.civ@mail.mil

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(End of clause)

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

Responding to the Department of Defense Appropriations Bill of 2014

Part 1

General Information

1. General: This is a non-personnel services proposed to provide DHHQ support for responding to the Department of Defense Appropriations Bill of 2014 (H.R. 3547), phase II of Operation Live Well (OLW).

The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1 Description of Services/Introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform support for responding to the Department of Defense Appropriations Bill of 2014 (H.R. 3547) as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2 Background: The U.S. Senate Committee on Appropriations included legislative language on pages 191-2 in the Senate Committee Report Number 113-85 (Report of Committee on Appropriations) requesting that the U.S.

Secretary of Defense submit a report to congressional defense committees that provides a long term strategic plan for the comprehensive coordination and delivery of Total Force Fitness (TFF) onto existing health and community programs within military bases.

1.3 Objectives: The present Contractor has been developing this response and will be responsible for evolving the response based on the results of the Healthy Base Initiative, input received through coordination and from Senior DoD leadership. To accomplish this, they will facilitate meetings, an executive brief and support for a demonstration projects to test effectiveness and demonstrate the strategy proposed identified.

1.4 Scope: The purpose of this contract is to further develop the report to Congress in support of USAF, US Army, US Marine Corp., US Navy, and DoD components. This service will continue to be required through October, 2015.

The contractor, Booze-Allen Hamilton will be responsible for the Report to Congress (Analysis of Alternatives), an implementation plan and strategic framework and toolbox that supports the implementation of OLW, the DoD’s National Prevention Strategy initiatives, at the installation level, and a Capability Management Plan that includes methodology, timelines, measurement plans demonstration projects to test effectiveness of OLW.

1.5 Period of Performance: The period of performance shall be for 116 days

1.6 General Information

1.6.1 Quality Control: The contractor shall maintain an effective quality control program to ensure services are performed in accordance with this PWS. The contractor shall implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s quality control program is the means by which he assures himself that his work complies with the requirement of the contract. The quality control plan will be submitted within five working days. After acceptance of the quality control plan the contractor shall receive the contracting officer’s acceptance in writing of any proposed change to his QC system.

1.6.2 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must 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 the minimum acceptable defect rate(s).

1.6.3 Recognized Holidays: The contractor is not required to work on holidays.

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Independence Day Christmas Day

1.6.4 Hours of Operation: The contractor is responsible for conducting business, between the hours of 0800-1830 Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons.

The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.6.5 Place of Performance: The work to be performed under this contract will be performed at the contractor facilities

1.6.6 Type of Contract: The government will award a Firm Fixed Price contract

1.6.7 Security Requirements: N/A

1.6.7.1 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.6.7.2 Key Control: The Contractor shall establish and implement methods of making sure 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 shall be duplicated. The Contractor shall develop procedures covering key control that shall be included in the Quality Control Plan. 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 any occurrences of lost or duplicate keys/key cards to the Contracting Officer.

1.6.7.2.1. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying 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, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.6.7.2.2. The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.6.9 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced.

Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.6.10 Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract:

perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.6.11 Key Personnel: The following personnel are considered key personnel by the government: Project Manager, Business Process Engineer, General Management Professional, Subject Matter Expert, General Public Health Educator, Facilitator and Analyst. The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between, 8:00 a.m. to 4:30p.m., Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons. Qualifications for all key personnel are listed below: Team members shall have a high degree of expertise in public health, population health, legislative affairs and meeting facilitation.

1.6.12 Identification of Contractor Employees: All contract 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 in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed. Contractor personnel will be required to obtain and wear badges in the performance of this service.

1.6.13 Contractor Travel: Contractor may be required to travel CONUS and within the NCR during the performance of this contract to attend meetings, conferences, and training. The contractor may be required to travel to off-site training locations and to ship training aids to these locations in support of this PWS. Contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified in this contract. All travel requires Government approval/authorization and notification to the COR.

A ‘not to exceed amount for travel’ is included in the IGCE.

1.6.14 Other Direct Costs: This category includes travel (outlined in 1.6.13), reproduction, and shipping expenses associated with training activities and visits to contractor facilities. It could also entail the renting of suitable training venues.

1.6.15 Data Rights: N/A Data sharing Agreement already in place.

1.6.16 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work 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 Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer 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 Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may effect 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.

1.6.17 PHASE IN /PHASE OUT PERIOD: N/A

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

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. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6. 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 Key Personnel listed in 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.

2.1.7. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11. SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12. WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12. WORK WEEK. Monday through Friday, unless specified otherwise.

2.2. ACRONYMS:

ACOR Alternate Contracting Officer's Representative CFR Code of Federal Regulations CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative COTS Commercial-Off-the-Shelf DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DMDC Defense Manpower Data Center DOD Department of Defense FAR Federal Acquisition Regulation HIPAA Health Insurance Portability and Accountability Act of 1996 CO Contracting Officer OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs OLW Operation Live Well PIPO Phase In/Phase Out POC Point of Contact PRS Performance Requirements Summary

PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RTC Report to Congress TE Technical Exhibit

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1 Equipment: The Government will provide government issued computers

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: the Contractor shall furnish all Supplies, equipment, facilities and services required to perform the work described in subject PWS.

4.2 Secret Facility Clearance: N/A

4.3. Materials: The Contractor shall furnish materials, supplies, and equipment necessary to meet the requirements under this PWS.

PART 5

SPECIFIC TASKS

5. Specific Tasks:

1. 5.1. Basic Services. The contractor shall provide services for OLW Phase II, will build evolve the alternatives analysis and the strategic framework, responding to the Department of Defense Appropriations Bill of 2014 (H.R. 3547) developed SURVIAC team in response to development of an OLW Strategic Plan. Further, the contractors will facilitate a demonstration project of concepts. They will accomplish this through:

Collect additional data and information from formal coordination and executive briefing to further inform the RTC

Continue to work with USUHS to edit recommend modifications to optimize NPS and TFF objectives and each of the deliverables including the RTC

Continue to frame cross-cutting themes, emerging issues and key strategic issues in the RTC Update analysis that identifies strengths, weaknesses, opportunities and challenges of the developed framework and strategic plan Evolve the implementation plan for the OLW Strategic Plan that includes timelines and measurement plans (specific, measurable, achievable, relevant and time oriented) Progress the implementation plan process for monitoring, implementing and evaluating the

OLW Strategic Plan. This will include, but not be limited to, the identification of outcome indicators, baseline measures, measure targets, data sources, methodology and timing.

Participate in communicating a vision for Stage III OLW Support demonstration drill for implementation of the OLW framework across DoD

PART 6

OTHER TERMS, CONDITIONS, AND PROVISIONS

6.0 Other Terms, Conditions, and Provisions

6.1 Non-Disclosure /Non-Use Agreement – Deliverable #1

The Contractor shall ensure that the Non-Disclosure/Non-Use Agreement (Attachment to PWS) (Deliverable #) is signed by all staff assigned to or performing on this Task order before performing any work, including all subcontractors and consultants. The Non-Disclosure/Non-Use Agreement shall be cosigned by a corporate official (Contractor Task Manager or higher). The Contractor shall also ensure that all staff understand and adhere to the terms of the non-disclosure statement, protecting the procurement sensitive information of the Government and the proprietary information of other Contractors. Assignment of staff who have not executed this statement or failure to adhere to this statement shall constitute default on the part of the Contractor.

6.2 Information Assurance

No requiring activities

6.3 Enterprise Architecture (EA)

No requiring activities

6.4 Protection of Information

6.4.1 Dissemination of Information/Publishing

There shall be no dissemination or publication, except within and between the Contractor and any subcontractors or specified Integrated Product/Process Team (IPT) members who have a need to know, of information developed under this order or contained in the reports to be furnished pursuant to this order without prior written approval of the TMA TM or the Contracting Officer. TMA approval for publication will require provisions which protect the intellectual property and patent rights of both TMA and the Contractor.

6.4.2 Contractor Employees

6.4.2.1 Contractor Identification

The Contractor shall ensure that Contractor personnel identify themselves as Contractors when attending meetings, answering Government telephones, providing any type of written correspondence, or working in situations where their actions could be construed as official Government acts.

6.4.2.2 Attendance at Meetings

Contractor personnel may be required to attend meetings or otherwise communicate with Government and/or other contract representatives to meet the requirements of this order. Contractor personnel make their Contractor status known during introductions.

6.4.2.3 Use of Military Rank by Contractor Personnel

Contractor personnel, while performing in a Contractor capacity, are prohibited from using their retired or reserve component military rank or title in all written or verbal communications associated with the contract under which they provide services.

6.4.3 Personally Identifiable Information (PII), Protected Health Information (PHI) and Federal Information Laws:

The Contractor shall establish appropriate administrative, technical, and physical safeguards to protect any and all Government data. The Contractor shall also ensure the confidentiality, integrity, and availability of Government data in compliance with all applicable laws and regulations, including data breach reporting and response requirements, in accordance with Defense Federal Regulations Subpart 224.1 (Protection of Individual Privacy), which incorporates by reference current versions DoDD 5400.11, “DoD Privacy Program,” and DoD 5400.11-R, “DoD Privacy Program.” The Contractor shall also comply with federal laws relating to freedom of information and records management. The Contractor shall analyze any breach of PII/PHI for which it is responsible under the terms of this Contract under both the Privacy Act and Health Insurance Portability and Accountability Act (HIPAA), if applicable, to determine the appropriate course of action under each requirement, if any.

6.4.4 Health Insurance Portability and Accountability Act: The Contractor shall comply with all requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) (Pub. L. 104-191), as implemented by the HIPAA Privacy and Security Rules codified at 45 Code of Federal Regulations Parts 160 and 164, and as further implemented within the Military Health System (MHS) by DoD 6025.18-R, "DoD Health Information Privacy Regulation," January 24, 2003, and DoD 8580.02-R, “DoD Health Information Security Regulation, July 12, 2007.

The Contractor shall also comply with all applicable HIPAA-related rules and regulations as they are published and as further defined by later-occurring Government requirements and DoD guidance, including current and forthcoming DoD guidance implementing applicable amendments under the American Recovery and Reinvestment Act of 2009. Any rules and regulations that are published, and/or requirements that are defined after the award date of this contract, and that require expenditure of additional Contractor resources for compliance, may be considered “changes” and will be subject to the “changes” clause under the contract. In addition, specific HIPAA requirements, including but not limited to, HIPAA breach responses in Section 1.36.3.

6.4.5 Privacy Act Breach Response: Current version DoD 5400.11-R, “DoD Privacy Program,” incorporated herein by reference, defines a breach as the “actual or possible loss of control, unauthorized disclosure, or unauthorized access of personal information where persons other than authorized users gain access or potential access to such information for other than authorized purposes where one or more individuals will be adversely affected.” Within one hour of discovery, the breach must be reported to the US Computer Emergency Readiness Team (US CERT), the DHA Privacy Office, and the DHA Contracting Officer.

The Contractor shall adhere to the reporting and response requirements set forth in the Office of the Secretary of Defense Memorandum 1504-07, “Safeguarding Against and Responding to the Breach of Personally Identifiable Information,” June 5, 2009; DoD 5400.11-R, also incorporated herein by reference, and consult DHA Privacy Office for guidance.

6.4.6 Federal Information Security Management Act (FISMA) – Deliverable 23: OMB Memorandum M-09-29 asserts that agencies are responsible for ensuring information technology acquisitions comply with the information technology security requirements in the Federal Information Security Management Act (44 U.S.C. 3544), OMB’s implementing policies including Appendix III of OMB Circular A-130, and guidance and standards from the National Institute of Standards and Technology (NIST).

The Contractor shall, in accordance with DoD regulations, create and deliver to the government, a report consisting of the results of the quarterly FISMA assessment.

6.4.7 Data at Rest: The Contractor shall provide encryption of data at rest in accordance with information assurance control ECCR-1 Encryption for Confidentiality (Data at Rest) and Encryption of data in transit in accordance with information assurance control ECCT-1 Encryption for Confidentiality (Data in Transit),per DoDI 8500.2, Information Assurance (IA) Implementation, February 6, 2003; DoDI 8510.01, DoD Information Assurance Certification and Accreditation Process (DIACAP), November 28, 2007 and DoD Memorandum Department of Defense Guidance on Protecting Personally Identifiable Information (PII), August 18, 2006.

6.4.8 Systems of Records: In order to meet the requirements of 5 U.S.C. 552a, the Privacy Act of 1974, and its implementation within the Military Health System (MHS) under DoD 5400.11-R, “ DoD Privacy Program,” May 14, 2007, the Contractor shall identify to the Contracting Officer Representative (COR) systems of records that are maintained or operated for DHA where records of personally identifiable information (PII) collected from individuals are maintained and specifically retrieved using a personal identifier. Upon identification of such systems to the COR, and prior to the lawful operation of such systems, the Contractor shall coordinate with the DHA Privacy Office to complete Systems of Records Notices (SORNs) for submission and publication in the Federal Register as coordinated by the Defense Privacy Office, and as required by DoD 5400.11-R.

Following proper SORN publication and Government confirmation of Contractor authority to operate the applicable system(s), the Contractor shall also comply with the additional systems of records and SORN guidance, in coordination with the DHA Privacy Office, regarding periodic system review, amendments, alterations, or deletions set forth by DoD 5400.11-R, Office of Management and Budget (OMB) Memorandum 99-05, Attachment B, and OMB Circular A-130.

6.4.9 Privacy Impact Assessment (PIA): The Contractor shall provide for the completion of a PIA for any applicable systems that collect, maintain, use or disseminate PII or PHI about members of the public, federal personnel, contractors, or in some cases foreign nationals.

To begin the PIA process, the Contractor is responsible for the completion of the PIA Determination Checklist. This Checklist provides basic system information to the DHA Privacy Office and ensures that the appropriate decision concerning PIA requirements is made. The current mandatory Checklist is available from the DHA Privacy Office.

The Contractor is responsible for the employment of practices that satisfy the requirements and regulations of:

Section 208 of E-Government (E-Gov) Act of 2002, (Pub. L. 107-347); DoDI 5400.16, “DoD Privacy Impact Assessment (PIA) Guidance,” February 12, 2009; and, Office of Management and Budget (OMB) Memorandum 03- 22, “OMB Guidance for Implementing the Privacy Provisions of the E-Government Act of 2002,” September 26, 2003. These documents are incorporated by reference. When completing PIA, the Contractor is responsible for using DoD-approved PIA Template, DD Form 2930.

Completed PIA Determination Checklists and DD Form 2930s will be sent to the DHA Privacy Office.

6.4.10 Data Sharing Agreement (DSA): A DSA which may be referred to in other sources as a Data Use Agreement (DUA), is currently used to control the disclosure, use, storage and/or destruction of MHS data that is managed by DHA to ensure compliance with privacy and security requirements applicable to PII, including but not limited to PHI. In addition, research requests for MHS data that include PHI must be reviewed for HIPAA compliance by the DHA Privacy Board.

Under DoD 6025.18-R, “DoD Health Information Privacy Program,” January 24, 2003, C8.3.4, a DSA is required to establish permitted uses for certain types of data IAW HIPAA requirements to prevent the unauthorized use and/or disclosure of any PII or PHI. Likewise, all uses, disclosures, and destruction of PII and PHI data are generally subject to DoD 5400.11-R, “DoD Privacy Program,” May 14, 2007, as well as DoDI 8500.2, “Information Assurance (IA) Implementation,” Feb. 6, 2003, and DoD 8580.02-R, “DoD Health Information Security Regulation,” July 12, 2007.

To begin the data sharing request process, the Contractor shall complete and submit a Data Sharing Agreement Application (DSAA) or contact the DHA Privacy and Civil Liberties Office (Privacy Office), and copy the Contracting Officer, If the application is approved, the requestor will enter into one of the following agreements, depending on the data involved:

DSA for De-Identified Data DSA for PHI DSA for PII Without PHI Data Use Agreement for Limited Data Set.

After receiving DSA approval, anyone needing access to information system applications or data sources must contact the responsible system program office. DSAs are active for one year, or until the end of the current option year, whichever comes first. If the DSA will not be renewed, the Contractor shall provide a Certificate of Data Disposition (CDD) to the Privacy Office.

6.4.11 Privacy Act and HIPAA Training: The Contractor shall ensure that its entire staff, including subcontractors and consultants that perform work on this Contract receive training on the Privacy Act of 1974 (5 U.S.C. 552a) and Health Insurance Portability and Accountability Act of 1996 (Pub. L. 104-191). The training requirements are mandated by OSD Memorandum 15041-07, “Safeguarding Against and Responding to the Breach of Personally Identifiable Information”: DoD 6025.18-R, “DoD Health Information Privacy Regulation”, January 24, 2003; and the DHA Workforce Training Policy Memorandum, dated May 28, 2008, on the subject, “Workforce Training Policy Pursuant to the Department of Defense Privacy Act Regulations and the Department of Defense Health Insurance Portability and Accountability Act Privacy and Security Regulations”.

All required Privacy Act and HIPAA training will be conducted online through Military Health System Learn (MHS Learn) or the current DHA learning management system (LMS) in place to deliver training to meet the above requirements. The Contractor shall ensure all employees and subcontractors supply a certificate of Privacy Act and HIPAA training completion to the COR within 30 days of being assigned to the Task Order and on an annual basis based on the trainee’s birth month thereafter.

6.4.12 Records Management: When creating and maintaining official government records, the Contractor shall comply with all federal requirements established by 44 United States Code (USC), 41 USC, 36 Code of Federal Regulations, Department of Defense Administrative Instruction No. 15 (DOD AI-15), “Records Management, Administrative Procedures and Records Disposition Schedules,” and Chapter 2 of the TRICARE Operations Manual.

6.4.13 Freedom of Information Act (FOIA) Office: DHA Freedom of Information (FOIA) procedures require a written request under the Act to be addressed to the FOIA Officer, DHA, 16401 East Centretech Parkway, Aurora, Colorado 80011-9066. The request shall describe the desired record as completely as possible to facilitate its retrieval from files and to reduce search fees which may be borne by the requestor. No more than ten working days shall elapse after a request has been received by the Freedom of Information Officer before notification is sent that the request has been granted or denied. The administrative time limit for responding to FOIA requests does not begin until the request is received by DHA.

In response to requests received by the Contractor for the release of information, unclassified information, documents and forms which were previously provided to the public as part of routine services shall continue to be made available in accordance with previously established criteria. All other requests from the public for release of DHA records and, specifically, all requests that reference the Freedom of Information Act shall be immediately forwarded to DHA, ATTENTION: Freedom of Information Officer, for appropriate action. Direct contact, including interim replies, between DHA contractors and such requestors is not authorized. The Contractor shall process requests by individuals for access to records about themselves under the Privacy Act procedures when those procedures are more advantageous to the requestor.

6.5 Enterprise-wide Contractor Manpower Reporting Application, Policy Alert 13-38 dated 13 May 2013, DPAP Memorandum dated 28 November 2012 and Policy Alert 13-59 dated 14 Aug 2013.

CONTRACTOR MANPOWER REPORTING FOR CONTRACT PERFORMANCE WORK STATEMENTS and Related Background Information

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the [NAMED COMPONENT] via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address:

http://www.ecmra.mil/

Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year, beginning with 2013. Contractors may direct questions to the help desk at help desk at: http://www.ecmra.mil

PART 7

APPLICABLE PUBLICATIONS

7. APPLICABLE PUBLICATIONS (CURRENT EDITIONS)

7.1. The Contractor must abide by all applicable regulations, publications, manuals, and local policies and procedures. N/A

PART 8

ATTACHMENT/TECHNICAL EXHIBIT LISTING

8. Attachment/Technical Exhibit List:

7.1. Attachment 1/Technical Exhibit 1 – Performance Requirements Summary

7.2. Attachment 2/Technical Exhibit 2 – Deliverables Schedule

7.3 Attachment 3/Technical Exhibit 3 – Estimated Workload Data

TECHNICAL EXHIBIT 1

Performance Requirements Summary The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective (The Service required—usually a shall statement)

Standard Performance Threshold (This is the maximum error rate. It could possibly be “Zero deviation from standard”)

Method of Surveillance

PRS # 1.

The contractor shall provide sufficient logistical support to evolve the report to congress and Deliverables 1.2-1.5

The contractor will deliver an Analysis of Alternatives, Strategic Framework and toolbox that support the implementation of Operation Live Well and a Capability Management and Implementation Plan;

these shall reflect the evolution of concepts obtained through formal coordination and the executive briefing 24 July, 2015.

Zero deviation from standard

100 percent inspection

PRS # 2

The contractor shall provide sufficient logistical support to host the executive briefing 24 July, 2015

The contractor will provide briefing slides, 4 facilitators, AV support, handouts and record minutes. They will provide an after action report which captures meeting minutes and way ahead.

Zero deviation from standard

100 percent inspection

PRS # 3

The contractor shall provide sufficient logistical support to host Rehearsal of Concept Drill (ROC) drill

The contractor will provide briefing slides, 4 facilitators, AV support, handouts and record minutes. They will provide an after action report which captures meeting minutes and way ahead.

Zero deviation from standard

100 percent inspection

TECHNICAL EXHIBIT 2

DELIVERABLES SCHEDULE

Deliverable Frequency # of Copies Medium/Format Submit To Initial In-Brief 2 weeks after award 1 In Person or

Teleconference ATTN:.Kimberly Elenberg kimberly.j.elenberg2 .mil@mail.mil

Non- Disclosure/Non-Use Agreement

2 weeks after award 1 Electronic ATTN:.Kimberly Elenberg kimberly.j.elenberg2 .mil@mail.mil

Project Management Plan

Thirty days after in brief meeting

1 Electronic ATTN:.Kimberly Elenberg kimberly.j.elenberg2 .mil@mail.mil

Deliverable 1.1, Written monthly progress reports Subtask

NLT 15th of each month

3 Electronic ATTN:.Kimberly Elenberg kimberly.j.elenberg2 .mil@mail.mil

Deliverable 1.2, Analysis of Alternatives: Report on the value of existing data and health, wellness and readiness best practices across DoD.

Report will map of best practices, to both the NPS and TFF objectives, it will contain an assessment of current policies, identification of gaps and recommendations for optimizing NPS and TFF objectives

Draft August, 1 2015, Final August

20 th

1 Electronic ATTN:.Kimberly Elenberg kimberly.j.elenberg2 .mil@mail.mil

Deliverable 1.3, Strategic Analysis:

Strategic Framework and toolbox that supports the implementation of Operation Live Well, the DoD’s

Draft August, 1 2015, Final August

20 th

2 Electronic ATTN:.Kimberly Elenberg

Deliverable Frequency # of Copies Medium/Format Submit To NPS initiatives, at the installation level Deliverable 1.4, Capability Management Plan:

Develop a strategic plan for OLW that considers outcomes metrics, gap analysis and readiness

Draft August, 1 2015, Final August

20 th

1 Electronic ATTN:.Kimberly Elenberg kimberly.j.elenberg2 .mil@mail.mil

Deliverable 1.5, Capability Portfolio Management:

Implementation plan for the OLW Strategic Plan that includes methodology, timelines, measurement plans (specific, measurable, achievable, relevant and time oriented)

Draft August, 1 2015, Final August

20 th

2 Electronic ATTN:.Kimberly Elenberg kimberly.j.elenberg2 .mil@mail.mil

Deliverable 1.6, ROC Drill: Support for demonstration projects to test effectiveness of OLW approaches identified.

Draft July, 10 2015, Final September

1 Electronic and In person

ATTN:.Kimberly Elenberg kimberly.j.elenberg2 .mil@mail.mil

Deliverable 1.7, host Executive briefing for approximately 60 people

Draft 10 July, 2015 2 originals and copies for attendees

Electronic and in person

ATTN:.Kimberly Elenberg kimberly.j.elenberg2 .mil@mail.mil

Executive briefs 1st Draft within two months of…