N0018319Q0042_PASTORAL_CLINICAL_SESSIONS.pdf

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CLINICAL PASTORAL SESSIONS
Solicitation number
N0018319Q0042
Issued by

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Please see attached and provide information as requested in Sections A, B, and M. To be considered all information must be provided

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SEE ADDENDUM

(No Collect Calls)

N0018319Q0042 04-Mar-2019

b. TELEPHONE NUMBER

757-953-3412

8. OFFER DUE DATE/LOCAL TIME

05:00 PM 14 Mar 2019

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

N001839. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CHRISTOPHER S. WARD

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

(TYPE OR PRINT)

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

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

N0018319RCCS001

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

NAVAL MEDICAL CENTER

MMD/CONTRACTING DIVISION

ATTN: CHRIS WARD

54 LEWIS MINOR STREET

PORTSMOUTH VA 23708-2297

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE N00183 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

NAVAL MEDICAL CENTER

RECEIVING OFFICER

54 LEWIS MINOR STREET

BLDG. 250

PORTSMOUTH VA 23708-2297

TEL: 757-953-5770 FAX:

757-953-5006FAX:

TEL: 757-953-3412

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$11,000,000

NAICS:

611430

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF42

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATIVE

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

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

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

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

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

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

N0018319Q0042

Section A - Solicitation/Contract Form

VENDOR TO COMPLETE THE FOLLOWING:

COMPANY NAME: ______________________

TIN: ___________________

CAGE: ___________________

DUNS: ___________________

Vendor POC: ____________________

Phone: ____________________

Fax: ____________________

Vendor email: _________________________________

Naval Medical Center Portsmouth, VA Acquisition Office

POC: Christopher Ward

Phone: 757-953-3412

Email: christopher.s.ward1.civ@mail.mil

Product/Services for: Naval Medical Center Portsmouth VA Pastoral Care Services

620 John Paul Jones Circle

Portsmouth VA 23708-2197

Vendor to reference RFQ Number: N0018319Q0042 on all inquiries.

PAYMENT INFORMATION

Note that payment will be in arrears

PROMPT PAYMENT

For Prompt Payment Act Purposes, this contract is:

Subject to the 7-calender day constructive acceptance period.

Note: Vendor will be required to provide billing electronically via the WAWF Electronic Invoicing Method. For additional information, a review of the following web sites may be required: websites: https://wawf.eb.mil or http://wawftraining Email: usn.detrick.navmedlogcomftdmd.list.nmlc-wawf@mail.mil

DISCOUNTS

The vendor's initial response to this RFQ should reflect the Vendors' best price including all allowable discounts that are available to the Federal Government. Please identify all discounts that are being offered as part of the vendor's quote submission. The government does not intend to go out for a best and final offer.

“AVAILABILITY OF FUNDS. Pursuant to Section I, Availability of Funds (FAR 52.232-18), of the contract, funds are not presently available for this contract. The Government’s obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting

Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing to the Contracting Officer.”

mailto:christopher.s.ward1.civ@mail.mil https://wawf.eb.mil/ http://wawftraining/ mailto:usn.detrick.navmedlogcomftdmd.list.nmlc-wawf@mail.mil

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 48 Sessions Small Group Sessions

FFP

Provide weekly small group supervision/training every Wednesday for 90 minutes which is set by the Command Chaplain. This time can be adjusted when mutually agreed upon by the Command Chaplain and the contractor. A total of 48 sessions required; therefore the remaining 4 week sessions will not be required due to

Command Functions and Holidays. The non-scheduling of these 4 weeks will be detailed to the vendor a minimum of 3 days prior to the start of the week.

**See Performance Work Statement for details of NMCP requirement**

**Qualifications shall be met at minimum as listed in the Performance Work

Statement. Documentation of these qualifications shall be provided in response to

RFQ for Technical Evaluation.**

FOB: Destination

MILSTRIP: N0018319RCCS001

PURCHASE REQUEST NUMBER: N0018319RCCS001

PSC CD: R499

NET AMT

0002 30 Sessions Additional Small Group/Individual

FFP

Additional Individual/Small Group sessions may be ordered on an as needed basis.

It is estimated that an additional 30 sessions will be required, but there are no minimum guarantees. The Government will provide a minimum of 3 days’ notice of additional Small Group sessions. This can include assisting chaplains with preparation for board Certification.

RFQ for Technical Evaluation to be considered responsive.**

FOB: Destination

MILSTRIP: N0018319RCCS001

PURCHASE REQUEST NUMBER: N0018319RCCS001

1001 48 Sessions OPTION Small Group Sessions

FFP

Provide weekly small group supervision/training every Wednesday for 90 minutes which is set by the Command Chaplain. This time can be adjusted when mutually agreed upon by the Command Chaplain and the contractor. A total of 48 sessions required; therefore the remaining 4 week sessions will not be required due to

1002 30 Sessions OPTION Additional Small Group/Individual

FFP

Additional Individual/Small Group sessions may be ordered on an as needed basis.

It is estimated that an additional 30 sessions will be required, but there are no minimum guarantees. The Government will provide a minimum of 3 days’ notice

RFQ for Technical Evaluation to be considered responsive.**

2001 48 Sessions OPTION Small Group Sessions

FFP

Provide weekly small group supervision/training every Wednesday for 90 minutes which is set by the Command Chaplain. This time can be adjusted when mutually agreed upon by the Command Chaplain and the contractor. A total of 48 sessions required; therefore the remaining 4 week sessions will not be required due to

2002 30 Sessions OPTION Additional Small Group/Individual

FFP

Additional Individual/Small Group sessions may be ordered on an as needed basis.

It is estimated that an additional 30 sessions will be required, but there are no minimum guarantees. The Government will provide a minimum of 3 days’ notice

RFQ for Technical Evaluation to be considered responsive.**

3001 48 Sessions OPTION Small Group Sessions

FFP

Provide weekly small group supervision/training every Wednesday for 90 minutes which is set by the Command Chaplain. This time can be adjusted when mutually agreed upon by the Command Chaplain and the contractor. A total of 48 sessions required; therefore the remaining 4 week sessions will not be required due to

3002 30 Sessions OPTION Additional Small Group/Individual

FFP

Additional Individual/Small Group sessions may be ordered on an as needed basis.

It is estimated that an additional 30 sessions will be required, but there are no minimum guarantees. The Government will provide a minimum of 3 days’ notice

RFQ for Technical Evaluation to be considered responsive.**

Section C - Descriptions and Specifications

ECMRA

ECMRA 5237.102-90 Enterprise-wide Contractor Manpower Reporting Application (ECMRA)

The contractor shall report contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Naval Medical Center

Portsmouth via a secure data collection site. Contracted services excluded from reporting are based on Product Service Codes (PSCs). The excluded PSCs are:

(1) W, Lease/Rental of Equipment;

(2) X, Lease/Rental of Facilities;

(3) Y, Construction of Structures and Facilities;

(4) S, Utilities ONLY;

(5) V, Freight and Shipping ONLY.

The contractor is required to completely fill in all required data fields using the following web address https://doncmra.nmci.navy.mil.

Reporting inputs will be for the labor executed during the period of performance during each

Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk, linked at https://doncmra.nmci.navy.mil.

(End of Text)

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

1. INTRODUCTION: This is a non-personnel services contract to provide Clinical Pastoral Supervision. The

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

Description of Services: The contractor shall provide all personnel, supplies, transportation, materials, supervision, and other items of non-personal services necessary to perform Clinical Pastoral Supervision as defined in this

Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

Background: The intent of this requirement shall be to contract for the non-personal services of a Clinical Pastoral

Supervisor to provide clinical supervision with the Staff Chaplains at Naval Medical Center Portsmouth. Clinical

Supervision is the industry standard in healthcare chaplaincy and it ensures the highest level of Pastoral Care that is examined by the Joint Commission. This structure of Supervision is used by mental health providers and is generally an industry standard within healthcare. It provides the Staff Chaplains with the opportunity to process significant patient cases that otherwise attribute to their vulnerability to the effects of secondary trauma. Clinical

Supervision ensures that chaplains remain ministry-centered with people and learning. A Clinical Pastoral

Supervisor engages the department through reflection, discussion, and evaluation with other peers.

https://doncmra.nmci.navy.mil/

Scope of Work

Assist the chaplains with establishing group learning goals for each year of the contract.

During the small group supervision/training the contractor shall facilitate the discussion process and cover the group’s learning goals.

Provide a quarterly update to the Command Chaplain (1hour in length) aligned with the fiscal year calendar.

Hours of Operation: The contractor is responsible for conducting business, between the hours of 0800-

1400 Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

C.

Place of Performance. Work shall be performed onboard NMCP. Meetings between the contractor and the Command Chaplain, or his/her representative, shall be performed on-site.

D.

Period of Performance: The period of performance shall be for one (1) Base Year of 12 months and two

(3) 12-month option years. The Period of Performance reads as follows:

Base Year 01 April 2019 to 31 March 2020

Option Year I 01 April 2020 to 31 March 2021

Option Year II 01 April 2021 to 31 March 2022

Option Year III 01 April 2022 to 31 March 2023

Objectives:

Provide weekly small group supervision/training every Wednesday for 90 minutes at a time set by the

Command Chaplain. This time can be adjusted when mutually agreed upon by the Command Chaplain and the contractor.

A total of 48 sessions required; therefore the remaining 4 week sessions will not be required due to

Command Functions and Holidays.

The non-scheduling of these 4 weeks will be detailed to the vendor a minimum of 3 days prior to the start of the week.

Additional Individual/Small Group sessions may be ordered on an as needed basis. It is estimated that an additional 30 sessions will be required, but there are no minimum guarantees.

The Government will provide a minimum of 3 days' notice of additional Small Group sessions. This can include assisting chaplains with preparation for board Certification. Small group supervision/training can include leading peer review session for staff chaplains and other chaplains within Navy Medicine East.

Required Qualifications:

Valid clergy experience as it relates to their faith group (i.e. Ordination or an approved leader within the religious community).

Have ecclesiastical endorsement, in writing from an approved Department of Defense recognized religious organization.

Required Minimum Education and or Clinical Experience Qualifications

A degree with the focus in a Mental Health Profession (i.e. LPC, LMFT, LCSW) with a mental health discipline.

Ability to attain and keep current certifications required for Virginia State License to practice.

AND OR

Qualified Clinical Pastoral Education Supervisor or Supervisor in-training with Association of Clinical Pastoral

Education with signed letter by supervisor verifying this requirement is met

AND OR

Attain more than 2000 hours of clinical experience towards licensing with signed letter by supervisor verifying this requirement is met with hours documented.

The contractor shall provide competent Clinical Pastoral Supervisor substitute with equal credentials that meet above qualifications who will cover during period of contractor absences (not to exceed 4 days / year). Note that the vendor shall be responsible for actions of substitute and shall make any and all required payments for service to substitute.

Turnover of workers. The Contractor shall recognize the potentially negative impact on continuity of care created by staff turnover and the expense incurred by the Government for orientation and privileging of new workers. Therefore, the Contractor shall make every effort to minimize turnover and, notwithstanding contractor employee probation policies, shall recruit only individuals who indicate interest in a long-term commitment.

The contractor shall maintain certification for the entire contract period. The Government reserves the right to request proof of qualification at any time during contract period.

Documentation of these qualifications will be presented to the Command Chaplain available upon request throughout the life of this contract.

2. CONTRACTOR REQUIREMENTS.

A. The Clinical Pastoral Supervisor shall be an independent contractor of Pastoral Care Services. The contractor shall:

Provide weekly small group supervision/training every Wednesday for 90 minutes which is set by the

Command Chaplain. This time can be adjusted when mutually agreed upon by the Command Chaplain and the contractor. A total of 48 sessions required; therefore the remaining 4 week sessions will not be required due to Command Functions and Holidays. The non-scheduling of these 4 weeks will be detailed to the vendor a minimum of 3 days prior to the start of the week.

Additional Individual/Small Group sessions may be ordered on an as needed basis. It is estimated that an additional 30 sessions will be required, but there are no minimum guarantees. The Government will provide a minimum of 3 days’ notice of additional Small Group sessions.

The contractor shall perform, within the parameters of her/his ordination and the dictates of their respective faith group. This can include assisting chaplains with preparation for board Certification.

In October of each year, assist the chaplains with establishing group learning goals for the next year.

Validate, in writing and by signature, the supervisory hours provided to chaplains.

During the small group supervision/training the contractor shall facilitate discussion process and cover the included group/individual learning goals.

Provide a quarterly update to the Command Chaplain (1hour in length) aligned with the fiscal year calendar.

B. The contractor shall be paid per weekday service (1½ hour Small Group Supervision / Training) occurrence.

Services shall not be required on federal holidays.

Recognized Holidays:

E. New Year’s Day Labor Day

F. Martin Luther King Jr.’s Birthday Columbus Day

G. President’s Day Veteran’s Day

H. Memorial Day Thanksgiving Day

I. Independence Day Christmas Day

J.

K. Unexplained absences due to illness or other incapacitation will be allowed up to 4 days per contract year. The contractor shall advise the COR of such absences

D. Term of this contract, the contractor agrees to perform on behalf of the U.S. Government duties of a Clinical

Supervisor for Staff Chaplains serving aboard NMCP.

E. Communication. The contractor will pursue all administrative matters through the Command Chaplain or their designated representative.

F. The Clinical Pastoral Supervisor shall demonstrate reliability, good relational skills and the ability to serve on an ecumenical ministry team. The Clinical Pastoral Supervisor will comply with government policies and regulations in regard to identification badges, parking, and professional decorum.

G. Guidance. The Command Chaplain will provide direct guidance for the contracted Clinical Pastoral

Supervisor.

H. INS verification. No alien shall be allowed to perform under this contract without an Alien Registration Card

(“green card”) and/or in violation of the Immigration Laws of the United States.

I. Personal Appearance. The contractor shall be neat, clean, well-groomed, and in appropriate clergy clothing when in patient care and public areas. The contractor shall display the identification badge provided by security any time while at work. The contractor shall provide all clothing which is deemed personal.

J. Government Regulations. The contractor shall become acquainted with and obey all pertinent Command, Navy, and DOD regulations, shall perform in a manner which precludes any waste of utilities and shall not use government equipment for personal business. All motor vehicles operated on this installation by the contractor shall be registered with base security and operated according to applicable directives. Eating and smoking by the contractor are prohibited in patient care areas and are restricted to designated areas.

K. Absences. The contractor shall advise the Command Chaplain, or his acting substitute, of any planned or unplanned absences. The contractor shall provide a competent Clinical Pastoral Supervisor substitute with equivalent credentials who will provide coverage during periods of contractor absences.

The contractor, although in fact not a Government employee, shall comply with Executive Order 11222 of May 8, 1965, “Prescribing Standards of Ethical Conduct for Government Officers and Employees,” and shall also comply with Department of Defense (DOD) and Department of Navy (DON) regulations implementing this Executive

Order. In addition, the contractor shall adhere to all DOD, Navy, and Command policies and regulations during the performance of their duties. Contractor shall not accept tips and donations for services rendered. In the event that donations are offered all such donations shall be referred to the general offerings of the NMCP Pastoral Care

Department.

3. PROPERTY.

A. Government-Furnished Property. The government will make a best effort to provide shared office space, office furniture, telephone/fax service, pager, charting stamp, and the use of a copier and computer hardware and software necessary for use by the contractor. The government will allow unlimited telephone usage, both local and long distance, in support of the Pastoral Care Services programs. The government will provide utility services for the contractor’s use while on site. The government will provide the referenced information (reference material, religious literature, study guides etc.) as required. The Pastoral Care Services staff will coordinate the retrieval of information needed by the contractor and serve as the interface. The government will provide resources for the administration and celebration of sacraments and other professional resources deemed necessary by the Command

Chaplain of Pastoral Care Services.

B. Contractor-Furnished Property. The contractor shall furnish any items which are for personal use/ownership, or which are resources the government may be restricted in appropriating.

4. GENERAL INFORMATION.

The following documents and data sources shall be provided to the contractor in the performance of duty upon request. This information will be provided by the NMCP Pastoral Care Services staff:

Demographic information on the Staff Chaplains being served. Current data on patient preferences as determined by survey, correspondence, and patient relations statistics.

Information regarding non-medical issues such as facilities, parking, support services, staffing, watch bills, and other amenities.

Results of inspections/surveys by internal and external agencies.

An explanation of the Pastoral Care concept being used and how it is implemented.

Charting of the pastoral visit.

The contractor shall be able to read, write, speak and understand English fluently.

5. Furlough. Unless otherwise authorized by a defense appropriations bill, contractors shall not be reimbursed by the Government for services not rendered during a Government furlough. In the event of a Government furlough, the Commanding Officer will determine which contract workers are considered essential and therefore must report to work. Contract workers deemed essential shall be compensated for services rendered during a furlough. All other contract workers shall be furloughed until the Government shutdown ends or they are notified by the

Contracting Officer’s Representative that they have become essential contract workers.

6. Contractor employees performing services under this order will be controlled, directed and supervised at all times by management personnel of the contractor. Contractor management will ensure that employees properly comply with their performance work standards outlined in the Statement of Work. Contractor employees will perform their duties independent of, and without the supervision of any Government official.

The tasks, duties and responsibilities set forth in the task order may not be interpreted or implanted in any manner that results in any contractor employee creating or modifying federal policy, obligating the appropriated funds of the United States Government, overseeing the work of Federal employees, providing direct personal services to any Federal employee, or otherwise violating the prohibitions set forth in Parts 7.5 and 37.1 of the Federal Acquisition Regulation (FAR). The Government will control access to the facility and will perform the inspection and acceptance of the completed work.

7. Physical Examination Certification which states the date on which the physical examination was conducted, the name of the doctor who performed the examination, and a statement concerning physical health of the contractor. The certification must contain the following statement: “(Name of Contractor) is suffering from no physical disability/medical condition which would restrict or preclude him from providing services as a Clinical

Pastoral Supervisor. (Name of Contractor) is suffering from no contagious diseases to include but not limited to

AIDS, tuberculosis, hepatitis, and venereal diseases, and is not positive for HIV anti-bodies”.

As an independent contractor, all medical, dental and professional liability insurance is the responsibility of the contractor.

8. GENERAL PROVISIONS

A. GENERAL PROVISIONS

A.1.1. The worker’s first line of supervision is their contractor.

A.1.2. No leave accrues under this contract.

A.1.3. Administrative Leave. For unusual and compelling circumstances (e.g., weather emergencies) in which the Commanding Officer either excuses all facility personnel from reporting to work or dismisses all personnel early, the Commanding Officer is authorized to grant administrative leave to the worker. This administrative leave will not be compensated.

A.1.4. Furlough. Unless otherwise authorized by a defense appropriations bill, contractors shall not be reimbursed by the Government for services not rendered during a Government furlough.

A.1.5. A worker with a bona fide medical emergency occurring while on duty, or with an on-the-job injury, will be provided stabilizing medical care according to the procedures of the MTF. The contractor shall reimburse the

Government for all medical services provided unless the worker is otherwise entitled to Government medical services.

A.1.6. Contractor employees may receive one compensated work break in the morning and one in the afternoon, work load permitting, at the discretion of the Government. Neither break shall exceed 15 minutes or be taken with the intention of extending the lunch break.

A.1.7. Contractor shall submit an invoice in accordance with Wide Area Work Flow instructions itemizing expenses in amounts allowable by the COR. COR will justify hours worked from Government (not contractor’s) time sheets or other Government timekeeping processes.

9. FAILURE AND/OR INABILITY TO PERFORM

A.2.1. A worker demonstrating impaired judgment will be removed from providing services. The

Government reserves the right to remove any employee who, in the judgment of a licensed physician, is impaired by drugs or alcohol.

A.2.2. Workers with alcohol or drug abuse problems may be allowed to return to work under the terms of this contract only with prior approval from the Commanding Officer.

10. GENERAL PROVISIONS FOR WORKERS.

A.3.1. Workers shall comply with Executive Order 12731, October 17, 1990, (55 Fed. Reg. 42547), Principles of Ethical Conduct for Government Officers and Employees, and shall also comply with Department of

Defense (DOD) and other government regulations implementing this Executive Order.

A.3.2. Workers shall become acquainted with and obey all station regulations, shall perform in a manner preventing the waste of utilities, and shall not use Government resources (i.e. copiers, telephone, and computers, etc.) for personal business. All motor vehicles operated on these installations by health care workers shall be registered with the base security service according to applicable directives. Eating by workers is prohibited in patient care areas/clinics and is restricted to designated areas. Smoking is prohibited in all clinic facilities.

A.3.3. The contractor and all workers shall comply with all MTF checkout processes. These processes include returning government property, i.e., identification badges, pagers, cellular phones, etc., to the MTF upon a worker’s last day of service. Failure to do so promptly may result in delay of payment to the contractor.

A.3.4. Workers shall make no use of the Government facilities or property provided under this contract in connection with other employment.

A.3.5. While on duty, workers shall not advise, recommend, or suggest to individuals authorized to receive services at Government expense that such individuals should receive services from the worker when they are not on duty.

A.3.6. Workers shall be neat, clean, well groomed, and in appropriate clothing when in patient care and public areas. All clothing shall be free of visible dirt and stains and shall fit correctly. Fingernails shall be clean and free from dirt, and hair shall be neatly trimmed and combed. Workers shall display an identification badge, which includes the worker’s full name (furnished by the Government) on outer clothing. Security badges provided by the

Government shall be worn when on duty.

A.3.7. The Secretary of the Navy has determined that the illegal possession or use of drugs and paraphernalia in a military setting contributes directly to military drug abuse and undermines Command efforts to eliminate drug abuse among military personnel. The policy of the Department of the Navy (including the Marine

Corps) is to deter and detect drug offenses on military installations. Measures to be taken to identify drug offenses on military installations, and to prevent introduction of illegal drugs and paraphernalia, include routine random inspection of vehicles while entering or leaving, with drug detection dogs when available, and random inspection of personal possessions on entry or exit. If there is probable cause to believe that a worker has been engaged in use, possession, or trafficking of drugs, the worker may be detained for a limited period of time until he/she can be removed from the installation or turned over to local law enforcement personnel having jurisdiction. When illegal drugs are discovered in the course of an inspection or search of a vehicle operated by a worker, the worker and vehicle may be detained for a reasonable period of time necessary to surrender the individual and vehicle to appropriate civil law enforcement personnel. Action may be taken to suspend, revoke, or deny clinical privileges as well as installation driving privileges. Implicit with the acceptance of this contract is the agreement by the health care worker to comply with all Federal and State laws as well as regulations issued by the Commander of the military installation concerning illegal drugs and paraphernalia.

A.3.8. All financial, statistical, personnel, and technical data which are 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 work under this contract. Such data shall not be released by the contractor without prior written consent of the COR. Any presentation of any statistical or analytical materials, or any reports based on information obtained from studies covered by this contract, will be subject to review and approval by the COR before publication or dissemination.

A.3.9. The contractor shall comply with all applicable state and local laws and MTF instructions and policies.

A.3.10. Contractor staff shall participate in executing the Emergency Preparedness Plan (drills and actual emergencies) as scheduled by the MTF (typically semiannually). A MTF personnel re-call list with personal contact information for all military, civil service and contractor staff is required to prepare in advance for an actual emergency. Upon commencement of performance, the contractor shall provide the COR with a list of personal contact information for a designated contractor representative as well as all contractor staff performing services. The contractor shall provide an updated list to the COR monthly. Should an emergency occur that will affect the workers’ shifts, the designated contractor representative and the workers will be contacted.

A.3.11. Workers providing services under this contract shall arrive for each scheduled shift in a well-rested condition and shall have had at least 6 hours of rest from all other duties immediately prior to reporting for the shift.

A.3.12. Workers shall complete all Command required training, including but not limited to

Diversity, HIPAA, Healthstream, and Navy Knowledge Online courses.

11. PERSONNEL QUALIFICATIONS. The contractor shall provide personnel having certain minimum levels of training and experience. General qualifications that apply to all health workers.

12. GENERAL QUALIFICATIONS FOR ALL WORKERS

A.4.1. Workers shall read, write, speak, and understand the English language fluently and maintain good communication skills with patients and other health care personnel.

A.4.2. Computer Skills Competency. The Contractor shall submit proof of computer skills competency prior to each worker providing services under this contract. The Contractor shall utilize the computer skills competency form (see attachment).

A.4.3. Workers shall be physically capable of standing and/or sitting for extended periods of time and capable of normal ambulation.

A.4.4. Workers shall be U.S. citizens. All workers will be required to access Navy information technology networks/systems containing sensitive information. Only workers who are U.S. citizens can be granted access to

Department of Navy (DON) Information Technology networks/systems and sensitive information (see Section H, Information Technology/Sensitive Information Security Requirements).

A.4.5. Workers may be required to maintain current certification in American Heart Association Basic Life

Support (BLS), depending on clinical area of performance. Training shall be the responsibility of the contractor and is at no cost to the Government.

13. OCCUPATIONAL HEALTH

A.5.1. Within 60 days prior to performance of services by the worker, the worker shall obtain, at contractor expense, documentation of required immunizations and physical testing, and a statement from the worker's licensed medical practitioner or a report of a physical examination. The physical examination and immunization documentation shall indicate that the worker is free from mental or physical impairments that would restrict the worker from providing the services described herein. The facility shall identify any incumbent workers who are not required to complete this documentation after contract award. Declinations shall only be permitted based on either the worker’s religious convictions or medical contraindications (as documented by a qualified health care provider).

A.5.2. Except as provided in paragraph 7.10.3, below, no medical tests or procedures required by the contract may be performed in the MTF. Expenses for all required tests and/or procedures shall be borne by the contractor at no additional expense to the Government.

A.5.3. Workers shall agree to undergo personal health examinations and such other medical and dental examinations at any time during the term of this contract, as the Commanding Officer may deem necessary for preventive medicine, medical surveillance, performance improvement, or privileging purposes. These examinations will be provided by the Government. If the contractor chooses, these examinations may be provided by private physician or dentist, at no expense to the Government.

A.5.4. It is essential that workers be vaccinated annually against influenza according to Bureau of Medicine and Surgery (BUMED) and Centers for Disease Control (CDC) guidelines aimed at reducing the impact of influenza disease in health care settings. The Government will provide the influenza vaccine free of charge. If the worker chooses to be immunized by the Government, the worker shall sign a waiver releasing the Government from legal liability in accordance with local procedures and policies. Alternately, the worker may obtain the vaccine at another facility, with the worker bearing the total cost, and provide proof of vaccination to the Government. If the worker declines vaccination, a signed declination form shall be provided to the Government in accordance with CDC recommendations and MTF policies.

A.5.6. On an annual basis, workers must provide a current Purified Protein Derivative (PPD) reading or an evaluation if they are a known PPD reactor. The Contractor is responsible for any expenses incurred for required testing.

14. BLOODBORNE PATHOGEN ORIENTATION PROGRAM. Workers shall participate in the Command’s

Bloodborne Pathogen Orientation Program. The worker shall also participate in all required annual training and in periodic training for all procedures that have the potential for occupational exposure to bloodborne pathogens.

15. MANAGING THE CLINICAL RISK IN THE WORK ENVIRONMENT. The work environment inherently involves risks typically associated with the performance of clinical procedures. The worker may be exposed to contagious disease, infections and flying debris, requiring the wearing of personal protection equipment such as scrub attire, gloves, masks, and eye protection.

16. ORIENTATION.

A.6.1. Command Orientation, provided by NMCP consists of one 8-hour day and addresses JCAHO, Infection Control, Blood Bank, Command Evaluation, Hazardous Materials, TRICARE, Health Stream, DMHRSi , Legal, Library Services, Mentorship, Red Cross, Safety Office, Police Department, Healthstream, HIPAA (Health

Insurance Portability and Accountability Act), etc.

A.6.2. Information Systems Orientation is provided by NMCP and is 16 hours. This orientation includes the Composite Health Care System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA).

In addition, Workers identified as CHCS and/or AHLTA Super-users shall undergo an additional 8 hours of information systems orientation. Any additional or specific requirements for information systems orientation will be provided in the applicable task order.

A.6.3. Unit/Clinic Orientation is provided by NMCP and/or branch clinic. The length varies with the specific clinical area where the worker is assigned. It includes but not limited to, the specific procedures/policies in the unit/clinic where the worker is assigned.

A.6.4. On a case-by-case basis, the Government may waive orientations if the worker(s) is (are) currently or has (have) previously worked at NMCP.

A.6.5. Workers shall attend orientations as follows:

A.6.6. Workers shall attend and complete Orientations within 30 days following employee start date.

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government

0002 Destination Government Destination Government

1001 Destination Government Destination Government

1002 Destination Government Destination Government

2001 Destination Government Destination Government

2002 Destination Government Destination Government

3001 Destination Government Destination Government

3002 Destination Government Destination Government

CLAUSES INCORPORATED BY REFERENCE

52.242-14 Suspension of Work APR 1984

52.242-15 Stop-Work Order AUG 1989

52.242-17 Government Delay Of Work APR 1984

52.246-4 Inspection Of Services--Fixed Price AUG 1996

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-APR-2019 TO

31-MAR-2020

N/A NAVAL MEDICAL CENTER

RECEIVING OFFICER

54 LEWIS MINOR STREET

BLDG. 250

PORTSMOUTH VA 23708-2297

757-953-5770

N00183

0002 POP 01-APR-2019 TO

31-MAR-2020

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-APR-2020 TO

31-MAR-2021

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-APR-2020 TO

31-MAR-2021

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-APR-2021 TO

31-MAR-2022

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-APR-2021 TO

31-MAR-2022

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-APR-2022 TO

31-MAR-2023

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-APR-2022 TO

31-MAR-2023

N/A (SAME AS PREVIOUS LOCATION)

52.211-17 Delivery of Excess Quantities SEP 1989

Section G - Contract Administration Data

CLAUSES INCORPORATED BY FULL TEXT

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JUN 2012)

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

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

“Document type” means the type of payment request or receiving report available for creation in Wide Area

WorkFlow (WAWF).

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

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

Receiving Reports.

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

(1) Have a designated electronic business point of contact in the Central Contractor Registration at https://www.acquisition.gov; and

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

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training

Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data

Interchange, or File Transfer Protocol.

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

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

INVOICE AND RECEIVING REPORT COMBO

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in

WAWF, as specified by the contracting officer.

DESTINATION / DESTINATION

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

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC HQ0248

Issue By DoDAAC N00183

Admin DoDAAC N00183

Inspect By DoDAAC N/A

Ship To Code N00183

Ship From Code N/A

Mark For Code N/A

Service Approver (DoDAAC) N/A

Service Acceptor (DoDAAC) N/A

Accept at Other DoDAAC N/A

LPO DoDAAC N00183

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A

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

Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send

Additional Email Notifications” field of WAWF once a document is submitted in the system.

WAWF Acceptor Email Address:

(g) WAWF point of contact.

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

usn.detrick.navmedlogcomftdmd.list.nmlc-wawf@mail.mil

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

(End of clause) mailto:usn.detrick.navmedlogcomftdmd.list.nmlc-wawf@mail.mil

Section H - Special Contract Requirements

PHI

PRIVACY AND SECURITY OF PROTECTED HEALTH INFORMATION

1. Introduction

In accordance with DoD 6025.18-R “Department of Defense Health Information Privacy Regulation,” January 24, 2003, the Contractor meets the definition of Business Associate. Therefore, a Business Associate Agreement is required to comply with both the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security regulations. This clause serves as that agreement whereby the Business Associate agrees to abide by all applicable

HIPAA Privacy and Security requirements regarding health information as defined in this clause, and in DoD

6025.18-R and DoD 8580.02, as amended. Additional requirements will be addressed when implemented.

a. Definitions. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DoD 6025.18-R or DoD 8580.02.

(1) HITECH Act shall mean the Health Information Technology for Economic and Clinical Health Act included in the American Recovery and Reinvestment Act of 2009.

(2) Individual has the same meaning as the term “individual” in 45 CFR 160.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).

(3) Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.

(4) Protected Health Information has the same meaning as the term “protected health information” in 45 CFR

160.103, limited to the information created or received by the Business Associate from or on behalf of the

Government pursuant to the Contract.

(5) Electronic Protected Health Information has the same meaning as the term “electronic protected health information” in 45 CFR 160.103.

(6) Required by Law has the same meaning as the term “required by law” in 45 CFR 164.103.

(7) Secretary means the Secretary of the Department of Health and Human Services or his/her designee.

(8) Security Incident will have the same meaning as the term “security incident” in 45 CFR 164.304, limited to the information created or received by Business Associate from or on behalf of Covered Entity.

(9) Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160, 162 and part

164, subpart C.

(10) Terms used, but not otherwise defined, in this Clause shall have the same meaning as those terms in 45

CFR 160.103, 160.502, 164.103, 164.304, and 164.501.

b. The Business Associate shall not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law.

c. The Business Associate shall use appropriate safeguards to maintain the privacy of the Protected Health

Information and to prevent use or disclosure of the Protected Health Information other than as provided for by this

Contract.

d. The HIPAA Security administrative, physical, and technical safeguards in 45 CFR 164.308, 164.310, and

164.312, and the requirements for policies and procedures and documentation in 45 CFR 164.316 shall apply to

Business Associate. The additional requirements of Title XIII of the HITECH Act that relate to the security and that are made applicable with respect to covered entities shall also be applicable to Business Associate. The Business

Associate agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this Contract.

e. The Business Associate shall, at their own expense, take action to mitigate, to the extent practicable, any harmful effect that is known to the Business Associate of a use or disclosure of Protected Health Information by the

Business Associate in violation of the requirements of this Clause. These mitigation actions will include as a minimum those listed in the TMA Breach Notification Standard Operating Procedure (SOP), which is available at:

http://www.tricare.mil/tmaprivacy/breach.cfm

f. The Business Associate shall report to the Government any security incident involving protected health information of which it becomes aware.

g. The Business Associate shall report to the Government any use or disclosure of the Protected Health

Information not provided for by this Contract of which the Business Associate becomes aware.

h. The Business Associate shall ensure that any agent, including a sub Business Associate, to whom it provides

Protected Health Information received from, or created or received by the Business Associate, on behalf of the

Government, agrees to the same restrictions and conditions that apply through this Contract to the Business

Associate with respect to such information.

i. The Business Associate shall ensure that any agent, including a subBusiness Associate, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it.

j. The Business Associate shall provide access, at the request of the Government, and in the time and manner reasonably designated by the Government to Protected Health Information in a Designated Record Set, to the

Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR

164.524.

k. The Business…

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