Attachment 1 PWS Courier Service (Rev 2-26-2024) - Amendment 0001.pdf

Department of Defense

Performance Work Statement

Courier Services

As of 26 February 2024

Performance Start Date: 1 July 2024

Julie.Thomas Highlight

HT940724Q0001 Attachment (1), Performance Work Statement (2/26/2024)

1.0 GENERAL INFORMATION

1.1 This requirement is for non-personal services to provide courier services supporting the following Military Treatment Facilities (MTFs) and distribution centers in Colorado: Fort Carson, United States Air Force Academy (USAFA), Peterson Space Force Base (SFB), Schriever SFB, and Buckley SFB. Service is required daily, Monday through Friday, excluding federal holidays. The routes must be accomplished in such a way that all mission requirements are met within 15 minutes of the established times listed in PWS Exhibit A001, Courier Routes.

1.2 Background: The requirements herein are needed to ensure items are delivered to the identified facilities on a daily basis, Monday through Friday.

1.3 Objectives: (1) Ensure no diagnostic specimens are compromised per requirements set by the Government, and (2) Ensure morning and afternoon refills are distributed so that each medication distribution point maintains necessary throughput to support mission requirements.

1.4 Scope: Services include delivery and pick-up of items at designated locations, listed in Exhibit A001, Courier Routes. Items for transport may include, but are not limited to: laboratory diagnostic specimens and supplies, pharmaceutical medication refills and supplies, dental supplies, and medical/dental documentation and supplies.

1.5 Period of Performance (PoP): See the Deliveries or Performance section of the SF1449.

This requirement includes a 12-month base period plus four 12-month option periods.

1.6 Administrative

1.6.1 Place of performance: The work shall be performed at Fort Carson, USAFA, Peterson SFB, Schirever SFB, and Buckley SFB in El Paso and Arapahoe counties in Colorado.

1.6.2 Schedule: The Contractor shall perform pick-up and delivery as specified in Exhibit A001, Courier Routes.

1.6.3 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 Juneteenth Day Christmas Day Independence Day

NOTE: Any of the above holidays falling on a Saturday will be observed on the preceding Friday;

holidays falling on a Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed. This is subject to change based on mission requirements.

1.6.4 Hours of operation: The Contractor is shall provide courier services Monday through Friday from 0700 to 1700, except federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government-directed facility closings. The Contractor shall maintain an adequate workforce to provide uninterrupted performance of all tasks defined herein when the Government facilities are open. Facility delays/closures are communicated via installation social media (e.g., Facebook and X (previously Twitter)), online with the local news organizations (KRDO and KKTV), and the phone numbers listed below. The Contract Manager also may contact the Contracting Officer’s Representative (COR) or clinic points of contact for any questions about delays/closures.

• Fort Carson: 719-526-0096

• USAFA: Facebook site “U.S. Air Force Academy”

• Peterson SFB & Schriever SFB: 719-567-7669

• Buckley SFB: 720-847-7669

1.6.5 Mission Essential Services: This courier service is considered an essential contractor service as defined in DFARS clause 252.237-7023, Continuation of Essential Contractor Services, to maintain healthcare operations. The Contractor shall continue courier services to all open MTFs, including during a crisis declared by the Secretary of Defense, State Government, or the MTF Commander.

1.6.5.1 The Contractor’s Mission Essential Contractor Services Plan (MECSP) required by DFARS provision 252.237-7024, Notice of Continuation of Essential Contractor Services, shall be submitted per Exhibit A003, Deliverables. In addition to the content required by 252.237- 7024, Notice of Continuation of Essential Contractor Services, the MECSP shall address the use and qualifications of alternate drivers / vehicles and, as much as practicable, road conditions and base closure contingencies.

1.7 Quality

1.7.1 Quality Assurance (QA): The Government, primarily the COR, will evaluate the Contractor's performance in accordance with a separate Quality Assurance Surveillance Plan (QASP). This Government-only plan is primarily focused on what the Government will to do ensure the Contractor has performed in accordance with contract performance standards. The QASP provides a systematic method to evaluate performance to include how the performance standards will be applied, the frequency of surveillance, and the Acceptable Quality Levels (AQLs) for each of the performance requirements identified in Exhibit A002, Performance Requirements Summary. The QASP is created with the premise that the Contractor is responsible for management and quality control actions to meet the terms of the contract while the Government is responsible for quality assurance actions. The contractor, not the Government, is responsible for management and quality control actions to meet the terms of the contract. Government quality assurance will be conducted on behalf of the Contracting Officer (CO). The COR will be appointed to coordinate the overall quality assurance of technical compliance.

1.8 Contractor Personnel

1.8.1 Contractor Key Personnel: The Contractor shall provide a Contract Manager who shall be responsible for the performance of the work. The name, phone number, and email address for this person and an alternate who shall act when the Contract Manager is absent shall be designated in writing per Exhibit A003, Deliverables. The Contract Manager or alternate shall have full authority to act for the Contractor on all matters relating to daily operation of this contract. The Contract Manager or alternate shall be available during the hours of operation.

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

1.8.2.1 Safeguarding Material: The Contractor and its employees shall comply with all civilian standards in transporting laboratory diagnostic specimens, pharmaceuticals. The Contractor shall maintain 100% accountability of controlled substances.

1.8.2.2 Security of Controlled Substances: The Government will seal/secure controlled substances in containers that will be provided to the Contractor for transport. The Contractor shall protect medical documentation from disclosure commensurate with its sensitivity rating.

Cargo will not exceed Personally Identifiable Information (PII), Protected Health Information (PHI), or other Controlled Unclassified Information (CUI) security classification. Contractor personnel are not authorized to be armed in the conduct of this duty. The Contractor shall maintain adequate security of the vehicles at all times while transporting medical materials.

1.8.3 Non-Disclosure Agreement (NDA): All drivers shall complete and sign a DHA contractor NDA (DHA Form 49) prior to beginning work under this contract. The NDA shall be executed not later than first day of employment. The Contractor shall maintain original versions of its employees’ signed NDAs and shall provide a copy to the COR.

1.8.4 Contractor Identification: Contractor personnel performing services in a Government facility are required to possess and wear a contractor-provided identification badge that displays the individual’s name and the contractor company’s name. All contractor personnel shall identify themselves as contractor support personnel in all forms of communication with all entities they come into contact with while performing on this contract.

1.8.4.1 Contractor personnel shall attend meetings or otherwise communicate with Government and/or other contract representatives as necessary to meet contract requirements. Contractor personnel shall make their contractor status known during these interactions.

1.8.4.2 Contractor personnel, while performing in a contractor capacity under this contract, are prohibited from using their retired or reserve component military rank or title in any written or verbal communications.

1.8.4.3 The Contractor shall comply with installation and MTF personnel identification and access requirements for all pick-up and delivery points listed. The Contractor shall ensure identification and access documents do not expire and are readily available (i.e. proof of insurance and registration at the gates).

1.9 Contracting Officer’s Representative (COR): The Contractor will receive a copy of the COR Designation Letter after award and upon any change(s) in COR assignment.

1.10 Post award conference/periodic progress meetings: The Contract Company shall attend any post award conference or periodic progress meetings convened by the CO or COR at no additional cost to the Government. The post award conference may be provided as an orientation to the routes and processes. Periodic progress meetings typically will be required only if performance issues result in failure to meet contract requirements. Meetings may be conducted in person at a location identified by the Government or virtually (e.g. via Microsoft Teams) at the Government’s discretion.

1.11 Personnel Security

1.11.1 The Contractor shall comply with all publications listed in paragraph 2.3. Contractor responsibilities for ensuring personnel security include, but are not limited to, meeting the following requirements:

1.11.1.1 Contact the Security Office at Fort Carson at (719) 524-5084 for guidance on the appropriate background investigation required for personnel on the contract.

1.11.1.2 Initiate, maintain, and document personnel security investigations appropriate to the individual’s responsibilities and required access to CUI.

1.11.2 Common Access Card (CAC): All contractor personnel must have a CAC in order to access government facilities; other forms of government identification, such as dependent ID, retiree, etc., will not be accepted. The Contract Company must obtain the Notification of Incoming Personnel (NIP) form and Optional Form (OF) 306, Declaration of Federal Employment, from the Security Office at Fort Carson, Evans Army Community Hospital (EACH). The Contract Company must submit the completed documents to, and have the contractor personnel fingerprints taken at, the Security Office at Fort Carson, EACH so that a background check can be accomplished. Upon completion of a favorable background check, the COR will process the CAC application. The entire process typically takes up to 15 days to complete if there are no past difficulties to report.

1.11.2.1 The Contract Manager shall ensure prompt return of CAC’s when employees are terminated, separated, or when the contract ends.

1.11.2.2 If an individual receives an unfavorable background investigation, the request for facility access will be denied. At the Government’s discretion, the individual may be provided the opportunity to adjudicate the unfavorable background investigation.

1.12 Inspection & Acceptance: The inspection and acceptance point for all services provided herein will be by the receiving department. The contractor personnel performance, the quality of services, and any documentation or written material in support of same is subject to continuous inspection, surveillance, and review by the COR.

1.13 Packaging: The Government is responsible for packaging all items. The Government will determine what items will be in secured or refrigerated transport containers. The Government will clearly mark and label all containers for delivery locations and identify the pick-up location.

The Government will maintain a log book to track date, time, pick-up location, delivery location, and driver’s initials. The Contractor may request copies of the monthly logs from the COR.

1.14 Training: The Contractor shall provide and maintain training for its employees regarding appropriate safety, packaging, and transporation procedures suitable to specimen type and distances transported. This should include issues such as adherence to regulations for transport of biohazards, use of rigid containers where appropriate, temperature control, and notification procedures in case of accident or spills. The Contractor shall provide evidence that training has been successfully completed by its employees. (Reference: International Air Transport Association’s (IATA) Dangerous Goods Regulations; U.S. Department of Transportation’s Transporting Infectious Substances Safety; Federal Motor Carrier Safety Administration’s Hazardous Materials Training Requirements.)

2.0 ACRONYMS AND APPLICABLE PUBLICATIONS / INSTRUCTIONS

2.1 Acronyms

AI Administrative Instructions AIS Automated Information System AQL Acceptable Quality Level CAC Common Access Card CO Contracting Officer(s) COR Contracting Officer Representative CS Contract Specialist CSR Contract Support Representative CUI Controlled Unclassified Information DAU Data Use Agreement DHA Defense Health Agency DSA Data Sharing Agreement DSAA Data Sharing Agreement Application DoD Department of Defense DPCLO DHA Privacy and Civil Liberties Office DUA Data Use Agreement EACH Evans Army Community Hospital FISMA Federal Information Security Modernization Act FSO Facility Security Officer HIPAA Health Insurance Portability and Accountability Act HCA Head of the Contracting Activity IT Information Technology MTFs Military Treatment Facility NDA Non-Disclosure Agreement PHI Protected Health Information PII Personally Identifiable Information https://www.iata.org/en/publications/manuals-standards-regulations/dangerous-goods/ https://www.iata.org/en/publications/manuals-standards-regulations/dangerous-goods/ https://www.phmsa.dot.gov/sites/phmsa.dot.gov/files/2020-04/Transporting-Infectious-Substances-Safely.pdf https://www.phmsa.dot.gov/sites/phmsa.dot.gov/files/2020-04/Transporting-Infectious-Substances-Safely.pdf https://www.fmcsa.dot.gov/regulations/hazardous-materials/how-comply-federal-hazardous-materials-regulations#hmt https://www.fmcsa.dot.gov/regulations/hazardous-materials/how-comply-federal-hazardous-materials-regulations#hmt

PoP Period of Performance PRS Performance Requirements Summary PSP Personnel Security Program PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan SFB Space Force Base USAFA Unites States Air Force Acadamy

2.2 Applicable Publications, DHA Administrative Instructions (AI), etc.

Number Title DoDM 5200.02 Procedures for the DoD Personnel Security Program (PSP), Change 1 DoDI 5400.11 DoD Privacy and Civil Liberties Programs, Change 1 DoDD 5500.07 Standards of Conduct DoDI 6025.18 Health Insurance Portability and Accountability Act (HIPAA) Privacy

Rule Compliance in DoD Health Care Programs DoDM 6025.18 Implementation of the Health Insurance Portability and Accountability

Act (HIPAA) Privacy Rule in DoD Health Care Programs DoDM 8140.03 Cyberspace Workforce Qualification and Management Program DoDI 8500.01 Cybersecurity, Change 1 DoDI 8580.02 Security of Individually Identifiable Health Information in DoD

Health Care Programs OF 306 Declaration for Federal Employment DHA Form 49 Contractor Non-Disclosure Agreement

• DoD issuances are available at https://www.esd.whs.mil/DD/DoD-Issuances/

• OF 306 is available at https://www.opm.gov/forms/pdf_fill/of0306.pdf

• DHA Form 49 will be provided by the COR after contract award.

3.0 GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3.1 The Contractor shall be responsible for safeguarding all Government-owed property provided for Medical Courier Services. Transfer totes for transporting laboratory diagnostic specimens and medication refills are provided by the Government. The totes are returned to the Government at the end of each day.

3.2 Attachment 4, GFP List, identifies the totes the Government anticipates providing.

3.3 The number of totes per route each day may range from 2 to 20, with an average per route each day estimated at approximately 12. The estimated maximum number of totes per route is approximately 20; this would be an exceptional workload after 3 and 4 days without service (e.g., extended weekends or extended base closures).

https://www.esd.whs.mil/DD/DoD-Issuances/ https://www.opm.gov/forms/pdf_fill/of0306.pdf Julie.Thomas Highlight

Julie.Thomas Highlight

4.0 CONTRACTOR FURNISHED ITEMS

4.1 Equipment: The Contractor shall provide all vehicles, drivers, and supplies needed to meet the requirements under this PWS. The Contractor shall comply with all installation requirements for vehicle operations on military facilities for all pick-up/delivery points listed in Exhibit A001, Courier Routes. Any vehicle operated by the Contractor or its employees in performance of this contract shall have the minimum liability coverage required by the state in which the performance is conducted or as listed in contract clause 52.212-4(w), Liability Insurance, whichever is greater. The Government reserves the right to inspect any contractor vehicles entering and leaving the installation to prevent unauthorized entering and/or removal of substances and Government property. All vehicles and equipment shall be maintained in a safe and operable condition and meet the local, Sate, and Federal safety requirements. Vehicles shall have a cargo area that can be locked securely. The Contractor shall not use open pickup trucks, motorcycles, or bicycles to transport medical cargo. Vehicles shall be clean and shall not contain any passengers or animals during the transport of any items under this contract. The vehicles and equipment shall be operated in accordance with Federal, State of Colorado, Colordo Springs and Aurora Colorado and all military traffic regulations, laws, and rules for both Air Force and Army installations, if different.

4.2 Responsibility for Contractor Property: The Government is not responsible for damage to contractor supplies, materials, or equipment, or the contractor employee’ personal belongings due to fire, theft, accident, or any other cause.

5.0 SPECIFIC TASKS

5.1 Description of Work: The Contractor shall provide daily courier service, Monday – Friday, excluding Federal Holidays, to accomplish the transporation of laboratory diagnostic specimens and supplies, pharmaceutical medication refulls and supplies, dental supplies, and medical/dental documentation and supplies when required from and to the following MTFs/distribution centers:

Fort Carson, USAFA, Peterson SFB, Schriever SFB, and Buckley SFB as detailed in Exhibit A001, Courier Routes. There are multiple pickup/delivery locations on some installations.

5.1.1 Appearance: Contractor personnel shall present a neat appearance and be easily recognized as a contract employee. Display of the contractor company name or logo on the transport vehicle is at the discretion of the Contractor, but shall not be offensive or disrespectful.

5.1.2. Smoking/Vaping: The Contractor shall ensure contractor personnel comply with MTF smoking/vaping policies and smoke/vape only in designated areas. Cargo shall be protected from smoke/vape if the Contractor allows smoking/vaping in vehicles/while on duty.

5.1.3. Courier Routes. The intent of the PWS is to provide comprehensive courier service of pharmaceuticals (refills/supplies), laboratory specimens/supplies, and documentation to each stop along a circuitous route in a cost effective manner. The routes are delineated in Exhibit A001, Courier Routes. The COR is the liaison between the Government facilities’ points of contact and the Contractor. The Contractor may suggest courier route changes to the COR.

With the exception of special circumstances such as road closures, severe traffic, accidents, inclement weather, etc. all changes to the courier routes must be approved in advance by the COR and incorporated into the contract via modification signed by the CO. In response to special circumstances, short-fused, one-time route deviations may be made by the Contractor with notice to the COR via phone call, text, or email in an effort to preserve lab specimens before they expire en route to the lab.

5.1.4. After each pick-up, the driver shall deliver immediately, without warehousing, sorting, or transferring totes. If a delay occurs due to weather, traffic, or accident, the driver shall call the next organization on the route, the Contract Manager, and the COR to report the situation. The Contract Manager shall notify all remaining stops on the route and coordinate a solution.

5.1.5. Bases may close during inclement weather or for training days. In the event all bases close, no pick-up or delivery will be allowed. See paragraph 1.6.4 regarding how base delays or closures generally are communicated. If one or more facilities / bases close, the COR will notify the Contract Manager regarding which facilities are open and which are closed. The Contractor shall continue courier services to all open MTFs.

5.1.6. A Chain of Custody Memorandum (CCM) shall be signed by the driver and the Government representative from each pick-up location, including date/time of each stop. The Contract Manager shall submit the completed CCM to the COR at the end of each week and the COR will distribute to the clinic Contract Support Representative (CSR).

5.1.7. The Government will affix security seals, when applicable, at the pick-up site. The security seals shall not be removed at any time by the Contractor. Theft or loss of any specimen or pharmaceuticals while in the possession of the Contractor shall be reported immediately to the COR for investigation.

5.1.8. The Contractor shall backhaul/pick-up empty totes at each delivery site for return to the Central Refill Center, 8118 Park Drive, USAFA, 80840. Pick-up of empty totes shall occur during daily deliveries with return of totes no later than close of business of the following pick-up date.

5.1.9. Teaming Arrangements. Contractor shall obtain Contracting Officer approval prior to using any teaming arrangements, including but not limited to subcontracting and joint ventures, to perform any part of this contract. The Contractor shall provide sufficient information about a proposed teaming partner to enable the Government to conclude the teaming partner is technically capable of performing the required service.

5.1.10. Priority Transport. When prioritizing transport, laboratory specimens and pharmaceuticals are first priority. Medical records and supplies are second priority.

5.2 Special Qualifications: The drivers and any replacements / substitutes shall:

5.2.1 Be able to read, write, and speak English well enough to effectively communicate with Government personnel and be able to read and understand the Chain of Custody Documentation.

5.2.2 Be at least 18 years of age.

5.2.3 Possess and maintain a valid state driver’s license.

5.2.4 Be able to lift containers up to 50 pounds.

5.2.5 Be familiar with and comply with the HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (6 May 2020). In accordance with DoDM 6025.18, Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule in DoD Health Care Programs, the Contractor meets the definition of Business Associate. Therefore, a Business Associate Agreement is required to comply with both the HIPAA Privacy and Security regulations. This paragraph serves as that agreement whereby the Contractor agrees to abide by all applicable HIPAA Privacy and Security requirements regarding health information as defined in this paragraph, DoDM 6025.18, and DoDI 8580.02, Security of Individually Identifiable Health Informationin DoD Health Care Programs. Additional requirements will be addressed when implemented.

5.3. Employment: The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest.

Nor shall the Contractor employ any person who is an employee of the Department of the Air Force or Army, either military or civilian, unless such person seeks and receives approval in accordance with DoDD 5500.07, Standards of Conduct, (for military and civilians). The Contractor is cautioned that off-duty active military personnel who are employed under this contract may be subject to permanent change of station (PCS), change in duty hours or deployment. Military reservists and National Guard members may be subject to recall to active duty. The abrupt absence of these personnel could adversely affect the Contractor’s ability to perform and shall not constitute an excuse for non-performance under this contract.

5.4 Invoicing. The Contractor shall obtain and maintain access, training, and successful operation of the Procurement Integrated Enterprise Environment (PIEE)/Wide Area Workflow (WAWF) Module application for the entire duration of the contract. The PIEE WAWF Module application is located at https://wawf.eb.mil/piee-landing/. Access to application training materials and in-depth information can be found at https://cac.piee.eb.mil/xhtml/unauth/help/help.xhtml.

5.4.1 The Contractor shall submit payment requests monthly, no later than (NLT) the 5th working day of the following month per DFARS clause 252.232-7006, Wide Area Workflow Payment Instructions. The payment request shall include an invoice attached to the WAWF request.

5.5 Resolving Performance Issues/Complaints: The Contractor shall resolve issues within 30 days after notification by the COR that a performance issue has been identified. The Contractor shall have a process for resolving issues and concerns, implementing corrective actions, and communicating the resolution to the COR by the suspense date issued by the Government. The Contractor shall conduct follow-up to ensure corrective actions are successful.

https://wawf.eb.mil/piee-landing/ https://cac.piee.eb.mil/xhtml/unauth/help/help.xhtml

6.0 INFORMATION TECHNOLOGY & SECURITY

6.1 All work under this contract is Unclassified. Drivers will have access to PII and PHI, which is CUI as defined by the Department of Defense CUI Program (https://www.dodcui.mil/).

7.0 EXHIBITS

https://www.dodcui.mil/

EXHIBIT A001 - COURIER ROUTES

Unless otherwise indicated, the Contractor shall be at the designated location no later than the identified time.

Route 1: Pharmacy / Warehouse Time Location / Phone Number

No earlier than 0730 USAFA Central Fill Pharmacy 8118 Park Dr

USAF Academy, CO 80840 719-333-0545

0745 USAFA Community Center Pharmacy 5136 Community Center Dr USAF Academy, CO 80840

719-333-0540 0830 Fort Carson, Evans Army Community Hospital

Main Pharmacy 1650 Cochrane Cir, Bldg 7500 First Floor

Fort Carson, CO 80913 719-556-7900

0900 Peterson SFB Main Pharmacy 559 Vincent Ave, Bldg 959 Peterson SFB, CO 80914

719-526-6200 0915 Peterson SFB East Base Exchange Pharmacy

1030 E. Stewart Ave, Bldg 2017 Peterson SFB, CO 80914

719-556-6200 0930 Peterson SFB Medical Logistics Warehouse

559 Vincent Ave, Bldg 959 Peterson SFB, CO 80914

719-556-1353 1015 Schriever SFB Pharmacy

220 Falcon Pkwy, Bldg 220 Schriever SFB, CO 80930

719-567-4423 or -5027 1100 Peterson SFB Medical Logistics Warehouse

559 Vincent Ave, Bldg 959 Peterson SFB, CO 80914

719-556-1353 1115 - 1215 Lunch Break

1300 USAFA Central Fill Pharmacy 8118 Park Dr

USAF Academy, CO 80840 719-333-0545

1315 USAFA Community Center Pharmacy

Route 1: Pharmacy / Warehouse Time Location / Phone Number

5136 Community Ctr Dr USAF Academy, CO 80840

719-333-0540

No later than 1500 USAFA Central Fill Pharmacy

8118 Park Dr USAF Academy, CO 80840

719-333-0545

Route 2: Laboratory1 / Dental2 / Records3 Time Threshold Location

(no earlier than 0730)

Peterson SFB Medical Annex Records 59 Vincent St, Bldg 725 Peterson SFB, CO 80914

719-556-1166 0815 Peterson SFB Lab / Main Clinic

559 Vincent St., Bldg 959 Peterson SFB, CO 80914

719-556-1166

Must be before Schriever Dental (AM)

Peterson SFB Dental 1045 E. Steward Ave Bldg 2012T (Modular bldg. next to the ADL)

Peterson SFB, CO 80914 719-556-1333

0915 Schriever SFB Lab / Main Clinic / Dental 220 Falcon Pkwy, Bldg 220 Schriever, SFB CO 80930

719-567-4423 or -5027 1015 USAFA Cadet Clinic – Lab

2355 Faculty Dr

USAFA, CO 80840

719-333-7952 1030 USAFA / 10 MDG Laboratory / Medical Records

4102 Pinion Dr

USAFA, CO 80840

719-333-5157 or -5847 1115 Fort Carson, Evans Army Community Hospital Main Lab / Medical

Records 1650 Cochrane Circle, Bldg 7500

Fort Carson, CO 80913 719-556-7900

1130 Fort Carson, Robinson Clinic 7490 Sutherland Cir & Provide Comfort Road

Fort Carson, CO 80913

Route 2: Laboratory1 / Dental2 / Records3 Time Threshold Location

719-526-7772

Must be before Peterson Dental (PM)

Schriever SFB Lab / Dental / Clinic 220 Falcon Pkwy, Bldg 220 Schriever, SFB CO 80930

719-567-4423 or -5027 1230 – 1330 Lunch Break

1400 Peterson SFB Medical Annex Record 559 Vincent St, Bldg 725 Peterson SFB, CO 80914

719-556-1166 1415 Peterson SFB Lab / Main Clinic

559 Vincent St., Bldg 959 Colorado Springs, CO 80914

719-556-1166 1445 USAFA Cadet Clinic – Lab

2355 Faculty Dr

USAFA, CO 80840

719-333-7952 1500 USAFA / 10 MDG Laboratory

4102 Pinion Dr

USAFA, CO 80840

719-333-5157 or -5847 1545 Fort Carson, Evans Army Community Hospital Main Lab

1650 Cochrane Circle, Bldg 7500 Fort Carson, CO 80913

719-556-7900 1600 Fort Carson, Robinson Clinic

7490 Sutherland Cir & Provide Comfort Road Fort Carson, CO 80913

719-526-7772 1630 Peterson SFB Main Dental

1045 E. Steward Ave, Bldg 2012T (Modular bldg. next to the ADL)

Peterson SFB, CO 80914 719-556-1333

Note 1: Due to chain of command and custody rules for oversight of Laboratories, flow of Air Force drawn labs must go from Schriever SFB to Peterson SFB to USAFA to EACH.

Note 2: Dental requires two deliveries daily.

Note 3: Medical records shall be picked up and dropped off in conjunction with the laboratory, pharmacy, and dental stops.

Route 3: Lab / Pharmacy (Buckley SFB Option) Time Location / Phone Number

No earlier than 0730 Fort Carson, Evans Army Community Hospital Main Pharmacy

1650 Cochrane Cir, Bldg 7500 First Floor Fort Carson, CO 80913

719-556-7900 0900 460th Medical Group Lab

205 S. Aspen Buckley SFB 80011

720-847-9355 1030 USAFA Central Fill Pharmacy

8118 Park Dr USAF Academy, CO 80840

719-333-0545 1115 Fort Carson, Evans Army Community Hospital

Main Pharmacy 1650 Cochrane Cir, Bldg 7500 First Floor

Fort Carson, CO 80913 719-556-7900

EXHIBIT A002 - PERFORMANCE REQUIREMENTS SUMMARY (PRS)

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The following performance outcome Acceptable Quality Levels (AQLs) for minimum quality levels of service are required on this contract:

Performance Objective PWS Reference AQL Method of Surveillance Contract Manager / alternate available during hours of operation

Paragraph 1.8.1 100% Periodic Surveillance;

Monthly checks by COR

Maintain accountability of controlled substances

Paragraphs 1.8.2.1

100% Periodic Surveillance;

Monthly checks by COR

Evidence of employee training Paragraph 1.14 100% Periodic Surveillance;

Monthly checks by the COR

Performs pick-up and delivery at designated locations & times no more than 15 minutes later than the scheduled time.

Paragraph 5.1.3;

Exhibit A001, Courier Routes

100% Periodic Surveillance;

Monthly checks by COR

Delay Notification Paragraphs 5.1.4 100% Periodic Surveillance;

Monthly checks by COR

Maintain valid state driver’s license

Paragraph 5.2.3 100% Periodic Surveillance;

Monthly checks by COR

Submit payment requests no later than the 5th calendar day of the following month

Paragraph 5.5.1 100% Monthly checks by COR

Complaint Resolution Paragraph 5.6 100% Validated issue or customer complaint

EXHIBIT A003 – DELIVERABLES

Deliverable (PWS Paragraph) Frequency Medium/Format Submit

To Mission-Essential Contractor Services Plan (1.6.5.1)

Initial: Within 7 days after contract award.

Updates: Within 7 days after required updates are identified (252.237-7023).

Electronic; PDF or Word

COR

CS

Contractor Key Personnel (primary and alternate) (1.8.1)

Initial: Within 5 days after contract award.

Updates: NLT 2 days after change(s) occur.

Electronic; PDF or Word

COR

CS

Non-Disclosure Agreement (1.8.3)

Prior to beginning work. Electronic; PDF COR

Evidence of training (1.14) Prior to beginning work. Electronic; PDF COR Chain of Custody Memorandum (5.1.6)

At the end of the last working day of each week.

Original CCMs COR