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1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

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14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

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CODE

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17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

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REQUEST

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FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

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13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

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ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

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AND 52.212-5 ARE ATTACHED. ADDENDA

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8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

Solicitation/Contract Form On-call, As-needed Interventional Cardiologist for Tripler Army Medical Center (TAMC), Hawaii

Product Service Code: Q502

HT941026QE007

Supplies or Services & Prices or Costs Additional Information/Notes

Item Supplies / Services Quantity Unit Unit Price Amount

On-Call Hours & Telephone Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

6-Month Base Period: 1 Jul 2026 - 31 Dec 2026

On-call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage at no additional charge per telephone call.

Pricing Arrangement: Firm Fixed Price

1,740 Hours

Procedures. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

6-Month Base Period: 1 Jul 2026 - 31 Dec 2026

Procedures will be paid at the firm fixed priced hourly rate.

Pricing Arrangement: Firm Fixed Price

42 Hours

On-Site Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii.

Nonpersonal services in accordance with the Performance Work Statement

(PWS).

6-Month Base Period: 1 Jul 2026 - 31 Dec 2026

1 Each = 1 Patient. On-Site Consultations will be paid per patient unless a procedure is performed on the patient then only the procedure hourly rate in CLIN 0002 will apply.

Pricing Arrangement: Firm Fixed Price

2 Each

On-Call Hours & Telephone Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

Option 1: 1 Jan 2027 - 31 Dec 2027

On-call Hours will be paid for each

Option Line Item

Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage at no additional charge per telephone call.

Pricing Arrangement: Firm Fixed Price

3,480 Hours

Option Line Item

Procedures. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

Option 1: 1 Jan 2027 - 31 Dec 2027

Procedures will be paid at the firm fixed priced hourly rate.

Pricing Arrangement: Firm Fixed Price

84 Hours

Option Line Item

On-Site Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii.

Nonpersonal services in accordance with the Performance Work Statement

(PWS).

Option 1: 1 Jan 2027 - 31 Dec 2027

1 Each = 1 Patient. On-Site Consultations will be paid per patient unless a procedure is performed on the patient then only the procedure hourly rate in CLIN 1002 will apply.

Pricing Arrangement: Firm Fixed Price

3 Each

Option Line Item

On-Call Hours & Telephone Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

Option 2: 1 Jan 2028 - 31 Dec 2028

On-call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage at no additional charge per telephone call.

Pricing Arrangement: Firm Fixed Price

3,480 Hours

Option Line Item

Procedures. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

Option 2: 1 Jan 2028 - 31 Dec 2028

Procedures will be paid at the firm

84 Hours fixed priced hourly rate.

Pricing Arrangement: Firm Fixed Price

Option Line Item

On-Site Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii.

Nonpersonal services in accordance with the Performance Work Statement

(PWS).

Option 2: 1 Jan 2028 - 31 Dec 2028

1 Each = 1 Patient. On-Site Consultations will be paid per patient unless a procedure is performed on the patient then only the procedure hourly rate in CLIN 2002 will apply.

Pricing Arrangement: Firm Fixed Price

3 Each

Option Line Item

On-Call Hours & Telephone Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

Option 3: 1 Jan 2029 - 31 Dec 2029

On-call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage at no additional charge per telephone call.

Pricing Arrangement: Firm Fixed Price

3,480 Hours

Option Line Item

Procedures. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

Option 3: 1 Jan 2029 - 31 Dec 2029

Procedures will be paid at the firm fixed priced hourly rate.

Pricing Arrangement: Firm Fixed Price

84 Hours

Option Line Item

On-Site Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii.

Nonpersonal services in accordance with the Performance Work Statement

(PWS).

Option 3: 1 Jan 2029 - 31 Dec 2029

1 Each = 1 Patient. On-Site Consultations will be paid per patient unless a procedure is performed on the patient then only the procedure hourly rate in CLIN 3002 will apply.

Pricing Arrangement: Firm Fixed Price

3 Each

On-Call Hours & Telephone Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

Option 4: 1 Jan 2030 - 31 Dec 2030

On-call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage at no additional charge per telephone call.

Pricing Arrangement: Firm Fixed Price

3,480 Hours

Option Line Item

Procedures. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Nonpersonal services in accordance with the Performance Work Statement (PWS).

Option 4: 1 Jan 2030 - 31 Dec 2030

Procedures will be paid at the firm fixed priced hourly rate.

Pricing Arrangement: Firm Fixed Price

84 Hours

Option Line Item

On-Site Consultations. On-call, As-needed Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii.

Nonpersonal services in accordance with the Performance Work Statement

(PWS).

Option 4: 1 Jan 2030 - 31 Dec 2030

1 Each = 1 Patient. On-Site Consultations will be paid per patient unless a procedure is performed on the patient then only the procedure hourly rate in CLIN 4002 will apply.

Pricing Arrangement: Firm Fixed Price

3 Each

Description/Specifications/Statement of Work

PERFORMANCE WORK STATEMENT

INTERVENTIONAL CARDIOLOGIST

AT TRIPLER ARMY MEDICAL CENTER, HI

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 PERFORMANCE REQUIREMENTS SUMMARY

5.0 POSITION DESCRIPTIONS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall provide non-personal services of an Interventional Cardiologist (IC) Physician at Tripler Army Medical Center (TAMC). Services shall include on-call clinical, diagnostic and consultative IC services in accordance with the terms and conditions of this contract at the Department of Medicine, Cardiology Services, which shall contribute to a stable workforce tasked with providing quality health care services to a diverse beneficiary population. As a condition of employment, contract providers must meet all applicable credentialing requirements outlined in this PWS and all Government regulatory guidelines and be fully qualified to perform independently within the scope of their practice.

1.1.1 The contract Interventional Cardiologist (IC) Physician shall reside on the island of Oahu, Hawaii, in order to respond as required in this Performance Work Statement.

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, applicable Department of Defense (DoD) and Army specific regulations, directives, and policies, and military treatment facilities (MTF) specific policies, procedures, and job descriptions. Contract health care providers (contract personnel) 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 shall provide services for varied healthcare specialties in accordance with established principles and ethics of the medical profession, the national standards established by the JC, the professional standards at the military treatment facilities (MTF), and the American Board of applicable specialty. The Contractor shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated January 2026 or current version.

1.3. The Contractor or contract employees shall provide services in conjunction with other non-contract providers to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel. All contract employees shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty or position, as those required by DHA or Government service health care professionals of similar experience and in similar duty assignments. The scope of services provided in military treatment facilities cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1.4. This contract is a non-personal services contract under which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

1.4.1. Professional Liability.

1.4.1.1. The government will not be liable for malpractice allegations against contract Healthcare Providers (HCPs) based upon performance of this contract. The contractor shall be required to carry malpractice insurance for its contract HCPs, at a level stated in the solicitation and included in any resulting contract for subject acquisition in tailored FAR Clause 52.237-7. If an apparent successful offeror, the contractor shall provide evidence of insurability concerning medical liability insurance prior to contract award. Upon contract award, the contractor shall provide evidence of insurance demonstrating the required coverage prior to commencement of performance. In accordance with Federal Acquisition Regulation (FAR) Clause 52.237-7, the contractor will indemnify the Government for any liability producing act or omission by the contractor, its contract HCPs and agents occurring during contract performance. If the contractor uses subcontractors in the performance of this contract, the contractor is required to ensure that its subcontracts for provisions of healthcare services contain the requirements of FAR 52.237-7, including the maintenance of medical liability insurance.

1.4.2. Responsibility and Procedures.

1.4.2.1. If any suit or action is filed or any claim is made against the contract HCP, which occurred as a result of work performed by the HCP under this contract, the HCP shall immediately notify the contractor, the Contracting Officer, the appropriate department chief that the service falls under, and the chief of the appropriate services and promptly furnish copies of all pertinent papers received.

2.0 BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation always has available a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTF) located on or near military installations or posts. The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center. Army Community Hospitals (ACH) offer more complex, resource-intensive secondary care (e.g. inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment), secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all MEDCENs offer graduate medical education programs for physicians.

2.2. Tripler Army Medical Center is the headquarters of the Pacific Regional Medical Command of the armed forces administered by the United States Army in the State of Hawaii. It is the largest military hospital in the Asian and Pacific Rim region and serves a military sphere of jurisdiction. During a single day of operations at Tripler Army Medical Center, personnel serve an average of 1,728 meals, tend to 2,248 clinic visits and 110 emergency room visits, fill 1,193 prescriptions, complete 25,000 pathology procedures, and deliver 8 babies. On a typical day, 32 new patients are admitted as 159 beds are occupied. Of those patients, 19 go through ambulatory surgery.

3.0 SCOPE OF WORK.

3.1 The contract HCPs shall provide medical services as described in this performance work statement to all eligible beneficiaries of the military health care system who are scheduled at the MTF for treatment.

3.2 Administrative.

3.2.1. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation no later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

3.2.2. The Contracting Officer's Representative (COR) will be the KO's authorized representative in administering the contract at the MTF level. The Contractor's representative shall be available to discuss any problems that the Contractor's personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor's performance will be discussed and resolved. Unresolved problems will be referred to the KO for resolution.

3.2.3. Contractor shall not include or use non-compete provisions with respect to the performance of Government medical service contracts in its employment, consultant, or third-party contract agreements (hereafter agreements) with its Health Care Provider (HCP) workers, which are effective beyond the period of contract performance. Non-compete provisions shall not prevent HCP workers from being interviewed, employed, or accepting offers of employment or making other arrangements with potential competitors for follow-on contracts. Additionally, non-compete provisions shall not prevent HCP workers from accepting offers of employment or making other arrangements with any contractors who provide services to the Government, or from accepting offers of employment with the US Government, following the period of contract performance. Inclusion of such non-compete or similar conditions in agreements with HCP workers will result in an offeror's proposal being determined unacceptable and may be grounds for termination of any awarded contract or task order. Preventing HCP workers from accepting these offers will hinder the Government's ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4. The Contractor and contract personnel shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

3.2.5. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day (AOD). There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Director. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the COR.

3.2.6. Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life-threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

3.3. Conflict of Interest.

3.3.1. The Contractor or contract personnel shall not bill the patient for services rendered under this contract. The Contractor or contract personnel shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

3.3.2. The Contractor or contract personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or contract personnel or from any third party at any place other than as designated under this contract.

3.3.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data, which is furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor/contract personnel shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contract personnel shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract.

3.3.4. The Contractor shall abide by federal employment statutes and the Federal ethics regulations in the selection and hiring of contractor personnel.

3.3.5. The Contractor or contract personnel shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the healthcare services required under this contract.

3.4. Security.

3.4.1. Security Identification Badges. The Contractor and contract personnel shall comply with the local installation and MTF personnel identification and access requirements while on site.

3.4.1.1. While on site, each contract personnel shall wear a visible security badge identification, provided by the military installation or the MTF, on the front of his/ her outer clothing. The badge must show the full name, title and if required by the Military the word "Contractor" in front. The COR will provide the paperwork to request identification badges.

3.4.1.2. The Contractor is responsible for absences of contract personnel due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the healthcare services required under this contract.

3.4.1.3. The contract personnel shall immediately report any lost or stolen badges to the COR.

3.4.1.4. The contract personnel shall turn in all identification badges to the COR, or his/her designated representative upon termination of their services under this contract.

3.4.2. Vehicle Registration. The MTFs are located on restricted access military installations. The Contractor/contract personnel shall comply with the local installation requirements for vehicle registration and operation on the military installation.

3.4.2.1. All vehicles are subject to search. Contract personnel may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Contractor for time spent at installation checkpoints. Contract personnel must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

3.4.3. Keys. The Contractor shall be responsible for any keys issued by the Government to contract personnel for use in the MTF. The keys shall not be duplicated.

The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, the respective Department and/or service, or COR immediately upon recognition of the loss.

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property. The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely, Contractors are prohibited from reproducing patient information in any way. This includes printing. Neither the Contractor nor any of its contract personnel shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or disposition in cases of due process action.

3.5. Orientation and Training.

3.5.1. MTF and/or unit in-processing, orientation, and training requirements shall not be separately priced or invoiced. The contractor shall submit checklists and certificates of completion for each affected contractor employee and subcontractor employee to the COR, assigned government personnel and/or to the contracting officer.

3.5.2. MTF in-processing checklist. When commencing work under this contract, the contract personnel shall obtain in-processing checklist(s) from the COR or designated office. All contract personnel are required to complete the applicable items on the checklist and turn it into the designated office. Upon completion of the duty assignment, the contract personnel need to complete an out-processing checklist and return it to the designated office.

3.5.3. MTF and Unit Orientation. The contract personnel shall complete the assigned orientation(s) to familiarize themselves with the policies and procedures of the MTF, assigned department and specific unit.

3.5.3.1. Orientation shall be completed within 45 days.

3.5.4. Annual training requirements. The Contractor shall ensure that contract personnel complete any mandatory annual training requirements in accordance with MTF procedures. This requirement shall not be separately priced or invoiced.

3.5.5. Government unique training. The government may elect to provide unique government training to contract HCPs 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 HCP. When directed by the contracting officer, contract HCPs 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 HCP fails to satisfy the performance commitment after the contract HCP 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 HCP 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.

3.5.6. Computer Training. Contract personnel who have any interaction with the MTF computer systems must receive training for the applicable system(s). The COR and/or assigned government personnel will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This requirement shall not be separately priced or invoiced. These systems include but are not limited to:

3.5.6.1. MHS GENESIS is the electronic health record for the Military Health System (MHS), providing enhanced, secure technology to manage health information.

MHS GENESIS integrates inpatient and outpatient solutions that will connect medical and dental information across the continuum of care, from point of injury to the military treatment facility.

3.5.6.2. The Contractor shall sign into the network every 30 days. This requirement shall not be separately priced or invoiced.

3.5.7. Sexual Assault and Response (SAPR) Program: All contract workers shall comply with the DoDD 6459.01, SAPR Program. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract. The contractor shall require all HCWs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours of gaining knowledge of the incident) report the incident in writing to the Government's COR. This reporting policy also applies to sexual harassment incidents involving MEDCOM personnel that occur on the contractor's owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government leased facility.

3.5.8. ANTITERRIOSM (AT)/OPERATIONS SECURITY (OPSEC) REQUIREMENTS

3.5.8.1. AT Level I training. For contractor employees with an area of performance within a DHA-controlled installation, facility, or area. All contractor employees, including subcontractor employees, requiring access to DHHQ, Direct Reporting Markets (MTFs), Small Markets and Stand Alone (SSO) facilities and controlled access areas, shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR, assigned government official, or to the contracting officer, if a COR is not assigned, within 5 calendar days after completion of training by all employees and subcontractor personnel. AT Level I awareness training is available at the following website: https://jkodirect.jten.mil/Atlas2/page/login/ Login.jsf.

3.5.8.2. Access and general protection/security policy and procedures. For contractor employees with an area of performance within a DHA controlled installation, facility, or area. Contractor and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, DHHQ 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.

3.5.8.3. For contractors requiring a Common Access Card (CAC). Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with DHA-AI 5200.04. The contractor employee will be issued a CAC only if duties involve one of the following: (1) both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) physical access to multiple DoD facilities or multiple non-DoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

3.5.8.4. iWATCH/Suspicious Activity Reporting Training. This standard language is for contractor employees with an area of performance within a DHA-controlled installation, facility, or area. The contractor and all associated subcontractors shall brief all employees on the local Suspicious Activity Training program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 5 calendar days of new employees commencing performance, with the results reported to the COR NLT 30 calendar days after contract award.

3.5.8.5. Service Training Certification Tracking System (STCTS) registration for contractor employees who require access to government information systems. All contractor employees with access to a government information systems must be registered in the STCTS at commencement of services, and must successfully complete the DOD Information Assurance Awareness prior to access to the IS and then annually thereafter.

3.5.8.6. OPSEC Training. Per DHA-AI 5200.03, Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter. OPSEC training is available at the following website: https:// securityawareness.dcsa.mil/opsec/index.htm

3.5.8.7. Cyber Awareness (Information Assurance (IA)/Information Technology (IT) training). All contractor employees and associated subcontractor employees must complete the DoD Cyber Awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD requirements DoD 8570.01 and DoD 8570.01-M within six months of appointment to IA/IT functions. DoD Cyber Awareness training is available at the following website: https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf.

3.5.8.8. Controlled Unclassified Information (CUI). Include DFARS clause 252.204-7012, which requires the contractor to comply with NIST 800-171. Also include DFARS provision 252.204-2019 into solicitations. Acquisition officials should follow procedures outlined in DFARS 204.73 and verify vendors have an adequate NIST SP 800-171 summary assessment score within the Supplier Performance Risk System (within PIEE). If the score doesn't show a medium- or high-level assessment with a score of 110 or better (as described in the "NIST SP 800-171 DoD Assessment Methodology"), include clause 252.204-7020 and obtain the vendor's "system security plan" and "plan of action" for NIST SP 800-171 verification and assurance by Army security officials.

3.5.8.9. Threat Awareness Reporting Program. For all contractors with security clearances. Per DHA-AI 097, Insider Threat Program, contractor employees must receive annual Insider Threat Awareness training within 30 days of initial employment, and refresher training annually either through instructor-led or computer-based. Training is available at the following website: https://learn.atis.army.mil/moodle/.

3.5.9. Combating Trafficking In Persons (CTIP) IAW DFARS PGI 222.17 and FAR Clause 52.222-50, all contract workers shall complete CTIP training. The KO will be notified immediately of any information from any source that alleges a contractor employee, subcontractor and/or subcontractor employee has engaged in conduct that violates the United States Government "zero" tolerance policy regarding trafficking in persons.

3.6. MTF HOURS OF OPERATION

3.6.1. ACH's and MEDCEN's provide services 24 hours a day, 365 days a year (366 days during leap years) including holiday. Clinics have designated operating hours.

3.6.1.1. Cardiology Clinic Hours are 0730-1545 Monday through Friday.

3.6.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday. Contract personnel may be required to work on legal holidays as determined by the COR.

New Year's Day, January 1st Martin Luther King's Birthday, 3rd Monday in January President's Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth National Independence Day, 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 Day, December 25th

NOTE 1: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to the holiday and the employee is not required to report in, payment will not be made for those hours.

Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

3.6.3. Contract personnel shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

3.6.4. Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

3.7. HOURS OF PERFORMANCE.

3.7.1. Scheduling process: The contract HCP shall provide on-call services to Tripler Army Medical Center as scheduled by the Chief, Cardiology Service. The Contractor shall schedule, or subcontract replacements as needed if the primary HCP is not available.

3.7.1.1. Overtime. Overtime is not required. The contractor shall be paid for actual hours worked.

3.7.1.2. On-call: the contract HCP shall participate in the MTF after-hours on-call schedule. For the purpose of this work statement, on-call shall be defined as when a contract HCP is assigned to carry a pager in order to be available for consultations or procedures related to her/his specialty. If the HCP does not have a pager, one can be provided if requested. It is preferred for the HCP to also provide a cellular and/or landline number to the Government as back-up. The on-call rate is only for the contract HCP to carry the pager and be available to report to the facility to see patients. When necessary, the contract HCP shall come to the hospital to see patients within 30 minutes of notification. In the event the contract HCP does not report onsite within the 30-minute timeframe and something adverse happens to the patient due to the contract HCP not being timely, then the contractor could be responsible for the damages incurred by the hospital. Once the contract HCP is required to report to the facility the consult rate shall apply per patient unless a procedure is performed on the patient then only the procedure hourly rate will apply.

3.7.1.2.1. The contractor shall be available for on-call coverage during the weekday evenings and the weekends at least 2 weeks per month and for up to 30 days of emergency coverage.

3.7.1.2.2. Weekday evening on-call services shall be performed from 1630 to 0730 the following morning, for example 1630 Friday to 0730 Saturday, unless the duration is otherwise lessened by the Chief, Cardiology Service.

3.7.1.2.3. Weekend on-call services shall be performed from 0730 Saturday to 0730 Monday.

3.7.1.2.4. The contract HCP shall provide on call services that are required in the event TAMC does not have an interventional cardiologist assigned or available and will be required 24 hours/day; and in the event it is determined by the Staff interventional cardiologist that assistance with a high-risk procedure may be required in the immediate future. The contractor shall coordinate coverage schedules with the Chief of Cardiology Services as soon as feasible. This includes informing the Chief of Cardiology Services and the Department of Medicine who will be providing the coverage and how the contract HCP can be reached.

3.7.1.3. The Contractor and/or contract HCP and Chief, Cardiology Service or designated representative may coordinate block scheduling of non-emergent patients in advance to minimize the number of weekly trips that the contract HCP needs to make to TAMC.

3.7.1.4. Multiple patients may be treated in the Cardiac Catheterization Laboratory during one visit. If the contract HCP leaves the facility and is called back the same day in the event of complications, the Contractor may be reimbursed an additional amount for follow-on procedures as a new procedure.

3.7.1.5. Telephone Consultations. The contract HCP shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage at no additional charge per telephone call.

3.7.1.6. On-Site Consultation. The contract HCP may be asked to provide on-site consultation services at TAMC to help determine if or when a procedure is warranted. These services will be reimbursed on a per patient basis and will only be paid if no procedure is performed during the contract HCP's visit to the hospital.

3.7.1.7. Attendance Sheet. Attendance sheets are not required. Operative and consultation reports will suffice as proof of service rendered on site. The Chief of Cardiology Service, and/or designated government representative will schedule and track on-call coverage days.

3.7.2. The COR or their designee will be responsible for communicating with the contractor regarding scheduling issues. The shift supervisor may act as point of contact after normal duty hours, weekends and holidays. In such cases, the COR shall confirm all actions on the next normal working day.

3.7.3. Absences and leave:

3.7.3.1. The contractor shall notify the COR when the scheduled contract personnel cannot fill a shift due to illness or emergency. Notification shall be as early as possible, but no later than 2 hours prior to start of scheduled shift.

3.7.3.2. RESERVED

3.7.3.3. When the contractor cannot fill a position, the contractor shall notify the COR.

3.7.3.4. Scheduled absences of contract personnel shall be coordinated with the COR at least 30 calendar days in advance. Depending on how the hours are specified will determine whether or not the contractor supplies a substitute. The Contractor will only be paid for hours actually worked.

3.7.4. The Contractor is responsible for submitting an accurate invoice. Invoices are due by the 10th day of each following month. The Contractor may only invoice and be paid for actual services rendered. If the Contractor performs fewer services than are provided in the contract schedule, the Government may de-obligate the excess quantities during and towards the end of the applicable contract period.

3.8. LICENSE VERIFICATION AND CREDENTIALS REVIEW OR PRIVILEGING.

3.8.1. The contractor will be responsible to provide the COR with all required documents for the credentials package. The COR will be responsible for submitting the credentials package to the Credentials Office for credentialing and privileging actions. The contractor shall check with the Credentials Office to determine their credentialing/privileging process and timelines so that the health care provider(s) can be privileged prior to the start of work.

3.8.1.1. The contractor shall perform all primary source verifications and include all verifications with the credentials package or competency assessment folder information for non-privileged staff in accordance with DHAPM 6025.13, volume 4. The contractor shall obtain all paperwork, letters of reference, approvals, work history, etc. required by the MTF credentialing or licensure verification processes. The MTF staff will not assist the contractor in obtaining any needed information for initial credentialing. The contractor is responsible for the current competence of contract HCPs used to provide healthcare services under this contract.

3.8.1.2. Licensure, certification, registration, or authorizing documents. Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions). Additional licenses held by a provider must be in good standing. The healthcare provider's license(s) must remain current, valid and unrestricted throughout the duration of the contract worker performance. The DHA PM 6025.13, volume 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHA PM 6025.13, volume 4, shall be met.

3.8.1.2.1. Non-personal services: Contract workers under a non-personal services arrangement requiring licensure must maintain an unrestricted license in the U.S. jurisdiction within which the contract worker is performing as outlined in DHAPM 6025.13, volume 4.

3.8.1.3 Drug Enforcement Agency (DEA) Requirements. Contract workers required to obtain a DEA registration number, shall have a current, valid DEA registration prior to performing on this contract in accordance with regulatory guidelines. The Contractor shall ensure DEA registrations are renewed throughout the performance of the contract worker.

3.8.1.4. Privileges are facility specific and the department chief or service chief develops the criteria to award privileges. The forms required for the privileging process are outlined in DHA-PM 6025.13 and will be provided by the Credentials Office. HCPs who require privileging shall not provide healthcare services until they have been granted privileges at the MTF.

3.8.1.5. The Credentials Committee may have questions which they will wish to present to the contractor's HCPs verbally or in writing. The Contractor's HCPs shall answer questions presented by the Credential's Committee either verbally or in writing.

3.8.1.6. The Contractor shall contact the Credential Office for current credentialing process. The TAMC Credential Office contact numbers are (808) 433-2459 and

(808) 433-5447 or email: dha.tripler.Tripler-AMC.list.qs-credentialing-of@health.mil.

3.8.1.7. The Contractor shall provide a completed credential file of the accepted candidate within 60 days from contract award.

3.8.1.8. The contract HCP shall have been granted privileges by the MTF Director and commencement of services under this work statement shall be in place within 90 days from contract award.

3.8.2. If the contractor adds additional/or replacement HCPs during the contract period, the same qualification standards, credentialing/privileging and health requirements shall apply.

3.8.3. The contractor shall not use any individual to provide direct health care services under this contract if that individual, within the past 5 years:

3.8.3.1. Has had his/her clinical privileges limited, suspended, or revoked by any healthcare facility, public or private, anywhere in the world.

3.8.3.2. Is the subject of a current or pending hearing or appeal brought by any healthcare facility, public or private, anywhere in the world, which may result in the limitation, suspension, or revocation of the individual's clinical privileges.

3.8.3.3. This prohibition does not apply to any individual whose clinical privileges, although originally limited, suspended or revoked by a healthcare facility where the individual was subsequently fully reinstated by the healthcare facility.

3.8.3.4. Limitation of clinical privileges, as used in this paragraph, refers to a partial withdrawal/reduction of clinical privileges as a result of a determination that or pending investigation to determine whether an individual has engaged in unprofessional conduct or substandard medical practice or is incompetent to perform certain medical practices.

3.8.4. List of Excluded Individuals and Entities (LEIE). For any provider (privileged and non-privileged) within the DoD, the List of Excluded Individuals and Entities (LEIE) on the Health and Human Services website (http://oig.hhs.gov/exclusions/exclusions_list.asp) must be queried to determine if the provider has been excluded from participation in Federal Health Programs. If the provider's name appears on this list, the provider is disqualified from working for the DoD, in any capacity.

3.8.5 A National Provider Identifier (NPI) type 1 is required for healthcare providers who furnish billable healthcare services, or those who are authorized to initiate or receive referrals. The NPI Type 1 is a 10-digit provider-unique number assigned by the Centers for Medicare & Medicaid Services (CMS), at no cost, to healthcare providers, both privileged and non-privileged, who meet established eligibility criteria as stated in the DHAPM 6025.13, volume 4

3.8.6. Removal of Contract HCPs. At any time during the performance of this contract, the Contracting Officer…