VA C P SOW.docx

U.S. Naval Hospital (USNH) Okinawa Disability Compensation & Pension Benefit Examinations

A. Background

The Department of Veterans Affairs (VA) Disability Compensation and Pension (C&P) Program provides monthly payments to veterans in recognition of the effects of disabilities, diseases, or injuries incurred or aggravated during active military service. A disability may be determined by VA to be service-connected on a direct basis, a secondary basis, a presumptive basis, or on the basis of aggravation. Compensation may also be paid for the worsening of a non-service connected condition aggravated by a service-connected condition. The VA Pension Program provides monthly payments, as specified by law, to needy wartime veterans who are permanently and totally disabled as a result of disability not related to military service. About 3 million veterans and their dependents receive disability C&P benefits from VA. VA conducts medical examinations and produces medical evidence reports based on those examinations. VA Rating Specialists then use the reports to determine the rating of the compensable disability.

Veterans who reside in Okinawa, Japan file their claims either online or mail them to the Pittsburgh VA Regional Office (VARO). If C&P examinations are needed to develop the claim, a request is sent to the U.S. Naval Hospital (USNH) Okinawa to perform the exam(s).

The USNH Okinawa seeks contractor support of the C&P medical exam lifecycle from examination request to report production. Support will be of two models: (1) complete support of the C&P lifecycle including the examination and (2) medical administrative support for providers at the USNH Okinawa in their performance of C&P examinations.

Complete Support: The contractor is to locate, subcontract, and train medical professionals in performing medical disability examinations for veterans and separating service members. The contractor utilizes its network of healthcare professionals to perform disability examinations and write reports to support claims processing for veterans who have filed a claim for disability compensation or pension benefits. The contractor network consists of providers from the United States who fly to Okinawa to perform the exams at the USNH Okinawa.

Medical Administrative Support: The contractor will provide medical administrative support for providers at the USHN Okinawa performing C&P examinations. Support will include veteran scheduling and communication, provider training, examination protocol templates in accordance with the AMIE Worksheets, and quality assurance review of exam report and coordination with the examiner to finalize the report in accordance with the VA and AMIE Worksheet requirements. The only difference from Complete Support is that the examiner is not a member of the contractor’s provider network.

B. Statement of Work

B.1 – General

B.1.1 The contractor will be required to perform disability examination services to support claims processing for veterans, and service members, who have filed a claim for disability compensation or pension benefits. The Contractor shall provide, based on specific request from USNH Okinawa, Complete Support or Medical Administrative Support for a range of medical disability examinations including general medical exams by non-specialists and identified specialist exams.

B.1.2 USNH Okinawa will provide examination facilities and capabilities on base including examination rooms; diagnostic tests including X-Rays and EKG; laboratory work to include blood and urine tests; and pulmonary function tests, stress tests, echocardiogram and other tests as required by the VA C&P program.

B.1.3 Examinations for the following categories are not in scope except for special exception cases that will be agreed upon in advance in writing by USNH Okinawa and the contractor: Original Gulf War Environmental Claims for undiagnosed illnesses, U.S. Court of Veterans Appeals for veteran’s cases; examinations requiring hospitalization or surgical evaluation, such as sleep apnea or endometriosis needing laparoscopy; former Prisoners of War, 38 USC 1151 initial determinations; veterans residing in VA domiciliaries/nursing homes; incarcerated veterans, Death Indemnity Compensation (DIC) and Social and Industrial Surveys.

B.1.4 Joint initiatives between the Department of Veterans Affairs (VA) and Department of Defense (DoD) may also be supported including Joint Exams, Shared Exams and the Pre-discharge Program. The Pre-discharge Program is a collaborative effort between the VA and DoD to streamline the delivery of benefits to new veterans. The program affords service members the opportunity to file claims for disability compensation up to 180 days prior to separation or retirement from active duty or full time National Guard or Reserve Duty. The Pre-Discharge program has expanded over the years with the addition of new collaborative efforts between the VA and DoD.

Currently, there are four components of the Pre-discharge program:

a. Benefits Delivery at Discharge (BDD)

b. Quick Start (QS)

c. Disability Evaluation System (DES)

d. Seriously Injured/Very Seriously Injured (SI/VSI)

Examinations conducted for initiatives in cooperation with Department of Defense are to be conducted as a Comprehensive General Medical Examination.

B.1.5 Contractor shall provide general medical administrative services to include: scheduling examinations; providing notification to the individual to be examined; and electronic transmission of transcribed text file examination reports compatible to the requesting office (with express mail of any materials which cannot be electronically transferred).

B.2 – Scheduling and Medical Administrative Services

B.2.1 The USNH Okinawa requires the contractor to schedule C&P examinations for the veterans. The USNH Okinawa will submit referrals using a secure communication mechanism provided by the contractor. Referrals will contain the current contact information for the veteran and identify if the request is for Complete Support or Medical Administrative Support.

B.2.2 Contractor will receive examination referrals electronically and will process examination requests on a daily basis Monday through Friday excluding U.S. national holidays. It is understood that the referral workload fluctuates depending on the USNH Okinawa workload trends.

B.2.3 Contractor shall schedule examinations and work with the designated point of contact at USNH Okinawa as needed. The contractor shall notify the veteran of the scheduled appointment date, time and location at least five business days prior to the scheduled appointment by mail, telephone and/or e-mail.

B.2.4 The contractor shall provide toll-free access for veterans to call with questions regarding their scheduled appointments during normal business hours from 8 am to 6 pm, Japan Standard Time (JST). in Okinawa which equates to 13 hours ahead of Eastern Standard Time.

B.3 – Medical Records

B.3.1 Medical records will not be sent to the contractor for every examination request. When needed, medical records will be sent by USNH Okinawa to the contractor in an electronic format via secure mechanism (i.e. secure fax, contractor interface). Typically, the claims file will not be sent to the contractor, the pertinent medical records will be identified and sent by USHN Okinawa.

B.3.2 If the case file is required for a service, e.g. Independent Medical Opinion, the USNH Okinawa will coordinate with the contractor and the VARO Pittsburgh to provide the case file to the contractor. The contractor will retain, maintain and return the case file to the VARO Pittsburgh. The contractor is encouraged to establish direct communication with the Pittsburgh VARO for clarification on requests and receipt of medical records.

B.3.3 When required, the contractor shall provide examiners with a copy of the veteran's pertinent medical records prior to the examination in a secure manner.

B.3.4 The contractor will maintain records that comply with applicable state and federal patient standards for privacy policy and the Privacy Act. All records must be accurate, complete and in compliance with professional standards. Compensation and Pension Examinations records are considered the property of the USNH Okinawa.

B.4 – Provider Requirements

B.4.1 Contractor or contractor employees shall be responsible to ensure that persons providing services on this contract are fully trained and can competently perform the required work.

B.4.2 Under Complete Support when contractor’s providers perform the C&P exams, the contractor shall ensure that medical examinations are conducted by individuals who are licensed to perform services in a State in the United States.

B.4.3 The Maryland CNC hearing test is used to conduct examinations for audiology. Visual field tests results are to be reported using the Goldmann Bowl Perimeter Testing.

B.4.4 IMOs will be supported by contractor providers in the United States or USNH Okinawa providers. The relevant medical records will be provided to them to perform the review and render their opinion.

B.5 – Examination Requirements

B.5.1 All examinations shall be conducted in accordance with the AMIE worksheets specified in the examination request. Contractor shall examine all conditions listed in the examination request and ensure that all factors in the examination worksheets are addressed unless declined by the individual examined or a test if not medically advisable. The reason for not performing a requested test or study must be specifically documented in the examination report.

B.5.2 Contractor shall provide electronic examination templates in accordance with the AMIE worksheets. A veteran-specific examination protocol shall be established for each request.

B.5.3 All test and procedures specifically required in the AMIE Worksheets shall be conducted unless not medically advisable or declined by the individual examined. The reason for not performing a requested test or study must be specifically documented in the examination report. Tests listed in the examination worksheets represent guidelines. Additional standard tests may be used to establish a diagnosis or severity of disability. Any additional tests necessary to establish a diagnosis or to determine severity of disease or injury shall also be conducted. No invasive procedure shall be performed without the prior approval of the USNH Okinawa and the individual to be examined.

B.5.4 If recent test results are documented in the record and available to the examiner for review, those tests need not be repeated unless specifically requested by the USNH Okinawa or there is indication of recent changes in the condition examined. Unless otherwise specified in the examination worksheets, any tests conducted within a twelve-month period prior to the current examination shall be considered recent and sufficient.

B.5.5 The contractor will schedule tests, procedures or diagnostics to be performed at the USNH Okinawa to correspond to the examination appointment. USNH Okinawa will provide the contractor with a point of contact for scheduling. If USNH Okinawa performs the service only the scheduling administrative fee will be billed.

B.6 – Training Program

B.6.1 The contractor shall prepare and implement a training program for all examiners (contractor providers and USNH Okinawa providers) including use of contractor templates and to provide:

· A basic overview of VA programs

· Available sources of veteran assistance

· An understanding of the core claims adjudication process (what the veteran may expect after the examination, who makes the decision, and whom to contact for more information)

· Orientation and instructions to the examiners for conducting examinations for VA purposes based on the requirements provided in the C&P examination worksheets

B.6.2 In addition, the contractor provides training to all the examiners to:

· Explain the differences between a VA disability examination protocol versus the examination protocol for treatment purposes

· Ensure an appropriate attitude towards veterans and their unique circumstances

· Ensure that examiners understand the VA's principle of reasonable doubt ("as least as likely as not") in the application of disabilities

· Explain the concept of presumptive diagnoses in view of unique circumstances of military service

· Ensure that examiners understand how to assess and document pain

B.6.3 Training for providers at USNH Okinawa will be delivered remotely using secure web-based delivery mechanism.

B.6.4 The contractor shall provide the training materials and the C&P examination worksheets to each examiner either in paper or electronic format. Materials will be provided in English.

B.7 – Quality Assurance

B.7.1 If a Compensation and Pension Examination is rejected by the USNH Okinawa for documented reasons, the contractor is required to rectify the report at the contractor’s time and expense.

B.7.2 The contractor shall return insufficient examination reports to USNH Okinawa without additional charge. Insufficient examination reports are those that do not meet the examination worksheets requirements (i.e., no diagnosis, no testing performed, etc.) If required, scheduling of follow-up or additional appointments whether consultative or diagnostic will follow the same procedure as original requests.

B.7.3 The contractor shall demonstrate a quality assurance program to ensure that examination reports comply with the VA requirements before submission to the USNH Okinawa. The contractor shall take corrective action when examination deficiencies are identified and before submission of the report to USNH Okinawa.

B.8 – Reporting

B.8.1 The contractor shall electronically transmit to USNH Okinawa completed examination reports in an electronic MS Word (version 2003 or later) or .pdf format signed by the examiner (electronic signatures are acceptable). Completed examination reports will be available to the USNH Okinawa via a contractor secure website.

B.8.2 A list of services performed, including examination category(s), tests completed with related CPT codes, descriptive titles and associated fees, shall be attached to each completed examination report.

B.8.3 The contractor shall maintain a database (.dbf format compatible) of examination requests and provide a monthly status report to the USNH Okinawa. The contractor shall provide a consolidated monthly status report of examination requests not later than the 15th of each month.

B.8.4 The contractor shall provide designated USNH Okinawa personnel access to its Management Information System for real-time status information such as veteran examination requests.

B.9 – Billing

B.9.1 Should veterans receive an erroneous billing, the contractor shall resolve the erroneous billing and provide appropriate documentation to the veteran that the issue has been resolved.

B.9.2 The contractor shall provide the USNH Okinawa with an electronic version of monthly invoices to the USNH Okinawa project manager for payment processing containing the following information: a list of services performed (an invoice), including examination category(s), tests completed with related Current Procedural Terminology (CPT) codes, descriptive titles and associated fees.

B.9.3 Procedures and laboratory work are identified by CPT codes and will be invoiced as billed. If a separate appointment is required an administration fee will also be invoiced.

B.10 – Privacy/Security

B.10.1 The contractor's staff will have access to sensitive veterans' records. The contractor shall prevent the unauthorized release of information obtained by employees in the performance of work required by this contract. The contractor shall ensure that employees are aware of and receive training, as necessary, on all regulations and laws such as the Privacy Act that restricts the release of information. Veteran’s claims files and all examination reports and testing results are the property of the USNH Okinawa and the information contained therein is protected under the Privacy Act. All veteran claims folders forwarded for copying/scanning must be maintained in locked files while under the care of the contractor.

C. Period of Performance

The Base Period will be a full year and begin on September 1, 2010 and end on August 31, 2011the date of award.. The transition-in period will be 90 days. Option Years will be at the discretion of the USNH Okinawa upon written notice 90 days before the end of the Base Period.

D. Place of Performance Contractor’s offices, subcontractor’s offices and the USNH Okinawa.

E. Type of Contract This is a firm-fixed price contract.

F. HIPAA PRIVACY AND SECURITY BUSINESS ASSOCIATE AGREEMENT

DEPARTMENT OF DEFENSE

BUSINESS ASSOCIATE AGREEMENT

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 Contractor 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-R, 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-R.

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).

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

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 Contractor from or on behalf of the Government pursuant to the Contract.

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

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

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

Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160, 162 and part 164, subpart C.

Terms used, but not otherwise defined, in this Clause shall have the same meaning as those terms in 45 CFR 160.103, 164.501 and 164.304.

(b) The Contractor 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 Contractor shall use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract.

(d) The Contractor 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 Contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the Contractor of a use or disclosure of Protected Health Information by the Contractor in violation of the requirements of this Clause.

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

(g) The Contractor shall report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract of which the Contractor becomes aware.

(h) The Contractor shall ensure that any agent, including a subcontractor, to whom it provides Protected Health Information received from, or created or received by the Contractor, on behalf of the Government, agrees to the same restrictions and conditions that apply through this Contract to the Contractor with respect to such information.

(i) The Contractor shall ensure that any agent, including a subcontractor, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it.

(j) The Contractor 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 Contractor shall make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government, and in the time and manner reasonably designated by the Government.

(l) The Contractor shall make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the Contractor, on behalf of the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner reasonably designated by the Government or the Secretary, for purposes of the Secretary determining the Government’s compliance with the Privacy Rule.

(m) The Contractor shall document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

(n) The Contractor shall provide to the Government or an Individual, in time and manner reasonably designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

General Use and Disclosure Provisions

Except as otherwise limited in this Clause, the Contractor may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of Protected Health Information would not violate the HIPAA Privacy Rule, the HIPAA Security Rule, DoD 6025.18-R or DoD 8580.02-R if done by the Government.

Specific Use and Disclosure Provisions

(a) Except as otherwise limited in this Clause, the Contractor may use Protected Health Information for the proper management and administration of the Contractor or to carry out the legal responsibilities of the Contractor.

(b) Except as otherwise limited in this Clause, the Contractor may disclose Protected Health Information for the proper management and administration of the Contractor, provided that disclosures are required by law, or the Contractor obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the Contractor of any instances of which it is aware in which the confidentiality of the information has been breached.

(c) Except as otherwise limited in this Clause, the Contractor may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B).

(d) Contractor may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j)(1).

Obligations of the Government

Provisions for the Government to Inform the Contractor of Privacy Practices and Restrictions

(a) The Government shall provide the Contractor with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520.

(b) The Government shall provide the Contractor with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the Contractor’s permitted or required uses and disclosures.

(c) The Government shall notify the Contractor of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522.

Permissible Requests by the Government

The Government shall not request the Contractor to use or disclose Protected Health Information in any manner that would not be permissible under the HIPAA Privacy Rule, the HIPAA Security Rule, or any applicable Government regulations (including without limitation, DoD 6025.18-R and DoD 8580.02-R) if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the Contractor as otherwise permitted by this clause.

Termination

(a) Termination. A breach by the Contractor of this clause, may subject the Contractor to termination under any applicable default or termination provision of this Contract.

(b) Effect of Termination.

(1) If this contract has records management requirements, the records subject to the Clause should be handled in accordance with the records management requirements. If this contract does not have records management requirements, the records should be handled in accordance with paragraphs (2) and (3) below

(2) If this contract does not have records management requirements, except as provided in paragraph (3) of this section, upon termination of this Contract, for any reason, the Contractor shall return or destroy all Protected Health Information received from the Government, or created or received by the Contractor on behalf of the Government. This provision shall apply to Protected Health Information that is in the possession of subcontractors or agents of the Contractor. The Contractor shall retain no copies of the Protected Health Information.

(3) If this contract does not have records management provisions and the Contractor determines that returning or destroying the Protected Health Information is infeasible, the Contractor shall provide to the Government notification of the conditions that make return or destruction infeasible. Upon mutual agreement of the Government and the Contractor that return or destruction of Protected Health Information is infeasible, the Contractor shall extend the protections of this Contract to such Protected Health Information and limit further uses and disclosures of such Protected Health Information to those purposes that make the return or destruction infeasible, for so long as the Contractor maintains such Protected Health Information.

Miscellaneous

(a) Regulatory References. A reference in this Clause to a section in DoD 6025.18-R, DoD 8580.02-R, Privacy Rule or Security Rule means the section currently in effect or as amended, and for which compliance is required.

(b) Survival. The respective rights and obligations of Business Associate under the “Effect of Termination” provision of this Clause shall survive the termination of this Contract.

(c) Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with DoD 6025.18-R, DoD 8580.02-R, the HIPAA Privacy Rule or the HIPAA Security Rule.

G – Local Information

G-1 Severe Weather No services are required in the event of the following tropical cyclone (typhoon) conditions of readiness:

Tropical Cyclone Condition 1-Caution (TC-1C) Tropical Cyclone Condition 1-Emergency (TC-1E) Tropical Cyclone Condition 1-Recovery (TC-1R)

G-2 Base Passes The government will issue all required base passes to Contractor personnel at no cost to the Contractor. The Contractor shall be responsible for all passes issued under this contract. Passes shall only be used in performance of services under this contract. Passes must be in the Contractor’s possession at all times while on a military installation. The Contractor shall return base passes upon termination or completion of this contract to the Provost Marshal’s Office, Pass and Registration Section, Marine Corps Base, Camp S.D. Butler (extension 645-2239). Certification of receipt shall be obtained and submitted to the Contracting Officer. Any lost or stolen passes shall be reported to the COR immediately and a Military Police report shall be submitted by the Contractor personnel stating the details of the loss or theft. Per Marine Corps Bases Japan (MCBJ) Bulletin 5512, Access Procedures for Designated Third Country Nationals (DTCN) to Enter MCBJ Camps, Air Stations, and Facilities, signed 11 March 2010: DTCN contractors and sub-contractors shall not be granted access to any MCBJ Camp (including Camp Lester), Air Station, or Facility in Japan. Designated Third Countries are:

Vietnam

Yemen

Contractors claiming citizenship in any of the countries listed cannot obtain a base pass.

G-3 Vehicle Passes All contractor-owned motor vehicles required to be in military installations during the performance of this contract must be registered with the Provost Marshal’s Office, Marine Corps Base, Camp S.D. Butler. Vehicle permits may be issued to civilian contractors for the duration of their contract or until expiration of the identification (ID) pass or vehicle inspection, whichever occurs first. The Contractor shall submit a request for vehicle passes the USNHO MMD for approval by the Contracting Officer. Included in this request shall be the license number, year, make, model, color and operator’s name for each vehicle. Upon approval, the Contractor shall hand carry the request to the Vehicle Registration Section, Building 5638, Camp S.D. Butler. All necessary decals and/or permits shall be displayed on the vehicles in the manner directed by the Vehicle Registration Section (extension 645-7481). Proof of insurance must also be presented to the Provost Marshall upon submission of the temporary vehicle permit or vehicle decal upon request. The minimum requirement for insurance is the Japanese Compulsory Insurance (JCI) under Japanese Motor Vehicle Damage Compensation Guarantee Law.

G-4. Cost of Operation. All cost of operation under this contract shall be borne by the Contractor. This includes but is not limited to taxes, surcharges, licenses, insurance and transportation. No payments other than those provided for in the Price Schedule shall be made to the Contractor.

G-5 Laws Covering Contracts. In any dispute arising out of this contract, the rights and obligations of the parties will be interpreted and determined in accordance with the substantive laws of the United States of America.

G-6 Safety and Accident Prevention. In performing work under this contract on a Government installation, the Contractor shall conform to the specific safety requirements prescribed by the Government installation and take such additional immediate precautions as the Contracting Officer may reasonably require for safety and accident prevention purposes. The Contractor agrees to take all reasonable steps and precautions to prevent accidents and preserve the life and health of Contractor and Government personnel performing or in any way coming in contact with the performance of this contract on such premises. Any violation of such rules and requirements, unless promptly corrected as directed by the Contracting Officer, shall be grounds to terminate this contract in whole or in part

G-7 Liability and Insurance. The general liability and responsibility of the Contractor under this clause is qualified by the following limitations: 1. The Contractor shall be liable to the Government for loss or damage to property, real or personal, owned by the Government or for which the Government is liable; 2. The Contractor shall be responsible for and hold the Government harmless from loss of, or damage to, property not included in this contract and from bodily injury or death or harm of persons. The Contractor is liable for and shall make payment for the fair market value, as determined by the Contracting Officer, for Government property or facilities which are destroyed, lost, stolen or damaged as to become unserviceable to the Government due to the Contractor’s abuse or negligence. The Contractor shall have the right to appeal under the clause entitled “Disputes”, from determinations made by the Contracting Officer. The Contractor shall maintain vehicle, bodily injury and property damage insurance as required by Japanese law.

G-8 Cost of Operation. All costs of operation under this contract shall be borne by the Contractor. This includes, but is not limited to taxes, surcharges, licenses, insurance, transportation, salaries, and bonuses. No payments other than those provided for in the Price Schedule shall be made to the Contractor.

G-9 Modifications. Any changes, additions or deletions to this contract shall be made by written modification by the Contracting Officer.

G-10 Conformance to base safety regulations and procedures. The Contractor, his employees, and subcontractors shall conform to Base Regulations while on base. This includes all safety and driving regulations. Construction safety regulations are covered in the latest edition of the Army Corps of Engineers Manual, EM 385-1-1.

1. The Contractor shall be aware of and follow hospital instructions and regulations, including but not limited to Code Red, Pink, White, Purple, Green, safety, security, and infection control.

2. The work will be stopped if serious safety violations are noted.

3. There is NO SMOKING in and around the building at any time, except at the designated smoking area outside.

4. Cellular phones are prohibited inside the hospital.

G-11 Invoicing Instructions and Payment for Supplies/Commercial Items

Payment of any order placed as a result of this solicitation will be paid by Electronics Funds (Wide Area Work Flow).

DFARS

252.232-7003

The vendor shall self-register at the web site https://wawf.eb.mil. Vendor training is available on the internet at http://wawftraining.com.

The contractor shall submit invoices for payment per contract terms.

The Government shall process invoices for payment per contract terms.

For training materials, instructions for setting up WAWF, and step-by-step instructions, please visit the following web site: https://acquisition.navy.mil/rda/content/view/full/64

For any other questions, please contact the WAWF helpdesk at 1-866-618-5988 or cscassig@ogden.disa.mil or the WAWF Implementation Team at wawf@nmlc.med.navy.mil.

Contract is between the USNH Okinawa and a United States company, no requirements from SOFA apply.

F. Invoice Submission

F.1.1 Invoicing will be performed through electronic funds transfer (EFT) and will be submitted in U.S. currency.

F.1.2 The Contractor shall submit an original invoice to:

[USNH Okinawa will provide upon award]

F.1.3 Contractor shall include the following information on each invoice:

· Contractor's name and invoice date.

· Contract number, order number or other authorization for delivery of property and/or services.

· Description, cost or price, and quantity of property and/or services actually delivered or rendered.

· Name, title, phone number, and complete mailing address of responsible official to whom payment is to be sent.

G. Price Schedule

COMPLETE SUPPORT

(examiner is a member of contractor’s provider network who travels to Okinawa)

NON-SPECIALIST MEDICAL EXAMS (PERFORMED BY GENERAL PRACTIONERS)

INDEPENDENT MEDICAL OPINION

NO SHOWS

TRAVEL

MEDICAL ADMINISTRATIVE SUPPORT