Attachment 1 - HEC Performance Work Statement (PWS)_14Sep26.pdf

Healthcare Environmental Cleaning, Linen and Regulated Medical

Waste Services Non-Personal Services

Performance Work Statement

DEFENSE HEALTH NETWORK EUROPE

GERMANY MILITARY TREATMENT FACILITIES

TABLE OF CONTENTS

PART 1 INTRODUCTION

PART 2 DEFINITIONS/ACRONYMS/ABBREVIATIONS

PART 3 GOVERNMENT FURNISHED PROPERTY AND SERVICES

PART 4 CONTRACTOR FURNISHED ITEMS AND SERVICES

PART 5 SPECIFIC TASKS AND STANDARDS

PART 6 OTHER TERMS, CONDITIONS AND PROVISIONS

PART 7 APPLICABLE PUBLICATIONS

PART 8 PERFORMANCE REPORTING AND DELIVERABLES

ATTACHMENTS

ATTACHMENT 1 – PWS

ATTACHMENT 2 – INSTALLATION ACCESS

ATTACHMENT 3 – MISSION ESSENTIAL MEMORANDUM

ATTACHMENT 4 – GOVERNMENT FURNISHED EQUIPMENT

ATTACHMENT 5 – LINEN DISTRIBUTION

ATTACHMENT 6 – SUMMARY OF BUILDINGS

ATTACHMENT 7 – CLEANING REQUIREMENT REPORT

ATTACHMENT 8 – REGULATED MEDICAL WASTE

ATTACHMENT 9 – ASBESTOS LOCATIONS

ATTACHMENT 10 – WORKLOAD DATA

ATTACHMENT 11 – ATTACHMENT 11 - HISTORICAL DATA OF AVERAGE

CONSUMABLE USAGE

ATTACHMENT 12 – SAMPLE MTF PHOTOS

ATTACHMENT 13 – CONSUMABLE SUPPLIES AND DISPENSERS

TABLES:

TABLE 1 - CONTRACTOR PROVIDED CONSUMABLES

PART 1

1.1. Introduction: The Defense Health Agency (DHA, Agency, or Government) supports the delivery of integrated, cost effective, and high-quality health services to military beneficiaries of the Military Health System (MHS). Patient care services are provided in a variety of settings within the MHS, including military clinics, hospitals, and medical centers, which are collectively referred to as Military Medical Treatment Facilities (MTFs). The DHA requires highly specialized Healthcare Environmental Cleaning (HEC) and Linen Distribution Services, conforming to the highest standards of quality and complying strictly with all applicable certification requirements and with rigorous and exacting medical industry standards for maintaining an aseptic space for the administration of healthcare ranging from clinical to surgical. The Federal Procurement Data System Product and Service Code (PSC) for such specialized, aseptic “Healthcare Environmental Cleaning” services are PSC Q901. An ability to meet run-of-the-mill “janitorial” or “custodial” services standards, PSC S201, would not be sufficient to satisfy the complex, extensive, and in most cases mission-essential requirements of the DHA HEC.

1.1.1. Throughout this Performance Work Statement (PWS) and all Task Orders (TOs) issued under the Contract, the following terminology will apply. The Prime Contractor’s corporate level staff, including the corporate level staff of the Prime Contractor’s teaming partners and subcontractors, will be referred to as “Contractor”. Workers performing cleaning and disinfecting duties as set forth in this contract and applicable TO(s) or providing on-site management of such cleaning and disinfecting duties, including employees of the Prime Contractor and its teaming partners and subcontractors, will be referred to as “Contractor Service Providers (CSP).” The term “Contractor Employees” refers to both Contractor Staff and CSP.

1.2. Non-Personal: The services under this contract are non-personal services and are neither inherently Governmental nor closely associated inherently Governmental. The Contractor shall supervise CSP and exercise any employer rights over the CSP performing under this contract including creating time and attendance records for corporate use, CSP appraisals, counseling/reprimand, retraining or performance improvement plans. The Contractor is solely accountable and liable for their employees and is obligated to meet all contract terms and conditions. Additionally, the Prime Contractor retains responsibility for all teaming partners or subcontractors and corporate employees and shall be accountable for their actions and performance.

1.3. Objective: The contractor shall provide HEC services that prioritize infection control while optimizing aseptic cleaning practices in support of DHA’s mission of providing quality healthcare in safe, hygienic and aesthetically pleasing MTFs.

1.4. Scope: This Indefinite Delivery, Indefinite Quantity (IDIQ) Contract for HEC services is in support of DHA MTFs throughout Germany, including but not limited to, Landstuhl Regional Medical Center (LRMC) and associated outlying health, dental and veterinary clinics, U.S. Army Medical Department Activity – Bavaria (MEDDAC-B), and associated outlying health, dental and veterinary clinics, Rhine Ordinance Barracks Medical Center (ROBMC) the 86th Medical

Group, Ramstein Air Base, the 52nd Medical Group, Spangdahlem Air Base, and Geilenkirchen NATO Air Base. The Government does anticipate orders at Ramstein Air Base, Spangdahlem Air Base, and Geilenkirchen NATO Air Base within the next 12 months.

The services to be acquired are Healthcare Environmental Cleaning, Linen Laundry Services and Regulated Medical Waste collection. The Government defines HEC services as, “cleanliness, disinfection and aesthetic maintenance of public and patient care spaces within the DHA’s MTFs”. The Contractor is responsible for the performance of the scope of HEC and linen operations including management activities such as planning, scheduling, cost accounting, report preparation and submission, establishing and maintaining records, quality control, and performance metrics. The regulations, policy guidance, commercial and industry standards, and advisory recommendations cited in Part 7 of the PWS, as well as applicable publications, are required for this effort.

1.4.1. LRMC is a general medical and surgical hospital site at, Landstuhl/Kirchberg, 66849, Germany, and additionally has health, dental and veterinary clinics located in Wiesbaden, Baumholder, Kleber, Pulaski, Landstuhl and over 62 outlying buildings. LRMC is accredited by The Joint Commission (TJC). LRMC is the only U.S. overseas Level I Trauma Center verified by the American College of Surgeons. The Mammography section of the Radiology Department is accredited by the American College of Radiology. The Pathology Department and its USAREUR-AF-sponsored blood bank each have accreditation by their respective national authorities. The mission of LRMC is to provide world-class medicine to the military personnel and their families in safe, clean, and aesthetically pleasing medical treatment facilities (MTFs). The command suite and other administrative support functions such as outpatient records, outpatient pharmacy, primary care unit, and specialty care clinics are located within the complex.

LRMC is the largest American hospital outside of the United States, and the only American tertiary hospital in Europe. We provide primary care, tertiary care, hospitalization and treatment for more than 230,000 U.S. military personnel and their families within the European Command. LRMC is also the evacuation and treatment center for all injured U.S. Service members and civilians, as well as members of 54 coalition forces serving in the Africa Command, Central Command and European Command.

There are 147 beds at LRMC. LRMC also has 218 beds in its Medical Transient Detachment.

There are 20 beds at Fisher House. Clinics and Services include Addiction Treatment Facility, Admissions & Dispositions, Allergy/Immunization, American Red Cross, Anesthesia, Anesthesia Interventional Pain Management, Armed Services Blood Program, Army Public/Community Health Nursing, Army Wellness Center Landstuhl, Army Wounded Warrior Program, Audiology Clinic, Behavioral Health, Brace Shop, Cardiology Clinic, Central Materiel Services ,Chaplain (Clinical Pastoral Division) ,Child and Adolescent Psychiatry Services ,Child, Adolescent & Family Behavioral Health Services, Dermatology, Ear, Nose & Throat (ENT), Endocrinology, Family Medicine Clinic, Fisher House, Gastroenterology Clinic, General Surgery Clinic, Hematology & Medical Oncology, Intensive Care Unit, Internal Medicine (Endocrinology/Infectious Disease/Rheumatology/Diabetic, Labor and Delivery, Mammography, Neonatal Intensive Care Unit, Neurology Clinic, Neurosurgery Clinic, Pediatric Clinic, Pulmonary Medicine Clinic, Radiology, Telehealth Program Office, Traumatic

Brain Injury Program, Warfighter Refractive Eye Surgery Program (WRESP), Women’s Care Center emergency room, laboratory, obstetrical/gynecology, ophthalmology /optometry, orthopedics, pharmacy, physical therapy, and radiology. The command suite and other administrative support functions such as outpatient records, outpatient pharmacy, admissions and dispositions, primary care unit, and specialty care clinics etc.

1.4.1.1. For HEC services, the U.S. Army Clinics at Baumholder, Kleber, and Wiesbaden, and the Veterinary Clinic at Pulaski Barracks are part of LRMC as listed in LRMC Attachment 6 – Cleaning Requirement Report and LRMC Attachment 7 – Summary of Buildings.

1.4.2. ROBMC is the new Medical Center, located in Weilerbach, Germany. The hospital features nine operating rooms, 120 exam rooms, and 68 beds with a surge capacity of 25 additional beds. The new Medical Center is scheduled to open for patients as early as July 2030. Official dates will be provided later. ROBMC will require cleaning service, Levels I-VI.

1.4.3. MEDDAC-B is an ambulatory medical care service provider with Headquarters Facility located in Vilseck, Rose Barracks, Germany. MEDDAC-B consists of 5 Health Clinics, 5 Dental Clinics, 4 Veterinary Clinics, and other various supported facilities spread across approximately 27,000 square miles within the Bavarian region. MEDDAC-B includes the U.S. Army Health Clinics at Grafenwoehr, Vilseck, Hohenfels, Ansbach and Stuttgart as listed in MEDDAC-B Attachment 6 – Cleaning Requirement Report and MEDDAC-B Attachment 7 – Summary of Buildings. The mission of MEDDAC-B is to provide patient-centered, evidence-based healthcare while maintaining a trained and ready force.

1.4.4. MEDDAC-B provides primary care and medical specialty services for more than 51,000 beneficiaries within the Bavarian region, with a daily average of 825 primary care visits to health clinics and 300 to the dental clinics. Clinics, supported activities and services includes:

Pediatric Medicine, Physical Therapy, Occupational Therapy, Optometry, Audiology, Behavioral Health, Gynecology, Neurology, Chiropractor, Dermatology, Child Psychiatry, Orthopedics, Educational and Developmental Intervention Services (EDIS), Sexual Assault Medical Forensic Exam (SAMFE), Aviation Medicine, Tele-Health, Minor Traumatic Brain Injury (MTBI), Preventive Medicine, Army Wellness Center, Pharmacy, Laboratory and Radiology; dental services such as general dentistry, orthodontics, periodontics, endodontic, oral surgery and prosthodontic services. Administrative supportive functions such as Patient Administration, Records and Tri-care are located within the medical facilities.

1.5. Authorized Ordering DoD Agencies. DHA Contracting Activity (DHACA), Healthcare Contracting Division – Southeast (HCD-SE), Branch 6 – Europe, henceforth “Branch-6”, will execute and manage subsequent TOs.

1.6. Failure to Provide Services. If the Contractor fails to provide the procured HEC services as required, the Government reserves the right to terminate the contract and to procure such services from a new Contractor. Consistent with applicable laws and regulations. Additionally, the Government will document adverse past performance if this occurs and may use all available contracting remedies for unacceptable performance, including contract and/or task order termination.

1.7. General Information.

1.7.1. Ordering Period. The contract has one (1) five (5) year ordering period – 15 May 2027

– 14 May 2032.

The Government may issue TOs at any time during the ordering period. TOs may include option periods with performance ending after the ordering period ends.

1.7.2. Performance Locations. The services shall be performed at the LRMC and its outlying clinics (Baumholder, Wiesbaden and Kaiserslautern (Kleber and Pulaski)), Rhine Ordnance Barracks Medical Center and MEDDAC-B clinics (Hohenfels, Vilseck, Grafenwoehr, Ansbach/Katterbach, and Stuttgart). Other performance locations may be identified during contract performance. See Attachment 7 – Cleaning Requirement Report for the level of services required, operational hours, and facility details.

1.7.3. Performance Location Operational Hours.

LRMC and ROBMC. Normal operating hours are 0730 to 1630 local time Monday through Friday, except for the departments that operate 24 hours per day, seven days per week. These departments include the Emergency Room (ER), Sterile Processing, Labor and Delivery, Radiology, Laboratory, Intensive Care, Operating Rooms and wards as identified in Attachment 10. In some areas, due to the volume of personnel and patients, type of operation, or other considerations, cleaning shall be accomplished at times other than during normal operating hours.

MEDDAC-B. Normal hours of operation are Monday through Friday 0730 through 1700. All MEDDAC-B clinics are closed on Saturday, Sunday, and U.S. Federal Holidays. Primary cleaning shall be accomplished outside the normal hours of operation, when patients are not routinely being seen in these areas.

1.7.4. Mission Essential Status. Services under this contract are mission essential. In the event of a planned or unplanned facility closure, full HEC services or limited HEC services may still be required in accordance with policy cited in DFARS Subpart 237.76, Continuation of Essential Contractor Services, and Attachment 3 – Mission Essential Memorandum.

(https://www.acquisition.gov/dfars/subpart-237.76-continuation-ofessential-contractor-services).

1.7.5. Holidays. The following is a list of legal U.S. federal holidays as referred to elsewhere in the contract and PWS.

• New Year’s Day, January 1st

• Martin Luther King’s Birthday, 3rd Monday in January

• Presidents’ Day, 3rd Monday in February https://www.acquisition.gov/dfars/subpart-237.76-continuation-ofessential-contractor-services https://www.acquisition.gov/dfars/subpart-237.76-continuation-ofessential-contractor-services

• Memorial Day, last Monday in May

• Juneteenth, June 19th

• Independence Day, July 4th

• Labor Day, 1st Monday in September

• Columbus Day, 2nd Monday in October

• Veteran’s Day, November 11th

• Thanksgiving Day, 4th Thursday in November

• Christmas, December 25th

The following is a list of legal German holidays as referred to elsewhere in the contract and

PWS:

• 1 January, New Year's Day

• 6 January, Day of Epiphany

• Good Friday

• Easter Sunday

• Easter Monday

• 1 May, Labor Day

• Assentation Day

• White Sunday

• White Monday

• Corpus Christi

• 15 August, Assumption Day

• 3 October Day of German Unity

• 31 October Reformation Day

• 1 Tuesday in November, All Saints' Day / National Unity Day

• 25 December, Christmas Day

• 26 December, Saint Stephen's Day

1.7.6. The Contractor shall provide 24/7 services on U.S. federal holidays and German holidays as a regular working day in MTFs with Labor and Delivery, Mother Baby Units, Neonatal Intensive Care Units (NICU), Emergency Rooms (ER), Dining Facilities, Pathology, Radiology, Medical Surgical Wards, Psychiatric Wards, Surgical Suite and Sterile Processing Departments, Cardiac Catheter Labs, Interventional Radiology, Intensive Care Units (ICU), and Inpatient Wards or Operating Rooms (OR). All other LRMC and MEDDAC-B clinics are not operational and do not require services on U.S. federal holidays.

1.7.7. German holidays, Military training and family days are not considered Federal Holidays or planned closures. The Contractor shall provide HEC services on German holidays and military training holidays as a regular working day.

1.7.8. The Government may declare an unplanned closure of a performance location which may reduce performance location manning levels and/or operational hours impacting patient care activities and the need for HEC services. Full HEC services or limited HEC services may still be required for mission-essential services in accordance with performance location policy and procedures.

1.8. Invoicing. The Contractor shall submit complete and accurate monthly invoices no later than the 5th working day of the following month. Invoices shall be submitted in Procurement Integrated Enterprise Environment (PIEE) / Wide Area Workflow (WAWF) after performance is complete in accordance with FAR 252.232-7006. (https://www.acquisition.gov/dfars/252.232- 7006-wide-area-workflow-payment-instructions).

1.8.1. The Contractor shall submit a monthly cleaning report with the monthly invoice in WAWF. The report shall include:

- Total square meters cleaned by service type and room

- Total square meters of stripping/waxing by room

- Total square meters of carpet cleaning by room

- Total square meters of window cleaning by room

- Total number of contingency hours performed by event and room

The report shall be submitted in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 1.

1.8.2. The Contractor shall resubmit a corrected invoice within three (3) business days when the Government rejects it or asks for additional details.

1.9. Mandatory Government Orientation and Training. The Contractor shall ensure personnel complete all Government in-processing requirements and initial/annual training at the performance location No Later Than (NLT) 30 calendar days after the start of work or initial assignment.

1.9.1. The Contractor shall develop and maintain a comprehensive employee orientation and training program for pre-employment, initial, annual refresher, and developmental training of CSP. At a minimum, the training program shall address infection prevention and control, basic bacteriology, use and care of supplies and equipment, regulation reviews, fire prevention, safety, Contractor Procedure Manual, Asbestos Awareness Training, customer service and quality control, and recurring and continuing education for optimal competency. The Government may specify additional training requirements. The Contractor shall execute their training program and ensure completion before assigning/starting CSP to complete services at the performance location. The Contractor shall provide the Government with details on training plans such as method, venue, lesson plans, hours of instruction, schedules, attendance, and training deficiencies as well as CSP training records upon request and in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 2.

1.9.2. Out-Processing Requirements. The Contractor shall notify the Contracting Officer’s Representative (COR) when CSP employment status changes occur at least five (5) duty days in advance of the CSP final duty day so that out processing procedures and return of Government-https://www.acquisition.gov/dfars/252.232-7006-wide-area-workflow-payment-instructions https://www.acquisition.gov/dfars/252.232-7006-wide-area-workflow-payment-instructions issued Installation Pass, MTF badge, and/or other local access card/document(s) can be arranged at the performance location in accordance with local procedures. For planned departures, on the final duty day, the Contractor shall ensure the CSP personally brings the Installation Pass, MTF badge, or other Government-issued local access card to the designated Government office so the Trusted Agent (TA) can remove authorized base access per mandatory regulations. For unplanned departures, the Contractor shall notify the COR within one (1) duty day of employee departure.

Additionally, the Contractor shall diligently work with their former employee to surrender their Installation Pass, MTF badge, or other Government-issued local access card/documents and return them to the COR within three (3) duty days of the final duty day and provide the COR with daily updates on the Contractor’s progress to retrieve these items and facilitate the Government’s process to revoke the former employee’s access.

1.9.3. Exercise Participation. The Contractor shall ensure personnel participate in emergency exercises at the performance location, including, but not limited to, active shooter drills, tornado drills, and fire drills.

1.10. Contractor Personnel.

1.10.1. Program Manager. The Contractor shall designate in writing a corporate level Program Manager to oversee the contract terms and conditions, compliance, and performance management within 10 calendar days from contract award and within five (5) business days whenever changes occur to the roster in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 3. The Program Manager position is considered Key Personnel.

1.10.2. Executive Manager(s). The Contractor shall designate in writing to the COR an Executive Manager(s) responsible for management and performance of services, within 10 calendar days from contract award and no later than five (5) business days before changes occur to the roster in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 4. The Executive Manager(s) shall meet or exceed the following:

Certified by the AHE as a Certified Healthcare Environmental Services Professional (CHESP) per AHE https://www.ahe.org/designations/chesp) or the International Executive Housekeeper's Association (IEHA) as a Certified Environmental Services Executive (CESE) per IEHA (https://www.ieha.org/) or hold a “Meisterbrief of Hauswirtschaft” or “Meister im Gebäudereiniger-Handwerk” with the German Handwerkskammer Organization and Desinfector, and meet requirements of DIN Norm 13063 and the German (KRINKO/RKI) All certifications shall be maintained active and current throughout the term of the contract. The Executive Manager(s) shall possess a minimum of five (5) years of HEC experience within the last seven

(7) years in a medical facility with inpatient, outpatient, and surgical specialties of the size as in LRMC. The Government will not accept experience in general custodial or janitorial environments. Specific experience shall indicate that the Executive Manager(s) directly managed HEC services and performed at an MTF or commercial healthcare facility of comparable size and services such as LRMC, excluding its outlying clinics. Shall be fluent in https://www.ahe.org/designations/chesp https://www.ieha.org/

English and the host nation language (German) and shall be able to read and write in both languages.

1.10.2.1. Executive Manager(s) positions are considered Key Personnel. Resumes and certifications shall be submitted to the Contracting Officer (KO) and COR within 10 calendar days of contract award and no later than 15 business days before changes occur to the roster in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 5.

1.10.2.2. The contractor shall provide the COR telephone numbers for the Executive Manager(s) during duty and non-duty hours. The Executive Manager(s) shall be available to meet telephonically with the COR during normal operating hours. In the event of telephonic unavailability, the Executive Manager(s) shall return the call within 30 minutes. The Executive Manager(s) shall be available to meet with the COR on site during normal operating hours within 12 hours of notification.

1.10.2.3. The Executive Manager shall execute the Contractor’s Quality Control Plan (QCP) activities and develop/submit inspection reports and corrective action plans to resolve performance discrepancies, to measure and ensure quality performance during the contract. The QCP shall describe the surveillance methodology for quality management, and approaches used under this contract.

1.10.3. On-Site Management. The Contractor shall designate in writing to the Contracting Officer (KO) and COR a primary and an alternate On-Site Manager responsible for management and performance of LRMC and its outlying clinics to be present at LRMC. The Contractor shall designate in writing to the Contracting Officer (KO) and COR and a primary on-site manager for MEDDAC-B at Vilseck, no later than 10 calendar days from the start of the phase-in period and no later than five (5) business days before changes occur to the roster in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 6. The primary and alternate POC are considered on-site management.

1.10.3.1. The Contractor identified On-Site Managers shall have the authority to act on behalf of the Contractor for any performance-related matters, provide supervision of on-site personnel, oversee/manage of day-to-day operations, and ensure completion of HEC and other PWS requirements. For On-Site Managers, the Government will accept a completed apprenticeship - “Gesellenbrief” certified in the building cleaning trade or Housekeeping (abgeschlossene Berufsausbildung als Gebaeudereiniger/in oder Hauswirstschafter/in). All certifications shall be maintained active and current throughout the term of the contract. On-Site Managers shall possess a minimum of five years’ housekeeping experience with a minimum of three years of specific hospital housekeeping experience. Specific experience shall include direct management of HEC services at an MTF of comparable size and services to LRMC or MEDDAC-B, commensurate to the manager’s place of performance. On-Site Managers shall be fluent in English and the host nation language (German) and shall be able to read and write in both languages.

1.10.3.2. On-Site Manager positions are considered Key Personnel. Resumes and certifications shall be submitted to the COR no later than 10 calendar days from the start of the phase-in period and no later than five (5) business days before changes occur to the roster in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 7.

1.10.3.3. The contractor shall provide the COR with phone numbers for the On-Site Managers during duty and non-duty hours. On-Site Managers shall be available to communicate with the COR in person or over the phone during the duty hours. Outside these hours, the Contractor shall provide a notification process to the COR for after-hours notifications. If required, On-Site Managers will be at the performance location after-hours within two (2) hours of receiving notification.

1.10.4. On-site Supervisory. The Contractor shall provide on-site supervisory personnel (position titles such as, “Group Leader,” “Shift Supervisor”) available to communicate with the COR in person or over the phone during duty hours. Such supervisory personnel shall be qualified IAW DIN 13063.

1.10.5. Shift Supervisors

LRMC and ROBMC:

• Day Shift: On-Site Managers (primary and alternate) and Shift Supervisors: 0700 – 1600 hrs.

• Linen Shift Supervisor and Linen staff members: 0700 – 1600 hrs.

• Evening shift: Shift Supervisor shall be on site from 1600 – 2400 hrs.

• Night shift: Shift Supervisor shall be on site from 2400 – 0700 hrs.

Wiesbaden, Baumholder:

• Day Shift: Shift Supervisor hours: 0700 – 1600 hrs.

• Evening shift: Shift Supervisor hours: 1600 – 2400 hrs.

• CSP shall remain on site for the entire duration of cleaning time during the day shift within the health and combined health/dental clinic operating hours: 0700-1600 hrs.

MEDDAC-B (Vilseck):

• Day Shift: On-Site Management and Shift Supervisors hours: 0800 – 1600 hrs.

• Evening shift: Shift Supervisors shall remain on site for the entire duration of cleaning time during the evening shift within the health and combined health/dental clinics from 1500-1900 hrs.

MEDDAC-B (Hohenfels, Ansbach/Katterbach, Stuttgart, Grafenwoehr):

• Day Shift: Shift Supervisors hours: 1000 – 1400 hrs.

• Evening shift: Shift Supervisors shall remain on site for the entire duration of cleaning time during the evening shift within the health and combined health/dental clinics 1500-1900 hrs.

1.10.6. Staffing Plan. The contractor’s staffing plan describes all staffing policies and procedures and includes specific narrative details and/or descriptions of the Basis of Estimate

(BOE) used to estimate the Productive Hours proposed. The plan shall include the staffing chart in Exhibit B. The chart shall list the productive Hours proposed by Service Level (e.g., Service Level I, II, III, etc.); Labor Category (e.g., Housekeeper, Floor Care, Linen Handler, etc.), and Shift (1st or 2nd) proposed for each building. The Staffing Chart shall also include the Total Productive Hours, and the Proposed Staffing Levels based on a Full-Time Equivalent (FTE) of Productive Annual Hours per FTE (estimated by tariff agreement). The Government intends to incorporate the Staffing Plan and Chart into the TOs.

1.11. Contractor Service Providers (CSP).

1.11.1. Workers performing cleaning and disinfecting duties as set forth in this contract or providing on-site management of such cleaning and disinfecting duties, including employees of the Prime Contractor and its teaming partners and subcontractors, will be referred to as CSP.

CSP shall perform duties and comply with all DoD, DHA, military service, and MTF policies and instructions which may be further defined in the TO PWS. CSP shall be qualified IAW DIN13063. CSP include the below positions.

1.11.2. Housekeeper Personnel perform all cleaning tasks other than periodic floorcare in all Service Levels in accordance with Part 5 of the PWS, Specific Tasks. This includes, but is not limited to, windows, furnishings, curtains and blinds, mirrors, water fountains, dispensers, ceilings, and light fixtures. Housekeeper Personnel includes CSP position titles such as, but not limited to, “Housekeeping,” “Housekeeper,” “Cleaning Staff”.

1.11.3. Floor Care Personnel use cleaning equipment, including automatic floor machines, commercial vacuums, wet mops, large wringers and other necessary equipment, tools, chemicals, and supplies for periodic floor care. This CSP will include floor stripping/waxing and carpet shampooing in all Service Levels in accordance with Part 5 of the PWS, Specific Tasks. Floor Care Personnel includes CSP position titles such as, but not limited to, “Floor Tech,” “Floor Stripper.”

1.11.4. Quality Control (QC)/Team Leader. QC/Team Leader Identifies and troubleshoots equipment problems, defects, maintenance, security, safety, and cleanliness issues. QC/Team Leaders will participate in routine inspections and are required to maintain a clean and safe work environment and may schedule housekeeping team for cleaning duties. QC/Team Leaders conduct inspections to ensure that services and/or processes meet regulatory or industry standards and are responsible for inspecting designated rooms and/or public areas.

QC/Team Leader includes CSP position titles such as, but not limited to, “Group Leader,” “Shift Supervisor.”

1.11.5. Regulated Medical Waste (RMW) Personnel. RMW Personnel are trained personnel who collect RMW from pick up locations and move securely to designated areas in accordance with Paragraph 5.14. of the PWS. RMW Personnel includes CSP position titles such as, but not limited to, “Waste Removal,” “Waste Handler.”

1.11.6. Linen Handler Personnel. Linen Handler Personnel collect, transport, and receive clean linen, remove used linen, inventory, and distribute linen in the performance location in accordance with Paragraph 5.15. of the PWS. Linen Handler Personnel includes CSP position titles such as, but not limited to, “Soiled Linen Handler,” “Linen Distributor.”

1.12. Removal from Contract Work.

1.12.1. The Government may direct the Contractor to immediately remove any CSP from the performance location, either temporarily or permanently, when the KO determines that the behavior of the CSP is contrary to the public interest, inconsistent with the best interests of security, or demonstrates a risk to the health, safety, security, general wellbeing, accomplishment of the work, or operational mission of the facility and its population.

Government issued identification (cards and/or badges) shall be collected by the Contractor before departure of the CSP.

1.12.2. The KO will make all determinations regarding the removal of any CSP except under certain conditions. When the KO is not available, either during the duty day or after hours, or in situations where a delay would not be in the best interest of the Government or is identified as a potential threat to the health, safety, security, general wellbeing, or operational mission of the facility and its population, the COR will have the authority to request immediate, removal of the CSP from the performance location. Any CSP removed from contract work shall be required to leave the performance location immediately. Government issued identification (cards and/or badges) shall be collected by the Contractor before departure of the CSP.

1.12.3. Law enforcement officers of the Military Police / German Police /US Army/Airforce will have the authority to immediately remove any CSP from the performance location when delay in removal would not be in the best interest of the Government, security, or is identified as a potential threat to the health, safety, security, general well-being, or operational mission of the facility and its population. The KO and COR will be notified as soon after the incident as practical or at the beginning of the next business day if an action happened after hours. The KO will make all official notifications to the Contractor.

1.12.4. The Contractor shall meet the terms and conditions of the contract, to include the standards in the PWS, regardless of CSP removal from the TO performance location.

1.13. Continuing Education Units. The Contractor, at their own expense, shall ensure CSP continue to meet the minimum continuing education requirements to maintain any required certifications. The Contractor shall ensure all training or education for CSP is obtained at no cost to the Government.

1.14. Communication. The Contractor will ensure that all Key Personnel are able to speak, read, write, and understand the English and Host Nation language (German). The contractor will ensure that all CSP can speak, read and understand the English and Host Nation language (German) and can communicate with government personnel.

1.15. Dress and Appearance. The Contractor shall ensure all CSP wear distinctive uniforms, to include safety shoes, and have a badge or monogram with the contractor's name on it while performing duties in accordance with Paragraph 4.5.1. of the PWS. CSP shall present a well-groomed appearance and shall not wear artificial nails, tips, or nail extensions. CSP shall comply with Center for Disease Control and Prevention’s (CDC) Guideline for Hand Hygiene in Health-Care Settings. Fingernails shall not exceed one-quarter inch in length and shall be clean and free of dirt. CSP must be free of strong odors to include but not limited to cigarettes, vaping products, strong perfumes, etc. If this is identified, the CSP must immediately change to avoid health issues within the clinic staff or its beneficiaries. The COR, KO, or MTF Director can determine clothing does not meet aseptic cleaning standards and require it to be changed at any time.

1.16. Health Requirements.

1.16.1. The Contractor shall comply with all health requirements in the contract. At least 10 calendar days prior to start of work at the performance location, the Contractor shall provide documentation certifying health requirements such as immunizations, annual vaccinations, medical testing (for example, tuberculosis), and physical examination at the time of initial placement and annually thereafter for all CSP as required in the TO and in accordance with Part 8 of the PWS, Section 8.2. Contractor Deliverables, Deliverable No. 8. The expense for all health requirements, to include monitoring and tracking annual requirements, shall be borne by the Contractor at no additional cost to the Government.

1.16.2. Annual Immunizations. The Contractor shall ensure CSP are immunized annually with the seasonal influenza vaccine, and any other vaccine recommended by the Advisory committee on Immunization Practice (ACIP) of the CDC for healthcare workers or service/MTF specific guidance as outlined in DoDD 6205.02e, Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries. The annual influenza vaccine shall be provided by the Contractor, at no cost to the Government, and provide proof of vaccination to the Government. If the CSP declines vaccination, a signed declination form will be provided to the COR in accordance with CDC recommendations and MTF policy. The Contractor shall maintain their own process and system of tracking the currency of health immunizations and shall not rely on the Government to ensure their employees comply. The Contractor shall provide that status of the CSP immunizations to the COR at the Government’s request.

1.16.3. In those areas where there is a higher risk of transmission of tuberculosis, MTF policy may direct CSP be tested more frequently at no cost to the Government. The Contractor shall ensure CSP receive screening and testing in accordance with local health regulatory requirements for the industry. Submit timely confirmation of subsequent screening or testing to the COR.

1.16.4. The Contractor shall ensure CSP participate in the MTF’s Blood Borne Pathogen Program, which outlines the post blood borne exposure protocols for testing, treatment, and monitoring.

1.16.5. The MTF will not perform any medical tests or procedures required by the contract for non-beneficiaries except in the rare case of post-exposure in accordance with DoD regulations and CDC guidelines or recommendations. Except in the case of post-exposure such as post blood borne exposure or occupational exposure such as the Thermo-luminescent Dosimetry monitoring program, expenses for all required tests and/or procedures shall be borne by the Contractor or CSP, not the Government. In emergency circumstances only.

1.16.6. The Contractor shall notify the Government of health issues or hazards identified in their Safety Program in accordance with Paragraph 1.17. of the PWS. The Government may also notify the Contractor management staff of known work hazards. If work hazards exist, it will be the Government’s decision whether the CSP continues to work in the environment and/or if temporary accommodations will be made.

1.16.7. The Contractor shall immediately remove Contractor personnel identified or suspected as infectious to patients or staff following a Government assessment and in accordance with CDC, federal, state, or local health department guidelines. The Contractor shall present a medical release or certification to return to work at least seven (7) calendar days prior to placing the CSP on the schedule.

1.17. Access and General Protection/Security Policy and Procedures Installation Access.

1.17.1. The Contractor shall ensure all personnel performing services under this contract comply with DoD, DHA, and local security policies and procedures. The Contractor shall ensure compliance with the provisions set forth below. For purposes of FAR 52.204-9, (https://www.acquisition.gov/far/52.204-9), the Government will designate a Trusted Agent (TA) for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the FAR 52.212-4(c) clause in the contract.

(https://www.acquisition.gov/far/52.212-4).

1.17.2. Access and General Protection/Security Policy and Procedures. All contractor and sub-contractor CPS performing tasks on this PWS shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures which will be provided to the contractor by a government representative within five working days of contract award (see Attachment 2 – Installation Access Regulations). The contractor shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or the Installation Security Office. CSP shall comply with all personal identity verification requirements as directed by DOW, agency policy and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the government may require changes in contractor security matters or processes.

The Contractor shall be aware of and comply with the requirements associated with Installation Access Control. The Government is not liable for any costs associated with performance delays due solely to a firm’s failure to comply with Installation Access Control System (IACS) processing requirements. See Attachment 2 – Installation Access Regulations for AE Reg 190- 16A).

1.17.3. The Contractor shall conduct initial personnel background investigations and annual revalidation background checks in accordance with their company’s internal human resource management procedures to ensure candidates for positions under this contract are and remain https://www.acquisition.gov/far/52.204-9 https://www.acquisition.gov/far/52.212-4 suitable to perform on Federal installations and are free of derogatory histories that may result in disqualifying findings. The Contractor shall provide the COR at the performance location a letter for everyone that will be performing HEC services under this contract verifying the completion of the background check and a copy of the results before requesting Government installation access. All documents shall be submitted to the COR NLT 30 days after the start of the phase-in period, in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 9.

1.17.4. CSP will not be allowed to start before the investigation is complete and all required forms are submitted to the COR. The Government will not begin the investigation process until all forms are received and accepted. The investigation process takes approximately 30 days to complete.

1.17.5. The Contractor shall advise their CSP that a favorable investigation result is required as a condition of employment under this contract. If a background investigation results in an unfavorable finding, the CSP will not be granted access to the installation or facility.

1.17.6. Temporary access to the installation may be granted after a favorable local background investigation is completed by the contractor, pending a favorable U.S. Security background check and subject to the same. CSP will be removed if the final investigation results in an unfavorable conclusion.

1.17.7. At least 30 days before expiration, the Contractor shall contact the COR to renew installation access. If security measures change, the contractor will be informed of changes and procedures to follow which may include base access restrictions and escort requirements.

1.17.8. The Contractor is responsible to ensure CSP maintain valid and up to date installation access credentials. The requirements under this contract are not affected by expired or loss of installation access privileges.

1.18. Safety Program.

1.18.1. The contractor shall develop and maintain a safety program in compliance with Public Law 91-596, Occupational Safety and Health Act (OSHA), and applicable local safety regulations. Including AMS Bau certificate and ISO 45001 at a minimum, the Contractor’s safety program shall address exposure control, fire protection, accident, injury, and incident prevention, and environmental cleaning in areas containing asbestos materials. The Contractor shall provide plans and safety records upon request by the COR or whenever cleaning operations are scheduled at the performance location for areas that are not easily accessible such as ceilings, light fixtures, high reach dusting in accordance with Paragraphs 5.5. and 5.8 of the PWS. The Government reserves the right to inspect program details for compliance during the life of the contract. The Contractor shall submit deliverables in accordance with Part 8 of PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 10.

1.18.2. The Contractor shall submit safety program details annually, or each time the document is updated. The Contractor shall submit safety program details to the COR upon request.

1.18.3. The Government will ensure that the linen laundry storage is properly equipped and ventilated to minimize the dissemination of microbial contaminants. The ventilation system shall include adequate intake, filtration, exhaust in accordance with local, state, and federal regulations.

1.19. Quality.

1.19.1. The Contractor shall develop, maintain, and execute a Quality Control Program (QCP) in accordance with ISO 9001:2015 applicable to all performance locations. The Contract-level compliance document accepted during source selection and incorporated in resultant contract will be applicable to all subsequent TOs.

1.19.2. The Government will evaluate the Contractor’s performance in accordance with the Quality Assurance Surveillance Plan (QASP). The Government may revise the QASP as necessary during the contract performance period.

1.19.3. The Contractor shall submit a written monthly report of inspection activities, results, and corrective actions for each performance location to the COR not later than the fifth calendar day of the following month or the first business day following a weekend or holiday, in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 11. The Contractor shall complete all portions of the report template. The report template will include the following:

• Service Level

• Building/room

• The day and shift the cleaning was completed

• Inspection date and time

• Inspector’s Name

• Results/findings

• Action taken

1.19.4. The Contractor shall resubmit a corrected monthly report within three (3) business days if the Government rejects the deliverable report or asks for additional details.

1.20. Key Control

1.20.1. The Contractor shall maintain the approved key control procedures for Government-issued keys in accordance with Part 8 of the PWS, Performance Reporting and Deliverables, Section 8.2, Contractor Deliverables, Deliverable No. 12. The Contractor shall orally report NLT one (1) hour after discovery of any lost, stolen, or duplicated keys to the COR followed by a written report within 24 hours. If lost during hours when COR is not available, the oral report shall be given to the Administrative Officer of the Day (AOD) and followed up on the next business day with a written report to the COR.

1.20.2. If keys, other than master keys, are lost, stolen, or duplicated, the Contractor shall, upon direction of the KO, reimburse the Government for the cost to re-key or replace the affected lock or locks. The Government may re-key or replace the affected lock or locks, at its option.

In the event a master key is lost, stolen, or duplicated, all locks and keys for that area shall be replaced by the Government and the cost shall be paid by the Contractor.

1.20.3. The Contractor shall prohibit the use of Government-issued keys by any persons other than COR-authorized CSP engaged in the performance of assigned work under this contract.

The Contractor shall ensure CSP unlock only the doors and windows necessary for the cleaning function. The Contractor shall prohibit the opening of locked areas to permit entrance of other persons, than contractors CSP engaged in the performance of assigned work in those areas or personnel authorized entrance by the COR.

1.20.4. The Contractor shall ensure CSP do not leave unlocked rooms or areas unattended or unlocked during the cleaning process. CSP shall lock all doors when they finish the cleaning process unless the door is found unlocked.

1.20.5. The Contractor shall ensure CSP report problems with locking doors or windows to the

COR.

1.21. Other Information

1.21.1. In addition to the Government’s rights to information and technical data, the Government has the rights to use and distribute for any Government purpose any and all information, technical data, produced in the performance of this contract, including the any software required to prepare or read any reports or other information or technical data prepared within the scope of this contract. Such information and technical data, may not be published, distributed, sold, or otherwise used by the Contractor without prior written permission from the COR. This right does not abrogate any other Government rights.

1.21.2. Restriction on the Use of Government-Affiliated Personnel. The Contractor shall not employ any person who is an employee of the United States Government. The Contractor shall not employ any person who is an employee of the DoW, either military or civilian.

1.21.3. Use of Non-Compete Clauses (or employment agreements). The Contractor shall not limit the employment of CSP by another Contractor beyond the PoP’s identified in TOs. If Contractors are found to use such non-compete clauses during and beyond the period of task order performance, it may render them ineligible for future contract awards.

1.21.4. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data, which is furnished, produced, or otherwise available to the Contractor management staff or CSP during the performance of this contract are considered Government confidential business information and shall not be used for purposes other than performance of work under this contract. The Contractor and/or the CSP shall not release any of the above information without prior written consent of the KO.