HT0014-17-R-00020001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this solicitation amendment is:

A. To extend this solicitation's offer due date from 12:00PM on 5 July 2017 to 12:00PM on 7 July 2017.

B. To change the "QUANTITY" on CLINs 0001, 1001, 2001, 3001 and 4001 (General Pediatric Surgeon, On-Call) FROM "1,440" TO: "60" and change the "UNIT" on these same CLINs FROM: "Hours" TO: Days.

C. The Performance of Work Statement has been modified. These modifications are idenfied by lining-through the old verbiage and new bold and highlighted font identifying the new verbiage D. Clauses 52.212-1 and 52.212-2 have been modified. These modifications are idenfied by lining-through the old verbiage and new bold and highlighted font identifying the new verbiage.

E. All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 60

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 30-Jun-2017

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X HT0014-17-R-0002

X 9B. DATED (SEE ITEM 11)

16-Jun-2017

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

30-Jun-2017

CODE

DHA CONTRACTING OFFICE-(CO-NCR) HT0014

8111 GATEHOUSE ROAD

2ND FLOOR

FALLS CHURCH VA 22042

HT0014 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HT0014-17-R-0002

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 05-Jul-2017 12:00 PM to 07-Jul-2017 12:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The pricing detail quantity has decreased by 1,380.00 from 1,440.00 to 60.00.

The unit of issue has changed from Hours to Days.

CLIN 1001

CLIN 2001

CLIN 3001

CLIN 4001

The unit of issue has changed from Hours to Days.

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 22-JUL-2017 TO

21-JUL-2018

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882 FOB: Destination

HT0017

To:

CAGE

POP 22-JUL-2017 TO

21-JUL-2018

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882

The following Delivery Schedule item for CLIN 1001 has been changed from:

CAGE

POP 22-JUL-2018 TO

21-JUL-2019

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882

CAGE

POP 22-JUL-2018 TO

21-JUL-2019

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882

The following Delivery Schedule item for CLIN 2001 has been changed from:

POP 22-JUL-2019 TO

21-JUL-2020

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882

CAGE

POP 22-JUL-2019 TO

21-JUL-2020

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882

The following Delivery Schedule item for CLIN 3001 has been changed from:

CAGE

POP 22-JUL-2020 TO

21-JUL-2021

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882

CAGE

POP 22-JUL-2020 TO

21-JUL-2021

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882

The following Delivery Schedule item for CLIN 4001 has been changed from:

POP 22-JUL-2021 TO

21-JUL-2022

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882

CAGE

POP 22-JUL-2021 TO

21-JUL-2022

N/A WALTER REED NATIONAL MILITARY

MEDICAL

ROY LEE

8901 WISCONSIN AVE

BETHESDA MD 20889

301-295-2882

The following have been modified:

PERFORMANCE OF WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

On-call Pediatric Surgeon support to Walter Reed National Military Medical Center (WRNMMC) Division of Pediatric Surgery, Bethesda, MD

Part 1

General Information

This requirement is an on-going need for an on-call Pediatric Surgeon at the WRNMMC Division of Pediatric Surgery.

1. GENERAL: This is a personnel services contract in accordance with Title 10 U.S.C. Section 1092, DOD Instructions 6025.5 to provide for an on-call Pediatric Surgeon at the WRNMMC Division of Pediatric Surgery. The Government shall exercise supervision and control over the contract service provider(s) performing the services herein. The contract service provider(s) shall be accountable to the Government. Contracted employees shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The contractor’s employee(s) shall abide by relevant WRNMMC rules, regulations and by laws, including Medical Staff By Laws, as well as applicable Department of Defense (DoD) regulations governing such things as medical records. This on-call Pediatric Surgeon position is to perform in accordance with industry best practices, applicable to DoD guidance.

1.1 Description of Services/Introduction: The contractor shall provide personnel necessary to perform on-call Pediatric Surgeon support to the WRNMMC Division of Pediatric Surgery, Bethesda, MD 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: WRNMMC Division of Pediatric Surgery requires a supplemental contract to provide on-call Pediatric Surgeon support to the WRNMMC Division of Pediatric Surgery, Bethesda, MD. Services shall primarily be performed at WRNMMC Division of Pediatric Surgery, Bethesda, MD.

1.3 Professional Liability: Pursuant to 10 U.S.C. 1089 (a), for the on-call Pediatric Surgeon, DoD shall process any personal injury claim alleging negligence by the HCP within the scope of the HCP’s performance under this contract as claims alleging negligence by DoD military or civil service HCP. The contractor or HCP is not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased. The performance of healthcare services by these HCPs are personal services, subject to day-to-day supervision and control by healthcare facility personnel comparable to that exercised over military and civil service health care providers engaged in comparable healthcare services. Any personal injury claims alleging negligence by these individual contracted HCPs within the scope of the health care provider’s performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by DoD military or civil service health care providers. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the contract health care provider may be associated. The authority for these personal services is 10 U.S.C. 1089 and 10 U.S.C. 1091.

1.4 Objectives: Specific objectives for the on-call Pediatric Surgeon are located within the duties of the PWS’s addendum.

1.5 Scope: The contractor shall provide personnel services. The Contractor shall provide Direct Health Care Provider (DHCP) services in support of WRNMMC Division of Pediatric Surgery.

1.6 Period of Performance: The base period of performance shall be 22-JUL-2017 TO 21-JUL-2018. The Government may exercise four 12 month options (Option #1 22-JUL-2018 TO 21-JUL-2019; Option #2 22-JUL- 2019 TO 21-JUL-2020; Option #3 22-JUL-2020 TO 21-JUL2021; Option #4 22-JUL2021 TO 21-JUL-2022)

1.7 General Information

1.7.1 Quality Control: The contractor shall develop and maintain an effective quality control program 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 quality control program is the means by which he assures himself that his work complies with the requirement of the contract. The Government will monitor the Contractor’s performance under this contract using the quality improvement/assessment procedures established by WRNMMC Division of Pediatric Surgery. Additionally, the Contractor’s performance is subject to scheduled and unscheduled review by a Quality Assurance Evaluator as defined by the WRNMMC QA Plan & AR 40-68. The contractor must provide a Quality Control plan within 30 days of contract award. 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.

1.7.2 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).

1.7.3 Recognized Holidays: The contractor is not required to perform services on federal 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

1.7.4 Hours of Operation: ON-CALL. The HCP shall provide pediatric surgeon on-call coverage. The HCP shall function as the primary attending for all MTF pediatric surgery in-patients. The HCPs shall manage and care for these patients and provide oversight to the pediatric surgery patients. The HCP shall also be the primary Pediatric Surgeon to the pediatric floor, Emergency Department, Neonatal Intensive Care Unit (NICU), and Pediatric Intensive Care Unit (PICU). When on duty, on-call coverage services are required 24-hours per day until the government-designated representative is present to take over the service. Coverage hours for services begin at 0700 and end at 0700 the next morning. For weekend coverage, the HCP shall make verbal contact on patient status with the government-designated representative by 0600 Monday morning. THE GOVERNMENT WILL

ONLY PAY FOR ACTUAL DAYS COVERAGE IS PROVIDED OURS WORKED.

1.7.4.1 In addition, the HCP shall be available to provide pediatric surgeon services on an on-call/call back basis, answering telephone questions and reporting to the MTF. The Government personnel performing the pediatric surgeon services are subject to mobilization and deployment as part of their normal military duties. Additionally, the Government personnel are subject to take planned absences (annual and sick leave). The HCP shall be available to provide on-call coverage during these absences with prior notice and agreement of schedules. The estimated total number of on-call shifts is five (5) 24-hour periods per month or as deemed necessary by MTF Medical Chief. The Government will prepare specific schedules at least four weeks in advance. However, unforeseen circumstances may not allow for advanced scheduling and the HCP shall provide coverage at no additional cost. When the HCP is providing this coverage, the HCP shall be available via Government-provided telephone or pager. Upon receipt of the Government's initial page during on-call, the HCP shall reply telephonically within fifteen (15) minutes and shall report to the MTF within forty-five (45) minutes of notification. Depending on the nature of the on-call request, the HCP may or may not be required to report to the MTF. The MTF estimates that the HCP will respond, on average, of up to 8-14 calls per month during on-call, and the total number of actual call back occurrences (return to the MTF) is appropriately one (1) to five (5) times per month. However, on-call services are variable and depend on the current level of pediatric surgeon staff and their availability to share on-call services.

1.7.4.2 First line supervision is by the Division Head or his/her relief as appropriate. Middle Management is by the Department Head for the unit or his/her relief and executive management is by the DCN or his/her relief.

1.7.4.3 The Commanding Officer will not privilege more than one individual for each of the required positions.

1.7.5 Place of Performance: WRNMMC Division of Pediatric Surgery.

1.7.6 Type of Contract: The government will award a firm-fixed-price (FFP) contract.

1.7.7 Security Requirements:

1.7.7.1 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.

1.7.7.2 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.

1.7.7.2.1. 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.

1.7.7.2.2. 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.

1.7.7.3 Lock Combinations. The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations.

These procedures shall be included in the Contractor’s Quality Control Plan.

1.7.7.4 Cybersecurity Requirements

1.7.7.4.1 Contractor Employees Who Require Access to Government Information Systems. All contractor employees requiring access to a government information system shall successfully complete the DoD Information Assurance (Cybersecurity) Awareness training prior to access to the information system. Successful completion of the current version of this training must be accomplished annually thereafter. This training takes approximately 30 – 60 minutes to complete and requires the student to pass a test at the conclusion of the training. DOD IA Awareness (Cybersecurity) Training can be taken at: http://iatraining.disa.mil/eta/cyberchallenge/launchpage.htm .

1.7.7.4.2 RESERVED

1.7.7.4.2.1 RESERVED

1.7.7.4.2.2 RESERVED

1.7.7.4.2.3 RESERVED

1.7.7.5 Personnel Security and Automated Data Processing/Information Technology (ADP/IT) Requirements

1.7.7.5.1 RESERVED

1.7.7.5.2 RESERVED

1.7.7.5.2.1 RESERVED

1.7.7.5.2.2 RESERVED

1.7.7.5.3 RESERVED

1.7.7.5.3.1 RESERVED

1.7.7.5.3.2 RESERVED

1.7.7.5.3.3 RESERVED

1.7.7.5.4 RESERVED

1.7.7.5.4.1 RESERVED

1.7.7.5.4.2 RESERVED

1.7.7.5.5 RESERVED

1.7.7.5.5.1 RESERVED

1.7.7.5.5.2 RESERVED

1.7.7.5.5.3 RESERVED

1.7.7.5.6 RESERVED

1.7.7.5.7 RESERVED

1.7.7.5.8 RESERVED

1.7.7.5.9 RESERVED

1.7.7.5.10 RESERVED

1.7.7.5.11 RESERVED.

1.7.7.5.12 RESERVED

1.7.7.5.13 RESERVED

1.7.7.5.14 RESERVED

1.7.7.5.15 RESERVED

1.7.7.5.16 RESERVED

1.7.7.5.17 RESERVED

1.7.7.6 Processing for a CAC

1.7.7.6.1 The Common Access Card (CAC) is the standard identification for Service members, Department of Defense (DoD) civilian employees, and eligible DoD contractor personnel. It is the principal card used to enable both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely.

Access to the DoD network requires the use of a computer with Government-controlled configuration or use of a DoD-approved remote access procedure in accordance with the Defense Information System Agency Security Technical Implementation Guide.

1.7.7.6.2 Trust Associated Sponsorship System (TASS) is a web-based system that allows eligible DoD contractors to apply for a CAC through the internet. Government sponsors (also known as Trusted Agent) approve the application to receive government credentials.

1.7.7.6.3 Roles and Responsibilities

1.7.7.6.3.1 The contractor FSO shall:

- Identify contractor support personnel who require a CAC for accessing DoD networks and facilities.

- Verify the applicant’s background investigation

- Complete Defense Health Agency (DHA) Form 33, Sections I and III on the applicant’s behalf for an initial or renewal CAC.

- Submit the form to the Contracting Officer Representative (COR) for approval.

- Fax (703-681-5207) or email (dhatass@dha.mil) the completed DHA Form 33 to TASS / Common Access

Card Branch (CACB).

- Coordinate with the Trusted Agent (TA), DEERS record updates (Name, SSN, DOB etc.)

- Set up an out processing procedure to collect the CAC when an applicant is terminated from the company or when the CAC is no longer required.

- Notify the TA or TASS/CACB to revoke the applicant’s CAC.

- Return CACs to the TA or Defense Health Agency (ATTN: Personnel Security Branch/TASS-CACB), or the nearest Real-Time Automated Personnel Identification Systems (RAPIDS) facility), and follow up with an email to dhatass@dha.mil providing the name(s) of the CAC(s) that were submitted to the facility.

1.7.7.6.4. CAC Guidelines and Restrictions

1.7.7.6.4.1 Any person willfully altering, damaging, lending, counterfeiting, or using these cards in any unauthorized manner is subject to fine or imprisonment or both, as prescribed in sections 499, 506, 509, 701, and 1001 of title 18, United States Code (U.S.C.). Section 701 prohibits photographing or otherwise reproducing or possessing DoD ID cards in an unauthorized manner, under penalty of fine or imprisonment or both. Unauthorized or fraudulent use of ID cards would exist if bearers used the card to obtain benefits and privileges to which they are not entitled. Examples of authorized photocopying include photocopying of DoD ID cards to facilitate medical care processing, check cashing, voting, tax matters, compliance with appendix 501 of title 50, U.S.C. (also known as “The Service member’s Civil Relief Act”), or administering other military-related benefits to eligible beneficiaries. When possible, the ID card will be electronically authenticated in lieu of photographing the card.

1.7.7.6.4.2 ID cards shall not be amended, modified, or overprinted by any means. No stickers or other adhesive materials are to be placed on either side of an ID card. Holes shall not be punched into ID cards, except when a CAC has been requested by the next of kin for an individual who has perished in the line of duty. A CAC provided to next of kin shall have the status of the card revoked in DEERS, have the certificates revoked, and have a hole punched through the integrated circuit chip before it is released to the next of kin.

1.7.7.6.4.3 Access: The granting of access is determined by the contractor or system owner as prescribed by the DoD.

1.7.7.6.4.4 Accountability: CAC holders shall maintain accountability of their CAC at all times while affiliated with the DoD.

1.7.7.6.4.5 Multiple Cards: In instances where an individual has been issued more than one ID card (e.g., an individual that is eligible for an ID card as both a Reservist and as a contractor employee), only the ID card that most accurately depicts the capacity in which the individual is affiliated with the DoD should be utilized at any given time.

1.7.7.6.4.6 Renewal and Reissuance: The applicant for CAC renewal or reissuance shall be required to surrender the current CAC card that is up for renewal. A CAC card holder may apply for a renewal 30 days prior to the expiration date of a valid CAC.

1.7.7.6.4.7 Replacement: The applicant shall provide a letter from the local security office confirming the CAC has been reported lost, stolen confiscated or destroyed, and a valid (unexpired) State or Federal Government-issued picture ID.

1.7.7.6.4.8 Transfers Between Contractors: The contractor is authorized to retain the CAC when transferring employment from one DHA contractor to another. It shall be the responsibility of the new employer to provide notification to PSB/TASS when this type of transfer occurs. The notification shall contain employee’s name; new contract number and effective date of transfer.

1.7.7.6.4.9 Retrieval: The CAC is property of the U.S. Government and shall be retrieved and returned to TASS/CACB when the card has expired, or it is damaged or compromised, or when the applicant is no longer affiliated with the DoD contractor or no longer meets the eligibility requirements for the card.

Defense Health Agency Mission Assurance Division

Personnel Security Branch

ATTN: TASS/CACB

7700 Arlington Blvd, Suite 5101 Falls Church, VA 22042-5101

TASS/CACB: (703) 681-6777

E-mail address: dhatass@dha.mil

1.7.7.6.4.10 Personal Identification Number (PIN) Resets: Should an individual’s CAC become locked after attempting three times to access it, the PIN will have to be reset at a RAPIDS facility.

1.7.7.6.4.11 Contractors shall ensure that CACs are only used by the individual to whom the CAC was issued.

Individuals must protect their PIN and not allow it to be discovered or allow the use of their CAC by anyone other than him/herself. Contractors are required to ensure access to DoD systems applications and data is only provided to individuals who have been issued a CAC and whose CAC has been validated by the desktop middleware, including use of a card reader. Sharing of CACs, PINs, and other access codes is expressly prohibited.

1.7.8 Special Qualifications: RESERVED

1.7.9 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.

1.7.10 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.

1.7.11 Key Personnel: on-call Pediatric Surgeon

1.7.12 Proper Identification of Contractor Employees:

1.7.12.1 Contractors, including subcontractors at all tiers, shall provide for a clear distinction from Government personnel. Contractor employees shall not act, advertise, or presume to be Government employees, agents, or representatives. Contractor employees are required to appropriately identify themselves as contractor employees at all times, including in telephone conversations, formal and informal written correspondence, paper and electronic, and in any other situation where their actions could be construed as acts of Government officials, unless, in the judgment of the Government, no harm can come from failing to identify themselves. Contractor employees shall be introduced as contractor personnel and display distinguishing visible identification at all times whether in conversations, meetings, or other forms of communication with Government personnel.

1.7.12.2 Contractor personnel, while performing in a contractor capacity, shall refrain from using their retired or reserve component military rank or title (if applicable) in written or verbal communications associated with the contracts for which they provide services.

1.7.12.3 The Contractor shall incorporate the substance of this requirement in all subcontracts awarded under this contract.

1.7.13 RESERVED

1.7.14 RESERVED

1.7.15 RESERVED

1.7.16 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.

1.7.17 RESERVED

1.7.18 Government Training. The Contractor shall ensure that all Contractor employees attend or successfully complete all mandatory Government training. The training typically encompasses matters of security and safety, and is provided during billable time at no cost to the Contractor. The following is required:

- Antiterrorism Training (Level I) (Course Number JS-US007-14). Training can be taken online at http://jko.jten.mil/courses/atl1/launch.html. This training must be completed within 30 days of initial assignment or employment, and every 12 months thereafter.

- Counterintelligence and Reporting Training (CIAR). This training is provided in the form of a 48-slide briefing at http://cdsetrain.dtic.mil/cidod/. This training must be completed within 30 days of initial assignment or employment, and every 12 months thereafter.

- Privacy Act and HIPAA Training. (See PWS Attachment 4 / Technical Exhibit 4).

- DoD Center for Development of Security Excellence Level I OPSEC Training. Contractor employees must complete the training within 30 calendar days of the beginning of their awarded support services, and annually thereafter. The training is available at http://cdsetrain.dtic.mil/opsec/ .

PART 2

DEFINITIONS & ACRONYMS

This section includes all appropriate terms and phrases for this PWS.

2. 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. 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 ADP Automated Data Processing AHA American Hospital Association AHLTA Armed Forces Health Longitudinal Technology Application AR Army Regulation AMA American Medical Association AOD Administrative Officer of the Day ATS Addiction Treatment Services BCLS Basic Cardiac Life Support BLS Basic Life Support CFR Code of Federal Regulations CHAMPUS Civilian Health and Medical Program of the Uniformed Services CHCS Composite Health Care System CLIN Contract Line Item Number CME Continuing Medical Education CO Contracting Officer CONUS Continental United States (excludes Alaska and Hawaii) COOPH Co-occurring Partial Hospitalization Program COR Contracting Officer Representative COTR Contracting Officer's Technical Representative COTS Commercial Off the Shelf CPGs Clinical Practice Guidelines DA Department of the Army DCCS Deputy Commander for Clinical Services DD250 Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List DEA Drug Enforcement Administration DFARS Defense Federal Acquisition Regulation Supplement DMDC Defense Manpower Data Center DMHRSi Defense Medical Human Resources System Internet DMRC Deployment Medical Readiness Clinic DoD Department of Defense DoDI Department of Defense Instruction ECFMG Educational Commission for Foreign medical Graduates EFT Electronic Funds Transfer FAR Federal Acquisition Regulation FIPS PUB Federal Information Processing Standards Publication FSO Facility Security Officer FTE Full Time Equivalent GS General Schedule HCAA Health Care Acquisition Activity HCP Health Care Provider HIPAA Health Insurance Portability and Accountability Act of 1996 HSPD Homeland Security Presidential Directive IOP Intensive Outpatient Program JC Joint Commission KO Contracting Officer MEDCEN Medical Center MEDCOM Medical Command MEDDAC Medical Department Activity MHS Military Health System MTF Military Treatment Facility NACI National Agency Check with Inquiries

NASW National Association of Social Workers NCOIC Noncommissioned Officer in Charge OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs OIC Officer-in-Charge OMB Office of Management and Budget OTSG Office of The Surgeon General, U.S. Army OSHA Occupational Safety & Health Association PAD Patient Administration Division PCS Psychiatry Continuity Services PDH-CPG Post Deployment Health Evaluation and Management - Clinical Practice Guidelines PDHRA Post-Deployment Health Re-Assessment PIPO Phase In/Phase Out PL Public Law POC Point of Contact PPIMS Past Performance Information Management System PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QA&I Quality Assessment & Improvement QA Quality Assurance QC Quality Control QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QCP Quality Control Program RFP Request for Proposal RMC Regional Medical Command SF Standard Form SRP Soldier Readiness Processing TA Trusted Agent TAB Therapeutic Agents Board TE Technical Exhibit

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: RESERVED

3.2 Facilities: The Government will provide facilities required for contract performance. This encapsulates the necessary workspace for the contractor staff to provide the support outlined in the PWS to include desk space, telephones, computers, and other items necessary to maintain an office environment. Space used by contract employees in performance of services may be used for other purposes during their absence. Items of clothing, personal effects, or equipment cannot be secured during their absence. The Government will not incur any liability for theft, damage to, or loss of such personal items. Contract employees shall keep Government furnished supplies, equipment and work areas in a safe, orderly and clean condition. Contract employees shall notify the Government whenever maintenance of equipment is required. Contract employees shall abide by all MTF and Government requirements for physical security of Government property and equipment.

3.3 Utilities: The Government will provide all utilities in the facilities necessary for the contractor’s use in performance of tasks outlined in this PWS. The Contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment.

3.4 Equipment: The Government will provide telephones, computers, and other items necessary to maintain an office environment and enable the contractor to provide the services needed. Items issued will remain the property of the Government and will not be removed from the hospital. They are to be used, turned in, or disposed of as directed. Telephones, facsimile machines, copiers and computer equipment are authorized for transaction of official Government business only and shall not be used for personal business. Personal long distance calls are not authorized and the cost of all personal long distance calls made may be deducted from the Contractor’s invoice payments. Telephones, facsimile machines and computer equipment are subject to communications security monitoring at all times.

3.4.1 Pagers. If pagers are issued, the Contract employee shall safeguard the pagers from loss, theft or destruction, and must display the pager for a scheduled or unscheduled control inspection. The Contractor shall be required to reimburse the Government for lost pagers. The cost of replacement of pagers may be deducted from payments to the Contractor.

3.4.2 Protective Clothing. The MTF will supply special protective clothing and shoe covers when required. Health Care Providers are required to provide uniforms.

3.4.3 Contract employees may be issued keys. The Contract employee shall safeguard the keys from loss, theft or destruction, and must display all keys signed for at scheduled or unscheduled key control inspections. The Contractor shall be required to reimburse the Government for lost keys, or lockset (if locksets are required to be replaced) as a result of lost keys. The cost of replacement of keys/locksets may be deducted from payments to the Contractor.

3.4.4 Nametag. The contract employee shall wear a nametag if furnished by the MTF. The nametag will be in compliance with, and in accordance with, MTF policy.

3.5 Materials: The Government will provide materials necessary for the contractor to perform these needed services.

3.6 Training / Orientation:

3.6.1 Staff Orientation - New Employee. Contract employees shall participate in all staff orientation and/or training. Contract employees will attend a government-sponsored initial orientation to familiarize them with the policies and procedures of the MTF. Orientation attendance will be scheduled by the COR. Such orientation may include instruction on automated processing, standard operating procedures, local in-services, quality improvement policies, communications, and occupational exposure to blood borne pathogens, safety programs, etc.

3.6.2 Annual Training Updates. Contract employees shall be required to complete an annual training update at the MTF Annual training updates may be accomplished via video or classroom instruction, computer-based instruction, or review of written materials.

3.6.3 Armed Forces Health Longitudinal Technology Application (AHLTA) Training (formerly known as CHCSII).

Contract employees shall attend training in the use of AHLTA. The length of training will depend upon the computer skills of the individual contract employee. This training will be coordinated and scheduled by the COR.

(Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with AR 25-2 and AR 380-67.)

3.6.4 HIPAA Privacy and Security Training (HIPAA 101). Contract employees shall be required to complete the On-Line Web-based Training Modules within the first 30 days of employment.

3.6.5 In addition to the specified courses listed above, contract employees are required to attend or complete on-line any Department of Defense, Army, or Federal Government directed courses, which are not available to contract employee outside of the MTF. Contract employees will participate in all mandatory training.

3.6.6 Government unique training. The government may elect to provide unique government training to contract employees who are performing services under this contract. If the government elects to provide such training, the government will provide such training at no additional expense to the contractor or to the contract employee. When directed by the contracting officer, contract employees shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the contractor and the contractor shall reimburse the government (by means of a reduction in an invoice) if a contract employee fails to satisfy the performance commitment after the contract employee receives the unique government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the contract employee fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

3.6.7 Hours for attending any of the above shall be compensated at the regular hourly rate established in the contract.

3.7 Emergency Healthcare: The MTF will provide emergency healthcare for injuries occurring while on duty. The Contractor shall reimburse the Government for such services.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: The Contractor shall furnish personnel and services required to perform work under this contract that are not listed under Section 3 of this PWS.

4.2 Secret Facility Clearance. RESERVED

4.3 Materials. RESERVED

4.4 Equipment. RESERVED

4.5 Certificates/licenses/training shall be maintained in a current status at all times while performing services under this contract. If at any time during the contract the contract employee does not renew any of the required certifications/licenses/training prior to the expiration date, he/she will not be allowed to work at a Military Treatment Facility, Hospital, or Clinic. This expense shall be borne by the Contractor and will not excuse the Contractor from fulfilling the requirements under this contract.

4.6 CONTRACTOR MANPOWER REPORTING (CMR) FOR CONTRACT PERFORMANCE WORK

STATEMENTS

4.6.1. The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the DHA 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 /. Select “All Other Defense Components” icon to input CMR data.

4.6.2. 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 5

SPECIFIC TASKS

5. Specific Tasks:

All Contract HCPs shall meet the qualifications for that specialty and perform essentially the same functions, within the scope of acceptable standards for their technical professional discipline, as those required by Army or government service technical professionals of similar experience and in similar duty assignments. Contract HCP practices/productivity will be compared to that of other Government personnel assigned to the same medical clinic.

The Contracted Pediatric Surgeon will be for and will have:

1. Qualifications:

(1) Education: Physician will have successfully completed an Undergraduate Program, Medical School (M.D.

or D.O.), Internship, and Residency Program

(2) Certification: Board certification by the American Board of Pediatrics, Eligible surgeons should be Board Certified/Board Eligible in Pediatric Surgery by the American Board of Surgery and current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) if required by the client

(3) Experience: Minimum of one (1) year experience within preceding three (3) years in the specialty

(4) Licensure: Valid unrestricted medical license in at least one (1) state, territory or commonwealth of the U.S. and will at a minimum be Board Eligible

(5) The health care provider serving in this position must reside within a 65 mile radius of WRNMMC.

1.1. Other Qualifications:

(1) Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers.

(2) Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with nurses, medical staff, patients, and family members.

(3) Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing.

(4) Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The Contract HCP shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: Infants, Children, and Adolescent.

(5) Shall be a U.S citizen.

(6) Shall have documentation of current Drug Enforcement Agency number.

(7) The Contract HCP shall demonstrate skills in interviewing, examination, assessment, and management of patients with general medical and surgical health problems. Seriously ill patients shall be managed in consultation with or by direct referral to specialty physicians.

2. SPECIFIC DUTIES/TASKS THE CONTRACT EMPLOYEE SHALL PERFORM BUT NOT LIMITED

TO: The Contract HCP perform full range of medical services to diagnose, treat, and manage patients care as required, and in strict compliance with standing orders and protocols set forth by the MTF to include, but not limited to, the following: a. The Contract HCP shall perform the following procedures, as required, and in strict compliance with standing orders and protocols set forth by the MTF to include, but will not necessarily be limited to the following:

(1) The pediatrician surgeon shall be capable of performing the full range of general pediatric surgical services.

(2) Prepare and review case histories and obtain data through interviews of patients.

(3) Examine patients and determine required x-ray examinations, and clinical laboratory tests. Medical care shall be provided to all beneficiaries authorized care in AR 40-3.

(4) Interpret tests results and evaluate findings.

(5) Prescribe specific medication(s), diet, treatment modalities and oversee nursing personnel in providing appropriate care to the patient.

(6) Work under the general professional direction of the Chief Pediatric Surgical Services.

(7) Be prepared to make recommendations regarding changes on policy or programs as they affect professional services in the specialized area of Pediatric Medicine.

(8) Make necessary rounds to inpatients, as needed.

(9) Provide consultation services for members of the MTF staff for purposes of specialty area training. As required, the contracted HCP will serve in a teaching capacity to staff members assigned to the MTF and ambulatory clinics.

(10) The Contracted HCP is responsible for maintaining accurate clinical records and receiving consultations and laboratory work of specific patients.

(11) Provide advice and opinions upon request by the Chief, Pediatric Surgery or the referring physician in support of patient care and treatment.

(12) Provide a Statement on Evaluation of Fitness IAW AR-40-501 and provide timely completion of Medical Evaluation…