N6264519R0040_Amendment_02_Released.pdf

N6609520RC5A001

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

The purpose of this amendment is to answ er questions from offerors and make associated revisions to the combined synopsis/solicitation.

Section 4.9.3.1.13 has been updated to reflect the revision.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 27

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

16C. DATE SIGNED

BY 10-Jun-2019

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

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X N6264519R0040

X 9B. DATED (SEE ITEM 11)

15-May-2019

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

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

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

10-Jun-2019

CODE

NAVAL MEDICAL LOGISTICS COMMAND

693 NEIMAN STREET

FORT DETRICK MD 21702-9239

N62645 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N6264519R0040

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PERFORMANCE WORK STATEMENT

1. INTRODUCTION.

1.1. The Contractor shall provide Magnetic Resonance Imaging (MRI) services to include a mobile MRI facility (1.5 Tesla Magnet), related equipment, supplies, and personnel to perform MRI examinations in support of Naval Health Clinic Cherry Point, NC, and Naval Health Clinic Lemoore, CA.

2. SCOPE.

2.1. The MRI studies shall be performed within the Contractor's mobile facility, on Government property, contiguous to Naval Health Clinic Cherry Point, NC, and Naval Health Clinic Lemoore, CA, utilizing Contractor equipment and supplies as specified in Section C.4.9, according to the schedule in Section C.3.2, and utilizing personnel with qualifications in Sections C.3.5 and C.3.6. The Contractor shall provide all facilities, equipment, supplies, and services as specified herein, commencing on the effective date of the contract. The Government anticipates providing the contractor with a minimum thirty (30) day ramp up time before commencement of services.

2.2. The Contractor shall perform a normal range of MRI procedures, as specified in the “Range of Magnetic Resonance Imaging Studies,” Attachment II, to include pulse sequences and physiologic synchronized imaging, to eligible beneficiaries of the Naval Health Clinics. The Government reserves the right to add other types of MRI procedures not specifically listed in Attachment II.

3. REQUIREMENTS.

3.1. BASIC REQUIREMENTS.

3.1.1. The Contractor shall furnish all work, management, supervision, labor and materials necessary to ensure the effective and efficient performance of functions identified throughout this PWS which make up this requirement. The Contractor must be capable of providing responsive, high quality services and support. The Contractor will conduct travel and reviews that are necessary to ensure the effective and efficient performance of functions identified throughout this PWS which make up this requirement.

3.2. HOURS OF OPERATION.

3.2.1. Naval Health Clinic Cherry Point, NC.

3.2.1.1. The Contractor shall provide personnel to perform magnetic resonance imaging (MRI) services Tuesdays, Wednesdays, and Thursdays (three days per week), from 0800 through 1630 hours (8:00am to 4:30pm).

3.2.2. Naval Health Clinic Lemoore, CA.

3.2.2.1. The Contractor shall provide personnel to perform magnetic resonance imaging (MRI) services one weekday per week (e.g., Monday through Friday), from 8:00am to 4:30pm. Mobile transportation and set-up shall occur outside of the required hours of MRI service.

3.2.3. The Contractor shall provide MRI services during the hours given in Section C.3.2. The Contractor shall implement the Contractor-developed, Government-approved system for ensuring such coverage of all shifts are filled.

3.2.3.1. The Contractor shall not provide services on the day of observance of Federal holidays. In addition, the Contractor shall not provide services beginning on Christmas Eve through New Year’s Day. Services shall resume the first working day after New Year’s Day.

3.2.3.2. In instances of equipment down-time which causes the rescheduling of any or all patient procedures, the Contractor, in collaboration with the Government representative, shall be responsible for scheduling an alternate day of services, which may occur on any day of the week, at no additional cost to the Government. Services shall always be performed in compliance with the Naval Health Clinic’s patient access standards. The Contractor shall provide the Government with a 30 day advance notice of any scheduled down-time required for equipment maintenance that affects the provision of scheduled services at Naval Health Clinic Cherry Point & Naval Health Clinic Lemoore.

3.2.3.3. All closings for severe weather or other emergency shall be at the sole discretion of the Government.

The Contractor shall maintain the required service schedule unless notified by the COR that a closing due to weather conditions or other emergency is authorized. The Contractor will receive guidance from the COR of the MTF protocol for closings.

3.3. PERFORMANCE REQUIREMENTS. The Contractor shall perform the following tasks in accomplishing the requirements of this contract.

3.3.1. The Contractor shall provide a fully-furnished mobile Magnetic Resonance Imaging (MRI) unit to include all related supplies, equipment, and personnel to provide MRI services in accordance with the hours specified in Section C.3.2.1. in support of the Naval Health Clinic Cherry Point and Naval Health Clinic Lemoore. At all times during contract performance, Contractor personnel in the MRI facility shall include a minimum of two fully-trained MRI radiologic technologists who meet the personnel qualifications as outlined in Sections C.3.5. and C.3.6. Contractor personnel shall comply with the standards of the Joint Commission with regard to applicable provisions of law and the rules and regulations pertaining to licensure and regulation of healthcare personnel.

3.3.2. The Contractor shall provide MRI services to eligible beneficiaries of Naval Health Clinic Cherry Point, NC, and Naval Health Clinic Lemoore

3.3.3. Prior to the MRI appointment, the Contractor MRI Technologists will confirm patient appointments for the upcoming week with the Government by the end of the day on Wednesday or not less than one to two business days prior to performance of the scan.

3.3.4. MRI Studies. The Contractor shall perform all pre- and post-MRI procedure duties, including escorting the patient to and from the Radiology Department Cross-Sectional Imaging waiting area. Specific duties include, but are not limited to, the following:

3.3.4.1. Meet with the patient when the patient arrives for his/her appointment to discuss information concerning the procedure (e.g., pre-MRI scan information and review of the MRI scan request form for any special considerations) and make appropriate arrangements to permit performance of the special requests. Upon completion of the MRI scan, the Contractor shall ensure that the patient fully understands how and when the patient will be notified of the MRI scan results. Operate the MRI equipment and conduct the examination independently.

3.3.4.2. Explain the procedure to the patient; treat the patient with warmth, care, and empathy; provide appropriate care and communication to alleviate the patient's fear of the examination.

3.3.4.3. Prepare patient with required contrast agents. Receive and position patient in scanning unit so that anatomy/pathology is correctly visualized in the scanner field of view, making the necessary slice selections for the requested examination. Inject contrast media and subsequent associated pulse sequences, as required.

3.3.4.4. Provide at least two (2) orthogonal planes using different pulse sequences and/or contrast media, as ordered by the radiologist before or at the time of the procedure.

3.3.4.5. Film of at least a single body area; and determination of the number and type of pulse sequences.

3.3.4.6. Evaluate the nature of critical and emergency procedures and rearrange patient scheduling accordingly.

3.3.4.7. Recognize the significance of all structures that are visualized on the viewing console; and be capable of differentiating artifact from normal or pathological processes.

3.3.4.8. Electronically transfer images into the MTF’s existing Picture Archive Communication System (PACS) for interpretation or in the event of a PACS malfunction, operate the film processing unit, to include processing the films and filing the processed films in the correct folder.

3.3.4.9. Recognize the need for and institute the necessary emergency measures when a person requires resuscitative procedures.

3.3.4.10. Notify the radiologist of significant findings requiring the radiologist's immediate attention and visualization while the patient is undergoing the examination. Notify the radiologist or attending physician of any symptoms which may have a direct bearing on the patient's condition, such as an adverse reaction to contrast media.

3.3.4.11. Perform patient imaging archives and print at the correct window and level settings immediately at completion of each examination.

3.3.4.12. Film selected images upon request by the Departmental Radiologist.

3.3.4.13. Complete the manufacturer routine quality control procedures, along with start-up and shut-down procedures, for the scanner.

3.3.4.14. The Contractor shall maintain/provide a daily patient log that contains the following information: patient name; social security number; duty station (or Duty Station of Active Duty Family Member); date and time of appointment; and type of scan. This log shall be provided to the Departmental Radiologist on a daily basis and to the COR on a monthly basis.

3.3.4.15. The Contractor shall film and process all requests for emergency or stat studies immediately, subject to the discretion of the Departmental Radiologist.

3.3.4.16. For each MRI scan, the Contractor shall ensure the completion of a MRI Patient History and Screening Form and shall return the form with the processed MRI film. The Contractor shall ensure that the MRI Informed Consent form is completed by the patient prior to conducting the MRI scan procedure and return it with the processed MRI film.

3.3.4.17. The Contractor shall repeat all MRI studies determined to be technically unacceptable within one operational day following the Government's return of the film to the Contractor. The Government will reschedule the patient within the 1-operational-day timeframe, and will note the repeat procedure request on the daily appointment schedule provided to the Contractor.

3.3.4.18. The Contractor shall perform medical physics testing/validation annually, as well as after all major repairs and upgrades.

3.4. ADMINISTRATIVE REQUIREMENTS.

3.4.1. The Government shall retain complete administrative control of all patients. All records produced in the performance of this contract and all evaluations of patients are the property of, and subject to the exclusive control of the Government. The Contractor shall retain a copy of all such records or evaluations, but may not provide further copies or disclose the information from such records or evaluations to third parties. All requests for patient records from other treatment facilities or individuals other than the patient shall be handled in accordance with procedures specified by applicable Naval Health Clinic instructions.

3.4.2. The Contractor shall maintain the documentation necessary to validate work performed.

3.4.3. Duplication of MRI films is periodically required to enable the patient to obtain outside referrals.

Additionally, the Government will request some duplication for use in teaching or for training purposes. The Contractor shall perform duplication of films for the Government. The final decision for requests for duplication of films will be made by the MTF Radiology Department Head.

3.4.4. The Contractor shall not, under any circumstances, furnish MRI films to the patient.

3.5. GENERAL QUALIFICATIONS THAT APPLY TO ALL CONTRACTORS.

3.5.1. The Contractor shall provide personnel having certain minimum levels of training and experience.

Contractor workers shall have the ability to perform the applicable duties consistent with their license, certification, registry, education, or experience. All Contractor workers shall comply with any applicable state regulations regarding their license, certification or registry. This section is in no way intended to dictate a staffing plan to the Contractor for the performance of the services delineated in this performance work statement. The services require that contract workers possess the following minimums to meet contract requirements.

3.5.2. Contract workers shall maintain current certification in American Heart Association Basic Life Support (BLS); American Heart Association Healthcare Provider Course; American Red Cross CPR (Cardio Pulmonary Resuscitation); or equivalent. Training shall be the responsibility of the Contractor and is at no cost to the Government. Contract workers, not in possession of current certification, must acquire certification prior to initiating contract performance. Web based classes do not meet these standards. A copy of the BLS instruction may be obtained from the World Wide Web at: www.med.navy.mil/directives/ExternalDirectives/1500.15C.pdf

3.5.3. Be a U.S. Citizen per Attachment V.

3.6. SPECIFIC QUALIFICATIONS FOR MAGNETIC RESONANCE IMAGING (MRI) TECHNOLOGISTS.

3.6.1. Current certification as a Magnetic Resonance Imaging (MRI) technologist and as a diagnostic radiologic technologist as determined by American Registry of Radiologic Technologists (ARRT).

3.6.2. Within 60 days following commencement of services, possess current certification from the MTF in intravenous therapy, including injections.

3.6.3. A minimum of 24 months within the preceding 36 months of full-time experience as a diagnostic radiologic technologist performing MRI services that includes a minimum of one year experience performing MR angiography, and three dimensional studies

3.6.4. Lead Technical POC. The Contract Technologist is considered the Contractor’s Lead Technical Point of Contact (POC) for this contract. If more than one contract technologist will be providing services, the Contractor shall designate one as the Lead.

3.7. QUALIFICATIONS PACKAGE.

3.7.1. Fifteen days (15) after contract award, the contractor shall submit a qualifications package to the COR for each worker performing services under this contract. The qualifications package shall include documentation to demonstrate compliance with the qualifications in Sections C.3.5. and C.3.6 and health certifications requirements in Section C.4.2. Prior to Contractor workers providing services, the COR will verify the compliance of each worker with the qualification requirements appropriate to their employment category. The http://www.med.navy.mil/directives/ExternalDirectives/1500.15C.pdf

COR shall inform the Contractor of compliance of the qualification package or any discrepancies contained therein.

3.7.2. The Contractor shall maintain a list of all individuals who are approved for service. The Contractor shall provide a copy of the list to the COR within 14 days prior to performance of services under this contract and as required to maintain currency of the information.

3.7.3. The Contractor shall inform the COR of any terminations of employment within 24 hours of the action.

4. SPECIAL REQUIREMENTS.

4.1. BACKGROUND INVESTIGATION.

4.1.1. CRIME CONTROL ACT OF 1990 REQUIREMENT.

4.1.1.1. Section 21 of the Crime Control Act of 1990, 42 U.S.C. 13041, as amended by section 1094 of Public Law 1-02-190, requires every facility operated by the Federal Government (or operated under contract with the Federal Government) that hires (or contracts to hire) individuals involved in the provision of child care services to assure that all existing and newly-hired workers undergo a criminal background investigation. The term "child care services" is defined to include health and mental health care.

4.1.1.2. In accordance with 42 U.S.C. 13041(d) the Contractor shall ensure that employment applications for potential contract workers contain a question asking whether the individual has ever been arrested for or charged with a crime involving a child, and if so, requiring a description of the disposition of the arrest or charge. The application shall further state that it is being signed under penalty of perjury, with the applicable Federal punishment for perjury stated on the application.

4.1.1.3. The Government will conduct criminal background investigations for all potential contract workers who will be providing child care services under this contract based on fingerprints obtained by a Government law enforcement office (e.g., local, state, federal, etc.) and a completed SF 86 form (Questionnaire for National Security Positions ).

4.1.2. PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL.

4.1.2.1. SUPTXT 204-9400(18) Contractor Unclassified Access To Federally Controlled Facilities, Sensitive Information, Information Technology Systems or Protected Health Information.

4.1.3. This text does not apply to non-U.S. Nationals (foreign nationals) who are contactor workers performing work overseas. The clause is applicable to the U.S. Nationals living in the U.S. or overseas who are performing work on a Navy contract.

The investigation of a non-U.S. national at a foreign location must be consistent with a National Agency Check with Written Inquiries (NACI), to the extent possible and include a fingerprint check against the Federal Bureau of Investigation (FBI) criminal history database, an FBI investigations file (name check) search and a name check against the terrorist screening database. Also, the above cited reference notes that Foreign Nationals may not be granted Common Access Card (CAC) credentials until completion of their investigation and not in the interim.

Per DoDM 5200.2, DoD components must initiate and ensure completion of a background investigation before applying the credentialing standards to a non-U.S. national at a foreign location. The background investigation must be favorably adjudicated before a CAC can be issued to a non-U.S. national at a foreign location. The type of background investigation may vary based on standing reciprocity treaties concerning identity assurance and information exchanges that exist between the U.S. and its allies or agency agreements with the host country.

Contractor Unclassified Access to Federally Controlled Facilities, Sensitive Information, It Systems or Protected Health Information.

Executive Order 13467, Reforming Processes Related to Suitability for Government Worker, Fitness for Contractor Workers and Eligibility for Access to Classified National Security Information, Homeland Security Presidential Directive (HSPD)-12, requires government agencies to develop and implement Federal security standards for Federal workers and contractors. The 5 CFR 32 Part 157 in concert with DoD Manual 1000.13, Vol 1, implements the Federal Standards.

Applicability This text applies to all DoD sponsored individuals who require CAC eligibility (or login and P/W if acceptable per contract) for: Physical access to DoD facilities or non-DoD facilities on behalf of DoD; Logical access to information systems (whether on site or remotely); or remote access to DoD networks that use only the CAC logon for user authentication, or access to sensitive and protected information. This applies to the Office of the Secretary of Defense, the Military Departments, the Office of the Chairman of the Joint Chiefs of Staff and the Joint Staff, the Combatant Commands, the Office of the Inspector General of the DoD, the Defense Agencies, the DoD Field Activities and all other organizational entities within the DoD (hereinafter referred to collectively as the "DoD Components").

Each contractor worker providing services at a Navy command under this contract is required to obtain a DoD CAC. Additionally, depending on the level of computer/network access, the contract worker will require a successful investigation as detailed below.

Access to Federal Facilities Per HSPD-12 and implementing guidance, all contractor workers working at a federally controlled base, facility or activity under this clause will require a DoD CAC. When access to a base, facility or activity is required contractor workers shall in-process with the Commands Security Manager (CSM) upon arrival to the command and shall out-process prior to their departure at the completion of the individuals performance under the contract.

Start-Up Period All contractor resource onboarding documents must be submitted via the prime contractor. The prime contractor shall make all necessary preparations to assume full responsibility for productive performance as of the performance start date.

Definition of "productive":

a. Visit Authorization Request (VAR)

b. Contractor Information Sheet (CIS)

c. Completed EQIP (Electronic Investigation)

e. All contractor resource(s) must have an active JPAS profile

f. Common Access Card (CAC)

Note (1): Invoicing by the contractor will begin as of the commencement of the performance period of services and no reimbursement will be paid by the government for efforts expended during the start-up period.

Note (2): Foreign Nationals are not allowed access to the functional/system side of Enterprise Resource Planning

(ERP).

Access to DoD Information Technology (IT) System

In Accordance With (IAW) Secretary of the Navy (SECNAV) M-5510.30, contractor workers who require access to DoN or DoD networks are categorized as IT-I, IT-II, or IT-III. The IT-II level, defined in detail in SECNAV M-5510.30, includes positions which require access to sensitive information. Sensitive information includes information protected under the Privacy Act, to include Protected Health Information (PHI). All contractor workers under this contract who require access to Privacy Act protected information are therefore categorized no lower than IT-II. IT Levels are determined by the requiring activity’s Command Information System Security Manager (ISSM)/Information Assurance Manager (IAM).

Contractor workers requiring privileged or IT-I level access, (when specified by the terms of the contract) require a Single Scope Background Investigation (SSBI) or T5 or T5R equivalent investigation , which is a higher level investigation than the National Agency Check (NAC) with Law and Credit (NACLC)/T3/T3R described below.

Due to the privileged system access, an investigation suitable for High Risk national security positions is required.

Individuals who have access to system control, monitoring, or administration functions (e.g. system administrator, database administrator) require training and certification to Information Assurance (IA) Technical Level 1, and must be trained and certified on the Operating System (OS) or Computing Environment (CE) they are required to maintain.

Access to sensitive IT systems is contingent upon a favorably adjudicated background investigation. When access to IT systems is required for performance of the contractor workers’ duties, such workers shall in-process with the Navy Commands CSM and ISSM/IAM upon arrival to the Navy command and shall out-process prior to their departure at the completion of the individuals performance under the contract. Completion and approval of a System Authorization Access Request Navy (SAAR-N) form is required for all individuals accessing Navy IT resources. The decision to authorize access to a government IT system/network is inherently governmental. The contractor supervisor is not authorized to sign the SAAR-N; therefore, the government worker with knowledge of the system/network access required or the COR shall sign the SAAR-N as the supervisor.

The SAAR-N shall be forwarded to the CSM at least thirty (30) days prior to the individuals start date. Failure to provide the required documentation at least thirty (30) days prior to the individuals start date may result in delaying the individuals start date.

When required to maintain access to required IT systems or networks, the contractor shall ensure that all workers requiring access complete annual Cyber Awareness training, and maintain a current requisite background investigation. The contractor’s security representative shall contact the command security manager for guidance when reinvestigations are required.

Interim Access

The CSM may authorize issuance of a DoD CAC and interim access to a DoN or DoD unclassified computer/network upon a favorable review of the investigative questionnaire and advance favorable fingerprint results. When the results of the investigation are received and a favorable determination is not made, the contractor worker working on the contract under interim access will be denied access to the computer network and this denial will not relieve the contractor of his/her responsibility to perform.

Denial or Termination of Access.

The potential consequences of any requirement under this clause including denial or termination of physical or system access in no way relieves the contractor from the requirement to execute performance under the contract within the timeframes specified in the contract. Contractors shall plan ahead in processing their workers and subcontractor workers. The contractor shall insert this clause in all subcontracts when the subcontractor is permitted to have unclassified access to a federally controlled facility, federally-controlled information system/network and/or to government information, meaning information not authorized for public release.

Contractors Security Representative

The contractor shall designate an worker to serve as the contractor’s security representative. Within three (3) work days after contract award, the contractor shall provide to the requiring activity’s Security Manager and the Contracting Officer, in writing, the name, title, address and phone number for the contractor’s security representative. The contractor’s security representative shall be the primary point of contact on any security matter. The contractor’s security representative shall not be replaced or removed without prior notice to the Contracting Officer and CSM.

Background Investigation Requirements and Security Approval Process for Contractors Assigned to National Security Positions or Performing Sensitive Duties

Navy security policy requires that all positions be given a sensitivity value based on level of risk factors to ensure appropriate protective measures are applied. Contractor workers under this contract are recognized as Non- Critical Sensitive [ADP/IT-II] positions when the contract scope of work require physical access to a federally controlled base, facility or activity and/or requiring access to a DoD computer/network, to perform unclassified sensitive duties. This designation is also applied to contractor workers who access Privacy Act and PHI, provide support associated with fiduciary duties, or perform duties that have been identified as National Security Positions. At a minimum, each contractor worker must be a US citizen and have a favorably completed NACLC or T3 or T3R equivalent investigation to obtain a favorable determination for assignment to a non-critical sensitive or IT-II position. The investigation consists of a standard NAC and a Federal Bureau of Investigation (FBI) fingerprint check plus law enforcement checks and credit check. Each contractor worker filling a non-critical sensitive or IT-II position is required to complete:

• SF-86 Questionnaire for National Security Positions (or equivalent Office of Personnel Management (OPM) investigative product)

• Two FD-258 Applicant Fingerprint Cards (or an electronic fingerprint submission

• Original Signed Release Statements

Failure to provide the required documentation at least thirty (30) days prior to the individuals start date shall result in delaying the individuals start date. Background investigations shall be reinitiated as required to ensure investigations remain current (not older than ten (10) years) throughout the contract performance period. The contractor’s security representative shall contact the command security manager for guidance when reinvestigations are required.

Regardless of their duties or IT access requirements ALL contractor workers shall in-process with the CSM upon arrival to the command and shall out-process prior to their departure at the completion of the individuals performance under the contract. Workers requiring IT access shall also check-in and check-out with the Navy commands ISSM/IAM. Completion and approval of a System Authorization Access Request Navy (SAAR-N) form is required for all individuals accessing Navy IT resources. The SAAR-N shall be forwarded to the Navy commands security manager at least thirty (30) days prior to the individuals start date. Failure to provide the required documentation at least thirty (30) days prior to the individuals start date shall result in delaying the individuals start date.

The contractor shall ensure that each contract worker requiring access to IT systems or networks complete annual Cyber Awareness training, and maintain a current requisite background investigation. Contractor workers shall accurately complete the required investigative forms prior to submission to the CSM. The CSM will review the submitted documentation for completeness prior to submitting it to the Office of Personnel Management (OPM);

Potential suitability or security issues identified may render the contractor worker ineligible for the assignment.

An unfavorable determination is final (subject to SF-86 appeal procedures) and such a determination does not relieve the contractor from meeting any contractual obligation under the contract. The CSM will forward the required forms to OPM for processing. Once the investigation is complete, the results will be forwarded by OPM to the DoD Central Adjudication Facility (CAF) for a determination.

If the contractor worker already possesses a current favorably adjudicated investigation, the contractor shall submit a Visit Authorization Request (VAR) via the Joint Personnel Adjudication System (JPAS) or a hard copy VAR directly from the contractors Security Representative. Although the contractor will take JPAS "Owning" role over the contractor worker, the Navy command will take JPAS "Servicing" role over the contractor worker during the hiring process and for the duration of assignment under that contract. The contractor shall include the IT position category per SECNAV M-5510.30 for each worker designated on a VAR. The VAR requires annual renewal for the duration of the worker’s performance under the contract.

4.1.4. The Contractor Appointing Personnel shall email the COR prior to the first day of contract performance.

The COR shall provide direction for a proper check-in and any additional documentation or instructions that shall be necessary for contract performance. The Contractor Appointing Personnel shall return the completed check-in sheet to the COR within fifteen (15) business days before the first day of contract perfprmance.

4.1.5. Upon receipt of an adjudicated Federal background investigation or at a minimum advanced fingerprint results, the Command Trusted Agent will enter contract worker into the Contractor Verification System (CVS).

The contractor worker is responsible for completing the CVS application for requesting issuance of a Common Access Card (CAC).

4.1.6. Fourteen (14) days prior to performance of services under this contract, the contractor’s Security Representative shall submit to the MTF Security Manager via the COR the necessary documents to obtain the appropriate Federal background investigation.

4.2. OCCUPATIONAL HEALTH REQUIREMENTS.

4.2.1. Within 60 days prior to performance of services by the contract worker, the contract worker shall obtain, at Contractor expense, documentation of required immunizations and physical testing, and a statement from the contract worker’s licensed medical practitioner or a report of a physical examination. The physical examination and immunization documentation shall indicate that the contract worker is free from mental or physical impairments that would restrict the contract worker from providing the services described herein. The requirements are provided on the HEALTH EXAMINATION AND IMMUNIZATION/SCREENING REQUIREMENT FORM, the current version of which is available at:

http://www.med.navy.mil/sites/nmlc/Public_Docs/Physical%20Exam%20and%20Immunization%20Form.pdf.

The Contractor shall always obtain the current version from the web page and shall have the form completed in its entirety in accordance with its instructions. The facility shall identify any incumbent contract workers who are not required to complete this documentation after contract award. Declinations shall only be permitted based on either the contract worker’s religious convictions or medical contraindications (as documented by a qualified health care provider). The Hepatitis B vaccine declination can be found on the World Wide Web at http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html.

4.2.1.1. Except for those contract personnel who decline Hepatitis B vaccine as given above, the Hepatitis B requirements given in HEALTH EXAMINATION AND IMMUNIZATION/SCREENING REQUIREMENT FORM provide that a contract worker must either show a positive titer or demonstrate persistent non-response to the vaccine. A contract worker may be approved for service at the MTF prior to achieving a Hepatitis B positive titer or demonstrating a persistent non-response according to the following provisions:

4.2.1.1.1. A contract worker must receive the first vaccination of his/her initial vaccination series prior to commencing service under the contract and must complete the series not later than 6 months after commencing service and, if a negative titer is obtained, must complete the second series within another 6 months; or

4.2.1.1.2. A contract worker who has completed his/her initial series and obtained a negative titer must commence his/her second vaccine series prior to commencing service and must complete the second series not later than 6 months after commencing service.

4.2.1.2. Contract workers approved according to the provisions above will be considered persistent non-responders until there is evidence to the contrary and will be counseled by a licensed practitioner regarding the implications of non-response.

4.2.1.3. If a contract worker fails to comply with the applicable schedule above, the Contractor shall replace the contract worker if so directed by the Contracting Officer.

4.2.2. Except as provided in Paragraphs 4.2.3. and 4.2.4. 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.

4.2.3. Contract 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 http://www.med.navy.mil/sites/nmlc/Public_Docs/Physical%20Exam%20and%20Immunization%20Form.pdf http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html by private physician or dentist, at no expense to the Government.

4.2.4. It is essential that contract workers be vaccinated annually against influenza according to BUMED and 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 contract worker chooses to be immunized by the Government the contract worker shall sign a waiver releasing the Government from legal liability in accordance with local procedures and policies. Alternately, the contract worker may obtain the vaccine at another facility, with the contract worker bearing the total cost, and provide proof of vaccination to the Government. If the contract worker declines vaccination, a signed declination form shall be provided to the Government in accordance with CDC recommendations and MTF policies.

4.2.5. Contract workers who do not show a positive antibody titer after immunization and appear to have a "non-immune" status must report varicella exposure to the COR. In accordance with CDC Recommendations, such contract workers may be removed from patient care duties beginning on the tenth day following exposure and remain away from work for the maximum incubation period of varicella (21 days).

4.2.6. Prior to reporting for service at an MTF, each contract worker shall be screened at Contractor expense for risk of exposure to tuberculosis (TB) as part of the Health Examination and Immunization/Screening Requirement Form in Paragraph 4.2.1. If the contract worker is determined to have a low risk of exposure, no further screening or testing is required under this contract. The initial screening may be waived, at the discretion of the MTF, if the Contractor provides evidence of a prior low risk assessment by a licensed physician. If the initial screening results in a determination that the contract worker has an increased risk of exposure to TB, the Contractor is responsible for ensuring that the contract worker receives targeted screening and testing in accordance with CDC Guidelines for Health-Care Settings and submitting timely records of subsequent screening or testing to the COR.

4.2.7. BLOOD-BORNE PATHOGEN ORIENTATION PROGRAM.

Contract workers shall participate in the MTF’s Blood-borne Pathogen Orientation Program. The contract worker shall also participate in all required annual training and in periodic training for all procedures that have the potential for occupational exposure to blood-borne pathogens.

4.2.8. HUMAN IMMUNODEFICIENCY VIRUS (HIV)

4.2.8.1. MANAGEMENT OF HIV POSITIVE CONTRACT WORKERS.

4.2.8.1.1. HIV positive contract workers will be managed in accordance with the current Centers for Disease Control (CDC) guidelines and Section 503 of the Rehabilitation Act (29 U.S.C. Section 793) and its implementing regulations (41 CFR Part 60-741).

4.2.8.2. PREVENTION OF THE TRANSMISSION OF HIV.

Contract workers shall comply with the CDC’s Universal Precautions for the prevention of the transmission of HIV.

4.2.8.2.1. All contract workers shall comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes and the use of universal precautions to prevent the spread of infections.

4.2.9. MANAGING THE CLINICAL RISK IN THE WORK ENVIRONMENT.

The work environment inherently involves risks typically associated with the provision of MRI services. The contract worker may be exposed to contagious diseases, infections and flying debris, requiring the wearing of personal protection equipment such as scrub attire, gloves, masks, and eye protection.

4.2.9.1. In the event of an exposure, the Contractor and the MTF will cooperate, in accordance with applicable MTF policy, regarding offering appropriate post-exposure testing to the affected contract worker and the MTF will use its best efforts to appropriately test the source patient and obtain the patient’s consent to disclose the test results to the contract worker and the Contractor. The Contractor will be responsible for providing appropriate follow-up medical care and counseling, if applicable, and record-keeping.

4.2.9.2. A contract 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 contract worker is otherwise entitled to Government medical services.

4.2.9.3. All accidents which may arise out of or in connection with the performance of services required herein, and which result in injury, death or property damage, shall be reported to the Safety Department and the COR immediately and to the MTF QI Department within 24 hours. Verbal reports shall be followed by written reports within 24 hours. Statements of witnesses shall be included. If any claim is made by a third party against the Contractor on account of any accident which occurs in connection with the performance of this contract, the Contractor shall promptly report the facts in writing to the Command Legal Advisor, the MTF QI Department, the Command Safety Department, and the COR.

4.3. EMERGENCY PREPAREDNESS PLAN.

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

4.4. CYBERSECURITY REQUIREMENTS

Workstation. All PACS data shall reside solely on the workstation and subsequently transferred to the MTF PACS.

The data shall not be transmitted to any other location. A two form factor (Name/Password) shall be utilized on the workstation.

4.4.1. Security Incidents. Contractor shall immediately notify the government by telephone or e-mail when a security incident(s) is detected, so the other party may take steps to determine whether its system has been compromised and to take appropriate security precautions. The system owner shall receive formal notification in writing within one hour of the detection of the incident(s).

4.4.2. Incident Reporting. After discovering a security incident, the Contractor shall report it in accordance with its incident reporting procedures. All security incidents shall be reported to the government.

4.4.3. Audit Trail Responsibilities. Contractor, in conjunction with the government, shall be responsible for auditing application processes and user activities involving the interconnection with sufficient granularity to allow successful investigation and possible prosecution of wrongdoers. Activities that will be recorded include event type, date and time of event, user identification, workstation identification, success or failure of access attempts, and security actions taken by system administrators or security officers. Audit logs shall be retained for one (1) year.

4.4.5. Material Changes to System Configuration. Planned technical changes to the system architecture shall be reported to the government before such changes are implemented.

4.4.6. New Interconnections. The Contractor shall notify the other party at least one (1) month before it connects its IT system with any other IT system, including systems that are owned and operated by third parties.

4.4.7. Electronic Media Disposal. All electronic media shall be properly sanitized before it is transferred from the custody of its current owner. The proper sanitization method depends on the type of media and the intended disposition of the media.

Overwriting Media for Sanitization: Overwriting is an approved method for sanitization storage media. Overwriting of data means replacing previously stored data on a drive or disk with a random pattern of meaningless information.

This effectively renders the data unrecoverable

Destruction of Media: Destruction is the process of physically damaging a medium so that it is not usable by any device that may normally be used to read electronic information on the medium, such as a computer, personal hand held device, audio or video player.

4.4.8.Disposal of Hard Drives. Operable hard drives shall be overwritten. Degaussing is not an effective means of data destruction on hard drives. Destruction of Hard Drives ensures that no unauthorized person can access data by ordinary means. Hard Drives shall be adequately stored in a secured area until disk drives are rendered inoperable and unreadable.

4.5. RESTRICTION ON THE USE OF GOVERNMENT-AFFILIATED PERSONNEL.

4.5.1. Except in very limited cases, the federal criminal statutes at 18 USC 203 and 18 USC 205 bar Government personnel, both active duty and civil service, from working as a contractor worker in a Government workplace, including a medical treatment facility, either as a second job ("moonlighting") or while on terminal leave. The contractor agrees that, before making an employment offer to an active duty member or a civil servant, it shall inform the individual of the potential applicability of these statutes and further agrees to encourage that individual to seek an advisory opinion from his/her local ethics counsel before accepting an employment offer.

4.6. TRANSITION

4.6.1. The contractor shall follow the transition plan submitted as part of the proposal and keep the Government fully informed of status throughout the transition period. Throughout the phase-in/phase-out periods, it is essential that attention be given to minimize interruptions or delays to work in progress that would impact the mission. The Contractor must plan for the transfer of work control, delineating the method for processing and assigning tasks during the phase-in/phase-out periods.

4.6.2. The work being required is currently being performed by 2 Contractors.

4.6.2.1. Naval Health Clinic Cherry Point, NC. Salvadorini Consulting, LLC- N6264519P0023.

4.6.2.2. Naval Health Clinic Lemoore, CA. VA CARE, N0018914PZ562.

4.6.3. START OF SERVICES.

4.6.3.1. The Contractor shall recognize the importance of a successful start-up of contract services and the timely recruitment of qualified personnel to meet all contract requirements. The contractor shall start services on the first day of the contract effective date, which is 01 October 2019.

4.6.3.2. The Contractor shall complete all necessary steps to assist each Contractor Worker performing services at the MTF in completing and submitting documentation required to obtain access to the MTF.

4.6.3.3. Contractor Personnel shall report to the COR on the first day of contract performance. The COR will provide a copy of the MTF’s Performance Improvement plan, direction for a proper check-in, and any additional documentation or instructions that may be necessary for contract performance. The Contractor Personnel shall return the completed check-in sheet to the COR as instructed.

4.6.3.4. Start-up Checklist: The contractor will adhere to the following checklist for implementation of the contract.

Checklist PWS

REFERENCE DUE DATE

Within thirty (30) days of contract award, the contractor shall submit a quality control plan (QCP) to the COR which identifies the procedures that the Contractor will implement to ensure the successful completion of tasks identified in this PWS.

Paragraph 4.10.4.

Not later than 30 days following contract award.

Upon commencement of performance, the Contractor shall provide the MTF Emergency Manager with the personal contact information for…